ERIC Number: EJ1448842
Record Type: Journal
Publication Date: 2024-Nov
Pages: 13
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1368-2822
EISSN: EISSN-1460-6984
Validation of the Abbreviated Version of the Token Test in Latin American Spanish Stroke Patients
Teresa Julio-Ramos; Valentina Mora-Castelletto; José Conejeros-Pavez; Josette Saez-Martínez; Pía Solinas-Ivys; Pamela Donoso; Bernardita Soler-León; Silvia Martínez-Ferreiro; Camilo Quezada; Carolina Méndez-Orellana
International Journal of Language & Communication Disorders, v59 n6 p2815-2827 2024
Background: The abbreviated version of the Token Test (aTT) is widely used to assess language comprehension deficits in stroke patients (SPs). However, aTT has not been validated for Latin American Spanish speakers, so clinicians tend to use cut-off scores for aTT validated in developed countries. Aims: To provide normative data for the Spanish aTT (Sp-aTT) in healthy Chilean Spanish-speaking and SP, determining the influence of sociodemographic variables such as gender, age and education on Sp-aTT performance. Methods & Procedures: A total of 210 healthy volunteers (age range = 18-88 years) and 197 SPs (age range = 23-94 years), all native speakers of Chilean Spanish, were recruited. The association of age, gender and years of education on the Sp-aTT performance was analysed. Specificity and sensibility analyses of the Sp-aTT to diagnose language comprehension deficits were completed. Outcomes & Results: Only age (p < 0.001) and years of education (p < 0.001) impacted the total score of Sp-aTT. Gender did not show an association with Sp-aTT performance (p = 0.181). For SPs, the Sp-aTT score showed a significant positive correlation (rho = 0.4, p < 0.001) with the aphasia severity rating scale (ASRS) score. For Sp-aTT, the area under the curve was 0.97, and the optimal cut-off score for the Sp-aTT was 30 (0.73 of sensitivity, 0.92 of specificity and a Youden index of 0.644). Conclusions & Implications: Age and years of education are two key factors to be controlled for when determining the optimal cut-off points for the Sp-aTT. Our results also highlight the need for language-specific norms in stroke and aphasia research.
Descriptors: Language Tests, Language Proficiency, Comprehension, Disabilities, Spanish, Media Adaptation, Foreign Countries, Translation, Aphasia, Test Construction
Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://bibliotheek.ehb.be:2191/en-us
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Chile
Grant or Contract Numbers: N/A