Department of Speech and Hearing Sciences, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, Kurashiki, Okayama, Japan.
Graduate School of Health and Welfare Sciences, Okayama Prefectural University, Soja, Okayama, Japan.
Int J Lang Commun Disord. 2024 Sep-Oct;59(5):1878-1892. doi: 10.1111/1460-6984.13040. Epub 2024 May 1.
The Scenario Test is recognised for its effectiveness in assessing the interactive aspects of functional communication in people with post-stroke aphasia (PWA).
To develop a Japanese version of the Scenario Test (Scenario Test-JP) and assess its reliability and validity.
METHODS & PROCEDURES: Among 66 participants, we selected 61 individuals: 34 PWA and 27 healthy controls (HCs). We modified the Scenario Test-JP based on the UK version and subsequently evaluated its reliability (internal consistency, test-retest and intra-rater and inter-rater reliabilities) and validity (convergent and discriminant) by comparing PWA and HCs.
OUTCOMES & RESULTS: The Scenario Test-JP showed strong reliability with a Cronbach's α of 0.93, test-retest reliability with an intraclass correlation coefficient (ICC) of 0.97, intra-rater reliability with an ICC of 0.95-1.00, and inter-rater reliability with an ICC of 0.96. The validity of the test was confirmed with concurrent scores ranging from ρ = 0.37 to 0.76 (p < 0.05) and known-groups validity (p < 0.001, r = -0.56).
CONCLUSIONS & IMPLICATIONS: The reliability and validity of the Scenario Test-JP align with those of the original Dutch version and the UK and Greek versions. Additionally, the assessment can now include extended alternative communication methods, such as digital devices, indicating the potential of the Scenario Test-JP for modern Japanese speech-language therapy.
What is already known on the subject Interactive communication is a facet of functional communication and is crucial for evaluating engagement and participation of people with aphasia (PWA) in speech-language therapy. The Scenario Test provides valuable information for planning speech-language treatment strategies by assessing dialogic communication. What this study adds This study describes the development of the Scenario Test-JP for use with Japanese speakers and Japanese PWA, which is adapted from the Scenario Test UK version. This study evaluated the reliability and validity of this assessment tool and provided supporting evidence. What are the clinical implications of this work? The reliability and validity of the Scenario Test-JP were consistent with those of the Dutch, UK and Greek versions. The Scenario Test-JP contributes to speech-language therapy in Japan, where high-quality support for the activities and participation of PWA is required.
Insights from the Scenario Test The Scenario Test plays a crucial role in evaluating the functional communication skills of people with post-stroke aphasia (PWA). Enhancing functional communication has been linked to improved social engagement among PWA, which in turn influences their overall quality of life (QOL). Issues addressed by the Scenario Test The Scenario Test aids in delineating rehabilitation objectives for activities and participation among PWA, particularly concerning functional communication. The test facilitates tailored support for PWAs' interactive communication and forms the foundation for appropriate speech-language therapy interventions. Transformation of speech-language therapy (SLT) in Japan through the introduction of the Scenario Test-JP The integration of the Scenario Test-JP could enhance the SLT services provided to PWA in Japan. With Japan experiencing an unprecedented ageing population, the prevalence of social isolation and diminished QOL resulting from communication disorders like stroke-induced aphasia is expected to rise. Consequently, the SLT rehabilitation sector in Japan is actively seeking effective interventions to support functional communication among PWA. Hence, the adoption of the Scenario Test-JP is anticipated to streamline the evaluation of functional communication, facilitating the judicious selection and timely provision of assistance to PWA in SLT, including guidance on communication partner support and communication skill training.
情景测试因其在评估卒中后失语症（PWA）患者功能交流的互动方面的有效性而得到认可。
开发一种日语版的情景测试（Scenario Test-JP），并评估其信度和效度。
在 66 名参与者中，我们选择了 61 人：34 名 PWA 和 27 名健康对照组（HCs）。我们根据英国版对 Scenario Test-JP 进行了修改，随后通过比较 PWA 和 HCs 来评估其信度（内部一致性、重测信度、内部评分者和外部评分者信度）和效度（收敛和判别）。
情景测试-JP 具有很强的可靠性，克朗巴赫的 α 为 0.93，内部类相关系数（ICC）的重测信度为 0.97，内部评分者信度的 ICC 为 0.95-1.00，外部评分者信度的 ICC 为 0.96。通过与 ρ=0.37 到 0.76（p<0.05）的同时评分和已知群体的有效性（p<0.001，r=-0.56）确认了测试的有效性。
情景测试-JP 的信度和效度与荷兰原版、英国版和希腊版一致。此外，评估现在可以包括扩展的替代交流方法，如数字设备，这表明情景测试-JP 对现代日本言语治疗具有潜力。
交互沟通是功能沟通的一个方面，对于评估失语症患者（PWA）在言语治疗中的参与度和参与度至关重要。情景测试通过评估对话交流，为制定言语治疗策略提供了有价值的信息。
本研究描述了为使用日语的人开发的情景测试-JP 的情况，该测试是从情景测试英国版改编而来的。本研究评估了这种评估工具的信度和效度，并提供了支持性证据。
情景测试-JP 的信度和效度与荷兰、英国和希腊版本一致。情景测试-JP 为日本的言语治疗做出了贡献，日本需要为 PWA 的活动和参与提供高质量的支持。
情景测试在评估卒中后失语症（PWA）患者的功能沟通技能方面起着至关重要的作用。增强功能沟通能力与 PWA 的社会参与度提高有关，而社会参与度的提高又会影响他们的整体生活质量（QOL）。
情景测试有助于确定 PWA 的活动和参与的康复目标，特别是关于功能沟通。该测试有助于为 PWA 的互动沟通提供有针对性的支持，并为适当的言语治疗干预奠定基础。
日本通过引入情景测试-JP 改变言语治疗（SLT）：情景测试-JP 的引入可以增强日本为 PWA 提供的 SLT 服务。随着日本人口老龄化的加速，预计因中风引起的失语症等沟通障碍导致的社会隔离和生活质量下降的情况会增加。因此，日本的言语治疗康复部门正在积极寻求有效的干预措施，以支持 PWA 的功能沟通。因此，预计情景测试-JP 的采用将简化功能沟通的评估，有助于明智地选择和及时为 PWA 提供言语治疗帮助，包括对沟通伙伴的支持和沟通技能培训的指导。
