Background: Patients with anomic aphasia experience difficulties in narrative processing. General discourse measures are time consuming and require necessary skills. Core lexicon analysis has been proposed as an effort-saving approach but has not been developed in Mandarin discourse. Aims: This exploratory study was aimed (1) to apply core lexicon…

Purpose: To date, there are no automated tools for the identification and fine-grained classification of paraphasias within discourse, the production of which is the hallmark characteristic of most people with aphasia (PWA). In this work, we fine-tune a large language model (LLM) to automatically predict paraphasia targets in Cinderella story…

Background: Aphasia is a communication disorder caused by brain damage. People with aphasia (PWA) often experience difficulties in interaction. Methods: This study uses conversation analysis (CA) and examines the interactions of 10 PWA (5 fluent and 5 non-fluent speakers) and their healthcare professionals. Aims: The study aims to to explore how…

Background: Discourse impairment significantly affects communication effectiveness. For a comprehensive understanding of pathological discourse behaviour, documentation of typical discourse production is essential. However, reference data from Mandarin speakers have not been previously available. Aims: This study sought to: (1) develop preliminary…

Background: Assessing spoken discourse during aphasia clinical examination is crucial for diagnostic and rehabilitation purposes. Recent approaches have been developed to quantify content word fluency (CWF) and informativeness of spoken discourse without the need to perform time-consuming transcription and coding. However, the accuracy of these…

Background and Objectives: Narrative discourse is a useful means to organize ideas and create shared understandings. Clinically, performing discourse analysis on disordered spoken language could facilitate researchers and clinicians not only to evaluate one's language abilities but also to foreshadow his/her communication in real-life situations.…

Background: Discourse analysis has recently received much attention in the aphasia literature. Even if post-stroke language recovery occurs throughout the longitudinal continuum of recovery, very few studies have documented discourse changes from the hyperacute to the chronic phases of recovery. Aims: To document a multilevel analysis of discourse…

Background: People with aphasia (PWA) typically exhibit deficits in spoken discourse. Discourse analysis is the gold standard approach to assess language deficits beyond sentence level. However, the available discourse assessment tools are biased towards English and European languages and Western culture. Additionally, there is a lack of consensus…

Purpose: The dual-task paradigm has been frequently used to examine stroke-related deficits because it samples behavioral performance under conditions of distraction similar to functioning in real-life environments. This original systematic review synthesizes studies that examined dual-task effects involving spoken language production in adults…

Purpose: Core lexicon measures have received growing attention in research. They are intended to provide clinicians with a clinician-friendly means to quantify word retrieval ability in discourse based on normal expectations of discourse production for specific discourse elicitation tasks. To date, different criteria have been used to develop core…

Background: Although discourse-level assessments contribute to predicting real-world performance in persons with aphasia (PWA), the use of discourse measures is uncommon in clinical settings due to resource-heavy procedures. Moreover, assessing function word use in discourse requires the arduous procedure of defining grammatical categories for…

Background: The complexity of communication presents challenges for clinical assessment, outcome measurement and intervention for people with acquired brain injury. For the purposes of assessment or treatment, this complexity is usually managed by isolating specific linguistic functions or speech acts from the interactional context. Separating…

Background: Discourse analysis is an important component of aphasia assessment because it can provide an insight into functional communication abilities. However, there are many unknowns regarding the levels of discourse breakdowns that occur across aphasia types. The purpose of the current study is to explore the possible differences in…

Background: In everyday conversations, a person with aphasia (PWA) compensates for their language impairment by relying on multimodal and material resources, as well as on their conversation partners. However, some social actions people perform in authentic interaction, proposing a joint future activity, for example, ordinarily rely on a speaker…

Background and Objectives: Normative reference of the connected speech measures (both micro-structural and macro-structural) for descriptive discourse is fundamental to systematic discourse analysis because it provides an anchor for comparison. This study aims to establish a comprehensive normative reference for connected speech measures in…