Adaptation of The Scenario Test for Greek-speaking people with aphasia: A reliability and validity study.
Marina Charalambous, Phivos Phylactou, Thekla Elriz and 3 others
PMID 35555844WHAT IT FOUND
The Greek Scenario Test reliably measures functional communication in aphasia.
It correlates strongly with caregiver reports and distinguishes aphasia patients from stroke survivors without language deficits. The test allows scoring based on multimodal responses like gestures or writing, not just speech.
Key findings
01The Greek version showed excellent internal consistency and test-retest reliability, matching the performance of the Dutch and UK versions.
02The test successfully distinguished between people with aphasia and stroke survivors without aphasia, with the latter group scoring significantly higher.
03Scores correlated moderately to highly with caregiver-reported communication effectiveness and language severity, supporting its validity as a functional communication measure.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The test may have ceiling effects for people with mild to moderate aphasia, meaning it might not be sensitive enough to detect subtle difficulties in higher-functioning patients. One specific item regarding taxi seating preferences was not culturally equivalent for Greek and Cypriot participants, potentially affecting scores for that item. People with aphasia were not involved in the adaptation phase, so the cultural appropriateness of the scenarios was not checked by the end-users. The study did not measure sensitivity to change, so it is unknown if the test can track progress during therapy.
Declared interests
The authors declared no potential conflicts of interest. The work was supported by the A.G. Leventis Foundation Doctoral Full Scholarship Grant.
The easy way to misread this
Do not assume this test is sensitive to mild aphasia. The authors note it may show ceiling effects for people with mild to moderate aphasia, meaning a high score does not rule out subtle communication breakdowns in complex situations.