Testing times an E3BP approach to assessment in aphasia Adult Language EBP group 2012, 2013, 2014 Julia Murphy

Background Acute based group commenced CAT in 2012 Significant variability in clinical practice National Stroke Guidelines and general practice Informal assessment versus standardised assessment.

Clinical Question What type of assessments are clinically valid to assess aphasia in the: a) Acute b) Sub-acute/Rehabilitation and c) Community/chronic settings?

The CAPping process 34 articles Trialled a new CAT-D (Diagnostic) form Peer-reviewed Identified a number of new assessment tools

The E 3 BP process Considered evidence from CAPs Surveyed and discussed current practice Collected data regarding commonly used assessment tools and clinician’s perceptions of tools Trialed using a number of new tools identified in the literature

Clinical Bottom Line

There is no ‘one size fits all’ approach. It is recommended that: All clients who have had a stroke are screened for aphasia All clients with aphasia receive assessment by a SP SPs make a clinical judgement regarding the most suitable assessment based on client needs, availability and time constraints SPs use a published or unpublished tool to measure functional communication abilities including participation and social inclusion, communication confidence and quality of life SPs consider using the WAB or FAST if available in their clinical setting The client, their family, carer and significant others are involved in the assessment process.

Adult Language group Julia Murphy: Kate Makin: All meetings held at Concord Hospital from pm and are followed by ANCIG Meeting dates for 2015 – 19 th February – 16 th April – 18 th June – 20 th August – 15 th October

Any questions? Adult Language EBP group 2012, 2013, 2014 Julia Murphy