Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)

Background: Screening of aphasia in acute stroke is crucial for directing patients to early language therapy. The Language Screening Test (LAST), originally developed in French, is a validated language screening test that allows detection of a language deficit within a few minutes. The aim of the pr...

Full description

Bibliographic Details
Main Authors: M. Koenig-Bruhin, T. Vanbellingen, R. Schumacher, T. Pflugshaupt, J.M. Annoni, R.M. Müri, S. Bohlhalter, T. Nyffeler
Format: Article
Language:English
Published: Karger Publishers 2016-04-01
Series:Cerebrovascular Diseases Extra
Subjects:
Online Access:http://www.karger.com/Article/FullText/445778
_version_ 1818326533764284416
author M. Koenig-Bruhin
T. Vanbellingen
R. Schumacher
T. Pflugshaupt
J.M. Annoni
R.M. Müri
S. Bohlhalter
T. Nyffeler
author_facet M. Koenig-Bruhin
T. Vanbellingen
R. Schumacher
T. Pflugshaupt
J.M. Annoni
R.M. Müri
S. Bohlhalter
T. Nyffeler
author_sort M. Koenig-Bruhin
collection DOAJ
description Background: Screening of aphasia in acute stroke is crucial for directing patients to early language therapy. The Language Screening Test (LAST), originally developed in French, is a validated language screening test that allows detection of a language deficit within a few minutes. The aim of the present study was to develop and validate two parallel German versions of the LAST. Methods: The LAST includes subtests for naming, repetition, automatic speech, and comprehension. For the translation into German, task constructs and psycholinguistic criteria for item selection were identical to the French LAST. A cohort of 101 stroke patients were tested, all of whom were native German speakers. Validation of the LAST was based on (1) analysis of equivalence of the German versions, which was established by administering both versions successively in a subset of patients, (2) internal validity by means of internal consistency analysis, and (3) external validity by comparison with the short version of the Token Test in another subset of patients. Results: The two German versions were equivalent as demonstrated by a high intraclass correlation coefficient of 0.91. Furthermore, an acceptable internal structure of the LAST was found (Cronbach's α = 0.74). A highly significant correlation (r = 0.74, p Conclusion: The German version of the LAST, available in two parallel versions, is a new and valid language screening test in stroke.
first_indexed 2024-12-13T12:01:54Z
format Article
id doaj.art-c659336c8f1248e3a85444ae2594e9c2
institution Directory Open Access Journal
issn 1664-5456
language English
last_indexed 2024-12-13T12:01:54Z
publishDate 2016-04-01
publisher Karger Publishers
record_format Article
series Cerebrovascular Diseases Extra
spelling doaj.art-c659336c8f1248e3a85444ae2594e9c22022-12-21T23:47:04ZengKarger PublishersCerebrovascular Diseases Extra1664-54562016-04-0161273110.1159/000445778445778Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)M. Koenig-BruhinT. VanbellingenR. SchumacherT. PflugshauptJ.M. AnnoniR.M. MüriS. BohlhalterT. NyffelerBackground: Screening of aphasia in acute stroke is crucial for directing patients to early language therapy. The Language Screening Test (LAST), originally developed in French, is a validated language screening test that allows detection of a language deficit within a few minutes. The aim of the present study was to develop and validate two parallel German versions of the LAST. Methods: The LAST includes subtests for naming, repetition, automatic speech, and comprehension. For the translation into German, task constructs and psycholinguistic criteria for item selection were identical to the French LAST. A cohort of 101 stroke patients were tested, all of whom were native German speakers. Validation of the LAST was based on (1) analysis of equivalence of the German versions, which was established by administering both versions successively in a subset of patients, (2) internal validity by means of internal consistency analysis, and (3) external validity by comparison with the short version of the Token Test in another subset of patients. Results: The two German versions were equivalent as demonstrated by a high intraclass correlation coefficient of 0.91. Furthermore, an acceptable internal structure of the LAST was found (Cronbach's α = 0.74). A highly significant correlation (r = 0.74, p Conclusion: The German version of the LAST, available in two parallel versions, is a new and valid language screening test in stroke.http://www.karger.com/Article/FullText/445778AphasiaLanguageStrokeScreening
spellingShingle M. Koenig-Bruhin
T. Vanbellingen
R. Schumacher
T. Pflugshaupt
J.M. Annoni
R.M. Müri
S. Bohlhalter
T. Nyffeler
Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
Cerebrovascular Diseases Extra
Aphasia
Language
Stroke
Screening
title Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
title_full Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
title_fullStr Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
title_full_unstemmed Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
title_short Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)
title_sort screening for language disorders in stroke german validation of the language screening test last
topic Aphasia
Language
Stroke
Screening
url http://www.karger.com/Article/FullText/445778
work_keys_str_mv AT mkoenigbruhin screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT tvanbellingen screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT rschumacher screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT tpflugshaupt screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT jmannoni screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT rmmuri screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT sbohlhalter screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast
AT tnyffeler screeningforlanguagedisordersinstrokegermanvalidationofthelanguagescreeningtestlast