Ramon Llull University, FPCEE Blanquerna, Barcelona, Spain.
Int J Lang Commun Disord. 2024 Nov-Dec;59(6):2844-2857. doi: 10.1111/1460-6984.13124. Epub 2024 Oct 1.
In the Spanish and Catalan context, there is currently a lack of standardized, linguistically adapted tools to assess people with communication disorders. This lack is especially evident when it comes to instruments designed to assess functional communication.
The main objective of this study is to adapt the instrument entitled Communication Activities of Daily Living 3rd edition (CADL-3) into European Spanish (CADL-3VE) and Catalan (CADL-3VC), thus providing a new tool to assess the functional communication of patients with aphasia in the Spanish and Catalan populations.
METHODS & PROCEDURES: A total of 152 people, all residents of Catalonia, took part in the study. The CADL-3VE test was administered to 125 Spanish-speaking participants, who were divided into two groups, one consisting of patients with aphasia and the other a control group. The CADL-3VC test was administered to 27 Catalan-speaking patients with aphasia. Other tests and assessment scales were used for the external validation of the test.
OUTCOMES & RESULTS: Reliability scores were recorded for both new versions of the test. There was a very strong correlation between the CADL-3VE test and external criteria. The scores for both of the new versions showed significant differences in terms of performance between the aphasia and control groups. Both versions displayed similarities with the original test with respect to most of the psychometric analyses carried out.
CONCLUSION & IMPLICATIONS: The test makes it possible to assess everyday communicative functioning and participation in real-world contexts. As such, it helps inform the creation of personalized, interdisciplinary treatment plans aimed at functional objectives that consider the patient's context.
What is already known on the subject In order to effectively assess aphasia based on a bio-psycho-social perspective, it is necessary to examine functional communication. In other words, there is a need to explore the kinds of communication difficulties that people face in their everyday lives. Communication Activities of Daily Living (CADL-3) is an English-language test that was developed to assess functional communication by simulating certain everyday activities. What this study adds This paper offers an analysis of the items, reliability and validity of the Spanish and Catalan versions of the CADL-3 test. What are the clinical implications of this work? This new instrument has the potential to play an essential role in assessing the everyday functional communication of people with aphasia in Spain.
在西班牙和加泰罗尼亚地区，目前缺乏标准化的、语言适配的工具来评估有沟通障碍的人群。这在用于评估功能性沟通的工具上尤为明显。
本研究的主要目的是将名为“日常生活沟通活动量表 3 版”（CADL-3）改编为西班牙文（CADL-3VE）和加泰罗尼亚文（CADL-3VC），从而为评估西班牙和加泰罗尼亚人群中失语症患者的功能性沟通提供一种新工具。
共有 152 名来自加泰罗尼亚的参与者参与了这项研究。CADL-3VE 测试被用于 125 名说西班牙语的参与者，他们被分为两组，一组是失语症患者，另一组是对照组。CADL-3VC 测试被用于 27 名患有失语症的加泰罗尼亚语患者。其他测试和评估量表用于对测试进行外部验证。
两个新的版本都记录了可靠性分数。CADL-3VE 测试与外部标准之间存在很强的相关性。新的两个版本的分数在失语症组和对照组之间的表现上有显著差异。这两个版本在大多数进行的心理测量分析中都与原始测试相似。
测试能够评估日常生活中的沟通功能和参与现实世界情境的能力。因此，它有助于制定针对特定个体的、跨学科的治疗计划，以实现功能性目标，同时考虑到患者的背景。
