Transactional Success in the Texting Exchanges of People with Aphasia

失语症患者短信交流的交易成功

• 批准号: 10730224
• 负责人: Jamie H Azios
• 金额: $ 47.72万
• 依托单位: JAMES MADISON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730224
• 关键词: Address; Adult; Affect; Agreement; Aphasia; Behavior; Behavioral; Binding; Chronic; Client; Clinical Trials; Communication; Communication impairment; Communications Media; Data; Development; Discourse analysis; Electronic Mail; Electronics; Evaluation; Future; Goals; Grant; Image; Individual; Intervention; Measures; Methodology; Methods; Mission; Multimedia; National Institute on Deafness and Other Communication Disorders; Nature; Neurologic; Outcome; Participant; Performance; Persons; Productivity; Property; Psychometrics; Quality of life; Reading; Research; Sampling; Severities; Social Network; Social isolation; Societies; Spearman Rank Correlation Coefficient; Statistical Data Interpretation; Text; Text Messaging; Training; Transact; Treatment outcome; Validity and Reliability; Writing; aphasia rehabilitation; digital; efficacy evaluation; experience; health care settings; health related quality of life; improved; innovation; novel; oral communication; prospective; repair strategy; repaired; social; success; texting support; therapy development; tool

Abstract Individuals with aphasia experience reduced social networks, a contributor to poor health-related quality of life. Increased reliance on electronic communication in today’s digital world may exacerbate the challenges individuals with aphasia have in connecting with others and accomplishing their participation goals. Indeed, preliminary research shows that people with chronic aphasia have fewer contacts with whom they text and fewer text exchanges than neurologically healthy adults. The long-term goal of the proposed research is to develop an intervention to support electronic messaging in individuals with aphasia to provide access to a mode of communication that is critical for maintaining and strengthening relationships. The overall objectives of this proposal are to: 1) validate a novel measure of transactional success (information exchange) in texting and 2) identify texting behaviors that persons with aphasia and their partners engage in that enable and detract from texting success. The rationale for this proposal is two-fold. First, it is critical to have a psychometrically strong measure to assess texting performance in persons with aphasia. Second, it is imperative to identify factors associated with successful transaction to develop an intervention that facilitates texting. To attain the overall objective, the following specific aims will be pursued via a mixed methods approach. Aim 1 uses a set of statistical analyses to evaluate the validity and reliability of a measure of texting transactional success (TTS). The psychometric properties of a TTS rating scale will be evaluated using performance data from 60 participants with chronic aphasia on a three-turn texting script collected under a previous clinical trial. Aim 2 applies the TTS scale to authentic texting data collected from a prospective sample of 24 individuals with aphasia. External validity of the standard texting script will be assessed by examining the agreement between participants’ scores on this measure and scores yielded from participants’ authentic text exchanges. Aim 3 identifies texting behaviors used by people with aphasia and their partners that enable and disrupt transactional success. Conversation analysis will be employed to text exchanges from the same sample of participants from Aim 2 to reveal repair strategies and various multimedia and paralinguistic tools (e.g. emojis, images, CAPS, punctuation) that may enhance transactional success. These repair behaviors and multimedia/paralinguistic tools are strategies that could be trained to increase texting success. The proposed research is innovative because it addresses texting, an increasingly pervasive mode of communication that is understudied in aphasia rehabilitation. This research applies conversation analysis to study text messaging in aphasia, a novel application of this methodology. The proposed research is significant because the contribution of a validated measure of TTS will offer a means of assessing texting performance and evaluating treatment outcomes. Findings will inform future development of an intervention to support texting in people with aphasia and potentially reduce social isolation and improve quality of life.

抽象的 失语症经历的个人减少了社交网络，这是导致与健康相关的生活质量差的贡献者。 在当今数字世界中，人们对电子通信的依赖增加可能会加剧挑战 实际上，失语症的个人在与他人建立联系并实现他们的参与目标方面已经存在。 初步研究表明，患有慢性失语症的人的联系较少 与神经健康的成年人相比，文本交流少。拟议研究的长期目标是 开发一种干预措施，以支持失语症的个体中的电子消息传递，以提供访问权限 沟通方式对于维持和加强关系至关重要。总体目标 该建议是：1）验证在短信和发短信中的交易成功（信息交换）的新测量 2）确定失语症及其伴侣参与的发短信行为使和损害这种行为 来自发短信成功。该提议的理由是两个方面。首先，至关重要 强大的措施评估失语症患者的发短信表现。其次，必须识别 与成功交易相关的因素，以开发促进发短信的干预措施。达到 总体目标，将通过混合方法方法来实现以下特定目标。 AIM 1使用一组 统计分析以评估短信成功量度的有效性和可靠性 （TTS）。 TTS评级量表的心理测量特性将使用60的性能数据进行评估 对先前临床试验收集的三转短信脚本的慢性失语症的参与者。目标2 将TTS量表应用于从24个患者的前瞻性样本中收集的真实短信数据 失语症。标准短信脚本的外部有效性将通过检查 参与者在这项测量中的分数和参与者的真实文本交换所产生的分数。目标3 确定失语症的人及其伴侣使用的发短信行为，这些行为使和破坏 交易成功。对话分析将进行从同一样本的文本交换进行 AIM 2的参与者揭示了维修策略以及各种多媒体和副语言工具（例如表情符号， 图像，盖，标点符号）可能会增强交易成功。这些维修行为和 多媒体/副语言工具是可以训练以增加短信成功的策略。提议 研究具有创新性，因为它解决了发短信，这是一种日益普及的交流方式 在失语症康复中进行了研究。本研究应用对话分析来研究文本消息传递 失语症，这种方法的新应用。拟议的研究很重要，因为贡献 TTS的验证测量值将提供评估短信性能和评估治疗的方法 结果。调查结果将为未来的发展提供干预，以支持失语症患者发短信 并有可能减少社会隔离并改善生活质量。