Applied Language and Culture Studies Lab, Faculty of Letters and Humanities, Chouaib Doukkali University, El Jadida, Morocco.
Department of Neurology, Hassan II University Medical Hospital, Fez, Morocco.
J Speech Lang Hear Res. 2023 Jul 12;66(7):2376-2389. doi: 10.1044/2023_JSLHR-22-00475. Epub 2023 May 25.
The objectives of this study were (a) to linguistically and culturally adapt the English bedside version of the Western Aphasia Battery-Revised (Bedside WAB-R) into Moroccan Arabic (MA) and (b) to assess its psychometric properties.
The Bedside MA-WAB-R was piloted on a population of 20 participants after a process of linguistic adaptation from English to MA. To verify the psychometric properties of the test, a group of healthy controls ( = 106) and a group of persons with chronic aphasia ( = 52) completed the Bedside MA-WAB-R. The test's content validity, construct validity, and the concurrent validity of the aphasia classification system were examined. In addition, the interrater reliability, intrarater reliability, test-retest reliability, and internal consistency of the instrument were evaluated.
The results indicated that the Bedside MA-WAB-R overall met standard criteria for excellent psychometric properties, as evinced by high content and construct validity and concurrent validity with independent measures of aphasia diagnosis (speech-language pathologists' impression and lesion location) as well as high internal consistency, inter- and intrarater reliability, and test-retest reliability. The test was also found to have very high sensitivity and specificity for the detection of aphasia, as revealed by the performance of controls. By controlling for age and educational level effects, specific cutoff values were determined to optimize the aphasia diagnosis.
The Bedside MA-WAB-R is the first standardized quick aphasia assessment tool with associated psychometric properties for clinical use with an MA-speaking population, particularly within the 26- to 58-year age range. It meets standard criteria for a valid and reliable measure than can have a variety of clinical and research applications.
本研究的目的是:(a)将西方失语症成套测验修订版(Bedside WAB-R)的英文床边版本从英语翻译成摩洛哥阿拉伯语(MA);(b)评估其心理测量学特性。
经过从英语到 MA 的语言适应性过程,对 20 名参与者进行了 Bedside MA-WAB-R 的预试验。为了验证测试的心理测量学特性,一组健康对照组(n=106)和一组慢性失语症患者(n=52)完成了 Bedside MA-WAB-R。测试的内容有效性、结构有效性和失语症分类系统的同时有效性进行了检验。此外,还评估了仪器的评分者间信度、评分者内信度、重测信度和内部一致性。
结果表明,Bedside MA-WAB-R 总体上符合优秀心理测量学特性的标准,表现为内容和结构有效性高,与独立的失语症诊断(言语治疗师的印象和病变部位)具有同时有效性,内部一致性、评分者间信度、评分者内信度和重测信度高。该测试对控制年龄和教育程度影响后,对检测失语症具有很高的敏感性和特异性,对照组的表现就证明了这一点。通过控制年龄和教育程度的影响,确定了特定的临界值,以优化失语症的诊断。
Bedside MA-WAB-R 是第一个针对 MA 语言人群的标准化快速失语症评估工具,具有相关的心理测量学特性,特别适用于 26 至 58 岁年龄组。它符合标准,是一种有效的、可靠的测量工具,可以有多种临床和研究应用。