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tabsPageTitle	Lab Decisions/ Decisiones del lab
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Lab

Decision

Decisions/ Decisiones del lab

No lab decisions have been made regarding the use of this assessment. It should be administered as stated in the steps.

No se han tomado decisiones en el laboratorio con respecto al uso de esta evaluación. Debe administrarse tal como se indica en los pasos.

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The AIQ is administered in the patient’s dominant language during the initial session of both pre- and post-therapy assessments. It is also administered at the six-month follow-up and the twelve-month folloBeing natural and supportive of the person is absolutely keywfollow-up.

Administering the AIQ prior to any other tests is crucial because:

Influence on Responses: Other assessments that may be challenging for the patient could influence their responses. If a patient experiences difficulty or frustration with other tests, it may impact their emotional state and willingness to engage in the AIQ. Frustration can lead to less accurate or less honest responses.
Genuine Perspective: By starting with the AIQ, clinicians can obtain a more genuine perspective on the patient’s experiences with aphasia. This approach allows the evaluation to take place without the interference of test fatigue or anxiety from other assessments.

El AIQ se administra en el idioma dominante del paciente durante la sesión inicial de las evaluaciones previas y posteriores a la terapia. También se administra en el seguimiento de seis meses y en el de doce meses.

Es crucial administrar el AIQ antes de cualquier otra prueba porque:

Influencia en las respuestas: Otras evaluaciones que pueden ser desafiantes para el paciente podrían influir en sus respuestas. Si un paciente experimenta dificultad o frustración con otras pruebas, esto puede afectar su estado emocional y su disposición a participar en el AIQ. La frustración puede llevar a respuestas menos precisas o menos honestas.
Perspectiva genuina: Al comenzar con el AIQ, los clínicos pueden obtener una perspectiva más genuina sobre las experiencias del paciente con la afasia. Esto permite que la evaluación se realice sin la interferencia de la fatiga de las pruebas o la ansiedad de otras evaluaciones.

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The AIQ-21 has 21 questions and usually takes about 20 to 30 minutes to complete. It is divided into three sections: activities, participation, and emotional state/well-being. Each section focuses on different parts of living with aphasia.

To make it easier to understand, the questions use a repetitive format and include pictures for responses. This design helps reduce the cognitive load, making it simpler for participants. In each section, individuals choose images that they feel represent themselves, with options showing different races and genders. These choices are then turned into scores for each section, allowing a better understanding of how aphasia affects their lives.

El AIQ-21 tiene 21 preguntas y generalmente se tarda entre 20 y 30 minutos en completarse. Se divide en tres secciones: actividades, participación y estado emocional/bienestar. Cada sección se centra en diferentes aspectos de la vida con afasia.

Para hacerlo más fácil de entender, las preguntas utilizan un formato repetitivo e incluyen imágenes como opciones de respuesta. Este diseño ayuda a reducir la carga cognitiva, lo que facilita a los participantes. En cada sección, las personas eligen imágenes que sienten que las representan, con opciones que muestran diferentes razas y géneros. Estas elecciones se convierten en puntuaciones para cada sección, lo que permite comprender mejor cómo la afasia afecta sus vidas.

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content	[{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"General Advice:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Make sure the person with aphasia is wearing their glasses, hearing aids etc. if required"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Throughout the delivery of the questions, give as much assistance as is required to ensure good comprehension and a relaxed interview e.g. - reword - prompt - gesture - point - encourage - smile - give time for responses"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"For each question, follow the same routine:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Read the question"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Point to each person on the rating scale (this encourages the use of the extremes as rating/response options) "}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Once the person has made their choice confirm it e.g. ‘so talking with strangers is impossible for you’"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Mid-point ratings are not allowed","marks":[{"type":"strong"}]}]}]}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"At the end of the meeting: "}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Once you have completed the questions, thank the person, reassure them that their feelings are valid, and not unusual for others who share their experience"}]}]}]}]}]},{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"How to start:"}]},{"type":"paragraph","content":[{"type":"text","text":"Hi! Today, I’ll ask you some questions about your life and how you communicate. This is about your experience, and there are no right or wrong answers. I’ll use a questionnaire to help us, and you can choose which one feels right for you. You’ll answer on a scale that looks like this.” ("},{"type":"text","text":"Demonstrate by sweeping your hand across the options or pointing to each person.","marks":[{"type":"em"}]},{"type":"text","text":") “Think about how you’ve felt over the last week. Let’s start with a question about how you’ve been talking to others."}]},{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"Possible Prompts"}]},{"type":"paragraph","content":[{"type":"text","text":"For questions 1 and 2 involving words like talking to a relative or stranger:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Prompt if necessary with someone like myself, or someone in a shop"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Or name the person’s your wife/husband, children, etc for relative"}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"For question 5, regarding writing a letter to a friend:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Prompt “to find and spell the words”"}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Or, mention sending a text message"}]}]}]},{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"Scoring"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"For each question, the patient will select one of the answers choices, either numerically or with some words, or with some clinician assistance if necessary (“During the last week, if things you have to do were very easy, you would select 0. If things you have to do were very difficult, you would select 4. Or it could be somewhere in between.”) "}]}]}]},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"align-start","localId":"0e121e86-99c2-4592-a583-8624e7072b31","width":1800},"content":[{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"Example Scale Options","marks":[{"type":"strong"}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"0","marks":[{"type":"strong"}]},{"type":"text","text":": No problem at all"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"0","marks":[{"type":"strong"}]},{"type":"text","text":": Very good"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"1","marks":[{"type":"strong"}]},{"type":"text","text":": A little bit of a problem"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"1","marks":[{"type":"strong"}]},{"type":"text","text":": Good"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2","marks":[{"type":"strong"}]},{"type":"text","text":": Some difficulty"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2","marks":[{"type":"strong"}]},{"type":"text","text":": Fair"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3","marks":[{"type":"strong"}]},{"type":"text","text":": Quite difficult"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3","marks":[{"type":"strong"}]},{"type":"text","text":": Poor"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4","marks":[{"type":"strong"}]},{"type":"text","text":": Impossible"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4","marks":[{"type":"strong"}]},{"type":"text","text":": Very bad"}]}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"Example:","marks":[{"type":"strong"}]}]},{"type":"mediaSingle","attrs":{"layout":"center"},"content":[{"type":"media","attrs":{"type":"external","height":267,"width":1058,"url":"https://cloud.wikis.utexas.edu/wiki/download/attachments/223019348/47ilcmd1l9c.png"}},{"type":"caption","content":[{"type":"text","text":"AIQ scale"}]}]},{"type":"paragraph","content":[{"type":"text","text":"You will then score the same way on RedCap: "}]},{"type":"mediaSingle","attrs":{"layout":"center"},"content":[{"type":"media","attrs":{"type":"external","height":809,"width":712,"url":"https://cloud.wikis.utexas.edu/wiki/download/attachments/223019348/s4nf3wxmluf.png"}},{"type":"caption","content":[{"type":"text","text":"English AIQ-RedCap"}]}]},{"type":"paragraph","content":[]}]

