Objectives Assessment domains CAALMS Instrument Protocol Outcome measures WHO ICF Model Health condition DisorderDisease Participation Body structure and function Activities Environmental factors ID: 909135
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Slide1
Assessment & Outcome Measures
Slide2Objectives
Assessment domains
CAALMS Instrument
Protocol
Outcome measures
Slide3WHO ICF Model
Health condition (Disorder/Disease)
Participation
Body structure and function
Activities
Environmental factors
Personal factors
Slide4CAALMS
Aphasia, dysarthria, apraxia, neurodegenerative conditions (PD, PPA)
Work, home, etc.
Function
: language (spoken, written), speech (voice), swallowing
Structure
: muscles
Communicating basic needs, socializing with family/friends, talking on the phone
Client’s living situation, transportation, caregivers, etc.
Motivation, personal goals
Parkinson’s Disease (PD) Primary progressive aphasia (PPA)
Slide5CAALMS
Aphasia, dysarthria, apraxia, neurodegenerative conditions (PD, PPA)
Client or caregiver reported measures (interviews, QOL scales)
Standardized tests/batteries as well as informal measures (hearing screening; clinical swallow exam)
Clinician-reported measures; client or caregiver reported measures (Interviews, questionnaires)
Client or caregiver reported measures
Client or caregiver reported measures
Slide6CAALMS Instruments
Aphasia, Dysarthria, Apraxia Neurodegenerative conditions (PD, PPA)
ALA (mod-
sev
); ASHA QCL (mild-mod)
CAT, oral motor exam, swallow and hearing screening
ANA; CETI
Interview; ANA/CETI; ALA/QCL
Interview; ANA/CETI; ALA/QCL
The Comprehensive Aphasia Test (CAT) Assessment for Living With Aphasia (ALA)
Aphasia Needs Assessment (ANA) ASHA Quality of Communication Life Scale (QCL)
The Communicative Effectiveness Index (CETI)
Slide7First Session
1.5 hour protocol
Complete: Review intake paperwork (Go over ”Consent to Treat” and medical forms)
Review assessment/intake process with client and caregiver/SO or other
Oral Motor Exam
Hearing Screening
Begin Comprehensive Aphasia Battery (CAT) or Western Aphasia Battery (WAB) Quality of Life Assessment (based on severity) Assessment for Living with Aphasia Toolkit (severe-mod)
Quality Of Communication Life Scale (ASHA QCL) (mod-mild)
Slide8Second Session
(additional testing based on what info needed)
Complete WAB or CAT if needed
Interview
Aphasia Needs Assessment: can be combined with interview
Communicative Effectiveness Index (CETI): for conversational partner
Quality of Life Assessment (based on severity) Assessment for Living with Aphasia Toolkit (severe-mod) Quality of Communication Life Scale (ASHA QCL) (mod-mild)
Pyramids and Palm Trees
Slide9Second Session
(additional testing based on what info needed)
Motor speech emphasis
ABA- Apraxia Battery for Adults (ABA-2)
Frenchay
Dysarthria Assessment
Mayo Clinic Perceptual Rating FormThe Communicative Participation Item Bank (CPIB)
Slide10Interview
Ask questions that gives you information about
How the diagnosis impacts their daily activities
Any other complications that is impacting their ability to progress
How has their ability to participate in their social circles been impacted
What is their goal(s) for therapy?
What have they already tried in the past? What’s worked vs. has not?Incorporating their family/friend/caregiver input
How motivated do they feel about working toward their goal?
Slide11Some Sample Questions
So give me a little background about the injury – describe what happened?
What are you expecting to gain out of this consult?
What might be a reason for seeking continued services?
Were you involved in any therapy before this? Describe what that was like?
How has this injury changed your life?
Have you noticed any improvement in your abilities since the injury? How has it improved (or regressed)? What has helped in improving your status?What are some other health conditions that you are experiencing? (Past medical history as well as conditions as a result of the injury)
How would you like us to support you in your goals?
Slide12Interviewing Strategies
(Luck & Rose, 2007)
Acknowledgement of communication difficulties
Interviewer clarification
Verbal, gestures
Supporting conversation strategiesProviding choices Using multiple modalitiesGiving response time
RepetitionAcknowledging challenges
Slide13Interviewing with Aphasia
https://www.youtube.com/watch?v=KWVoqM9jmEM
Slide14Outcome Measures
(
Frattali
, 2013)
Intermediate
Outcomes that change from session to sessionLSVT - loudnessInstrumental Outcomes that activate learning process; once this is achieved focus can shift to a different goalLSVT – loudness beginning to carry over in HW activitiesUltimate
Social or ecological validity of the treatment is achievedFunctional communication, e.g. LSVT strategies used automatically across all situations
Slide15Types of Data
Session data
Maintenance data
Impact data
Data can be tracked via percentages, trials, rating scales, checklists, narratives