Presentation Type
Oral Presentation
Abstract/Artist Statement
Background & Significance: Persons with aphasia (PWA) experience post-stroke depression more frequently than stroke survivors who do not have aphasia. This increased depression has been attributed to the similarities in lesion locations that lead to aphasia and lesion locations that lead to depression. Currently no patient reported outcome measures that screen for depression have been created specifically for PWA or modified to be aphasia friendly for PWA. The purpose of this preliminary study is to modify the Patient Health Questionnaire- 8 (PHQ-8) to an aphasia friendly format and to assess the feasibility of administering the modified assessment compared to other patient-reported and proxy outcome measures of depression.
Methods: This retrospective analysis examined pre- and post-treatment outcome measures of depression for stroke-survivors with aphasia. The Patient Health Questionnaire -8 (PHQ-8) was modified to an aphasia friendly format through simplification of questions, increased font size, addition of a calendar representation of possible answers, and addition of pictures related to the emotion of the question being asked. Prior to and immediately following an intensive comprehensive aphasia program (ICAP) lasting four weeks, seven stroke-survivors with aphasia were administered the modified PHQ-8 (mPHQ-8). Each individual also completed the Geriatric Depression Scale (GDS) and the Modified Perceived Stress Scale (mPSS); family caregivers completed a proxy measure, the Stroke Aphasia Depression Questionnaire -10 (SADQ-10). The GDS and SADQ-10 were administered in their original formats. The mPSS was administered in its designed format as an aphasia friendly version of the Perceived Stress Scale.
Data Collection and Analysis: Scores for the GDS, mPHQ-8, and SADQ-10 were collected immediately before and after the summer 2019 ICAP at the University of Montana. Undergraduate research assistants not involved in the data collection/blind to all research procedures are currently rescoring all outcome measures for accuracy and reliability purposes. Analysis pending. Feedback about the feasibility and ease of administration of these measures was collected from clinicians and a director of the ICAP immediately following pre-testing and post-testing, and again approximately three months later. This qualitative data has been compiled and organized in Excel. Coding and analysis pending.
Preliminary Investigation of an Aphasia-Friendly Version of the PHQ-8 Compared to other Patient and Proxy Reported Outcome Measures of Depression
UC 327
Background & Significance: Persons with aphasia (PWA) experience post-stroke depression more frequently than stroke survivors who do not have aphasia. This increased depression has been attributed to the similarities in lesion locations that lead to aphasia and lesion locations that lead to depression. Currently no patient reported outcome measures that screen for depression have been created specifically for PWA or modified to be aphasia friendly for PWA. The purpose of this preliminary study is to modify the Patient Health Questionnaire- 8 (PHQ-8) to an aphasia friendly format and to assess the feasibility of administering the modified assessment compared to other patient-reported and proxy outcome measures of depression.
Methods: This retrospective analysis examined pre- and post-treatment outcome measures of depression for stroke-survivors with aphasia. The Patient Health Questionnaire -8 (PHQ-8) was modified to an aphasia friendly format through simplification of questions, increased font size, addition of a calendar representation of possible answers, and addition of pictures related to the emotion of the question being asked. Prior to and immediately following an intensive comprehensive aphasia program (ICAP) lasting four weeks, seven stroke-survivors with aphasia were administered the modified PHQ-8 (mPHQ-8). Each individual also completed the Geriatric Depression Scale (GDS) and the Modified Perceived Stress Scale (mPSS); family caregivers completed a proxy measure, the Stroke Aphasia Depression Questionnaire -10 (SADQ-10). The GDS and SADQ-10 were administered in their original formats. The mPSS was administered in its designed format as an aphasia friendly version of the Perceived Stress Scale.
Data Collection and Analysis: Scores for the GDS, mPHQ-8, and SADQ-10 were collected immediately before and after the summer 2019 ICAP at the University of Montana. Undergraduate research assistants not involved in the data collection/blind to all research procedures are currently rescoring all outcome measures for accuracy and reliability purposes. Analysis pending. Feedback about the feasibility and ease of administration of these measures was collected from clinicians and a director of the ICAP immediately following pre-testing and post-testing, and again approximately three months later. This qualitative data has been compiled and organized in Excel. Coding and analysis pending.