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Aphasia is a type of acquired language disorder in adults as a result of a cerebrovascular accident (i.e., stroke) or traumatic brain injury (TBI). People with aphasia (PWAs) or adults with TBI demonstrate impairments in language production, such as reduced content and lexical diversity, syntactic complexity, impaired cohesion and coherence [1]. Discourse level analysis of oral production by PWAs is informative of their microand macro-linguistic analysis. However, detailed and comprehensive analysis of spoken narratives is clinically infeasible due to the extensive amount of time involved in sample elicitation and especially the subsequent analysis [2]. In addition, most existing standardized language batteries of aphasia or TBI do not contain detailed and systematic evaluation of oral narratives. As a result, clinically oriented tools that were designed to assist clinicians in quantifying disordered spoken narratives became more popular. Specifically, the results of these clinical tools can assist healthcare professionals in making an initial evaluation of a speaker’s linguistic abilities, which may then lead to more sophisticated and in-depth assessment of aphasia. Various clinically feasible approaches of discourse analyses, each with unique methodologies and, therefore, strength and weaknesses, have been proposed (see detailed This study aims to investigate the inter-rater agreement of the Main Concept Analysis (MCA), a proposition-based system for analyzing the presence, accuracy, completeness, and efficiency of content in spoken narratives of speakers with aphasia. Twenty-one MCA assessments were administered to thirteen participants recruited from an intensive aphasia treatment program. Six MCA indices were applied to the language samples, which were crosschecked to determine discrepancies of results across raters. The present results were consistent with similar studies in the literature, thus indicating that the Main Concept Analysis is a reliable assessment battery. Given the simple, quick, but objective procedures for language quantification, it is argued that the Main Concept Analysis can easily be adopted to the Korean-speaking population for clinical analysis of discourse.

clinical archives of communication disorders

Main Concept Analysis for Acquired Deficits of Spoken Narratives: Preliminary Data on Inter-rater Agreement and Potential Application to the Korean-Speaking Population