Evidence map›Paper›PMID 31990598›Full record

ArticleAmerican journal of speech-language pathology2020

Developing, Implementing, and Improving Assessment and Treatment Fidelity in Clinical Aphasia Research.

Leigh Ann Spell, Jessica D Richardson, Alexandra Basilakos, Brielle C Stark, Abeba Teklehaimanot, Argye E Hillis, Julius Fridriksson

Abstract read
In one paragraph

Article in American journal of speech-language pathology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Trial
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  5. Critical-Network Lesion-Symptom Mapping.Human brain mapping · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. TEleRehabilitation foR Aphasia (TERRA) phase II trial design.Contemporary clinical trials communications · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Treatment-induced neural reorganization in aphasia is language-domain specific: Evidence from a large-scale fMRI study.Cortex; a journal devoted to the study of the nervous system and behavior · 2023
    Article
  14. Article
  15. The Severity-Calibrated Aphasia Naming Test.American journal of speech-language pathology · 2022
    Article
  16. Neural network bases of thematic semantic processing in language production.Cortex; a journal devoted to the study of the nervous system and behavior · 2022
    Article
  17. Understanding, facilitating and predicting aphasia recovery after rehabilitation.International journal of speech-language pathology · 2022
    Review
  18. Beyond Percent Correct: Measuring Change in Individual Picture Naming Ability.Journal of speech, language, and hearing research : JSLHR · 2022
    Article
  19. Assessment of language impairment and function.Handbook of clinical neurology · 2022
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Leigh Ann SpellCenter for the Study of Aphasia Recovery, University of South Carolina, Columbia.
Jessica D RichardsonDepartment of Speech and Hearing Sciences, University of New Mexico, Albuquerque.
Alexandra BasilakosCenter for the Study of Aphasia Recovery, University of South Carolina, Columbia.
Brielle C StarkDepartment of Speech and Hearing Sciences, Indiana University Bloomington.
Abeba TeklehaimanotDepartment of Public Health Sciences, Medical University of South Carolina, Charleston.
Argye E HillisDepartment of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD.
Julius FridrikssonCenter for the Study of Aphasia Recovery, University of South Carolina, Columbia.

Funding

Telerehab for Aphasia (TERRA)P50DC014664 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FRIDRIKSSON, JULIUS · 2016 to 2025
$25.0M
University of New Mexico (UNM) Center for Brain Recovery and RepairP20GM109089 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI SHUTTLEWORTH, CLAUDE W · 2015 to 2024
$22.7M
RHDBank Database DevelopmentR01DC008524 · NIDCD · CARNEGIE-MELLON UNIVERSITY · PI BRIAN MACWHINNEY · 2007 to 2026
$7.0M
Interdisciplinary Research Training in Otolaryngology and Communication SciencesT32DC014435 · NIDCD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DUBNO, JUDY R · 2015 to 2024
$2.9M
NIDCD NIH HHS P50 DC014664NIDCD NIH HHS R01 DC008524NIDCD NIH HHS T32 DC014435NIGMS NIH HHS P20 GM109089
6 · The paper itself

Abstract

Purpose The purpose of this study was to describe the development and implementation of a fidelity program for an ongoing, multifacility, aphasia intervention study and to explain how initial fidelity measures are being used to improve study integrity. Method A Clinical Core team developed and incorporated a fidelity plan in this study. The aims of the Clinical Core team were to (a) supervise data collection and data management at each clinical site, (b) optimize and monitor assessment fidelity, and (c) optimize and monitor treatment fidelity. Preliminary data are being used to guide ongoing efforts to preserve and improve the fidelity of this intervention study. Results Preliminary results show that specific recruitment strategies help to improve appropriate referrals and that accommodations to participants and their families help to maintain excellent retention. A streamlined and centralized training program assures the reliability of assessors and raters for the study's assessment and treatment protocols. Ongoing monitoring of both assessment and treatment tasks helps to maintain study integrity. Less-than-optimal interrater reliability data for the raters of some of the discourse measures guided the Clinical Core team to address the training and coding inconsistencies in a timely manner. Conclusions The creation of a Clinical Core team is instrumental in developing and implementing a fidelity plan for improved assessment and treatment fidelity. Intentional planning and assignment of study staff to implement and monitor ongoing fidelity measures assures that clinical data are reliable and valid. Ongoing review of the plan shows areas of strengths and weaknesses for continuing adjustments and improvement of study fidelity.

Indexed as

AphasiaData AccuracyData CollectionData ManagementHumansReproducibility of ResultsResearch Design

Identifiers

PMID31990598
PMCPMC7231909

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.