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Hoy, te haré algunas preguntas sobre tu vida y cómo te comunicas. Se trata de tu experiencia y no hay respuestas correctas o incorrectas. Utilizaré un cuestionario para ayudarnos, y puedes elegir cuál te parece adecuado. Responderás en una escala que se ve así.” (Demuestre haciendo un gesto con la mano por las opciones o señalando a cada persona). “Piensa en cómo te has sentido en la última semana. Comencemos con una pregunta sobre cómo has estado hablando con los demás."}]},{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"Posibles Sugerencias:","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Para las preguntas 1 y 2 que involucran palabras cómo hablar con un familiar o un extraño:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Sugiera si es necesario con alguien como yo, o alguien en una tienda."}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"O nombre a la persona, su esposa/esposo, hijos, etc., para el familiar."}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"Para la pregunta 5, respecto a escribir una carta a un amigo:"}]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"Sugiera \"encontrar y deletrear las palabras\"."}]}]},{"type":"listItem","content":[{"type":"paragraph","content":[{"type":"text","text":"O mencione enviar un mensaje de texto."}]}]}]},{"type":"heading","attrs":{"level":2},"content":[{"type":"text","text":"Puntuación:","marks":[{"type":"strong"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Para cada pregunta, el paciente seleccionará una de las opciones de respuesta, ya sea numéricamente o con algunas palabras, o con asistencia del clínico si es necesario (“Durante la última semana, si las cosas que tienes que hacer fueron muy fáciles, seleccionarías 0. Si las cosas que tienes que hacer fueron muy difíciles, seleccionarías 4. O podría estar en algún lugar intermedio.”)"}]},{"type":"table","attrs":{"isNumberColumnEnabled":false,"layout":"default","localId":"c0b87cb8-f471-476d-8af0-bbf344aff949","width":760},"content":[{"type":"tableRow","content":[{"type":"tableHeader","attrs":{"colspan":2},"content":[{"type":"paragraph","content":[{"type":"text","text":"Opciones de Escala Ejemplo","marks":[{"type":"strong"}]}],"marks":[{"type":"alignment","attrs":{"align":"center"}}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"0: Ningún problema en absoluto"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"0: Muy bien"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"1: Un pequeño problema"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"1: Bien"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2: Alguna dificultad"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"2: Regular"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3: Bastante difícil"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"3: Malo"}]}]}]},{"type":"tableRow","content":[{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4: Imposible"}]}]},{"type":"tableCell","attrs":{},"content":[{"type":"paragraph","content":[{"type":"text","text":"4: Muy mal"}]}]}]}]},{"type":"paragraph","content":[{"type":"text","text":"Ejemplo:","marks":[{"type":"strong"}]}]},{"type":"mediaSingle","attrs":{"layout":"center"},"content":[{"type":"media","attrs":{"type":"external","height":267,"width":1058,"url":"https://cloud.wikis.utexas.edu/wiki/download/attachments/223019348/r979664apgd.png"}},{"type":"caption","content":[{"type":"text","text":"Escala AIQ"}]}]},{"type":"paragraph","content":[{"type":"text","text":"Luego puntuarás de la misma manera en RedCap."}]},{"type":"mediaSingle","attrs":{"layout":"center"},"content":[{"type":"media","attrs":{"type":"external","height":808,"width":720,"url":"https://cloud.wikis.utexas.edu/wiki/download/attachments/223019348/691ub1qrlmq.png"}},{"type":"caption","content":[{"type":"text","text":"AIQ en Castellano- RedCap"}]}]},{"type":"paragraph","content":[]}]

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Administration of the Communication Component of the AIQ for Emotionally Sensitive Patients

For patients who are emotionally sensitive and may find the other components of the Aphasia Impact Questionnaire (AIQ) overwhelming, only the first six questions, which comprise the communication component, should be administered. This approach ensures that the assessment remains focused on key aspects of communication while prioritizing the patient’s emotional well-being.

Clinicians should consider this modification when patients display signs of distress or express concerns about completing the entire questionnaire. It is essential to document the reason for limiting the scope of the AIQ in the patient's records in the comments box.

Administración del Componente de Comunicación del AIQ para Pacientes Emocionalmente Sensibles

Para pacientes que son emocionalmente sensibles y podrían sentirse abrumados con los otros componentes del Cuestionario de Impacto de la Afasia (AIQ), solo se deben administrar las primeras seis preguntas, que corresponden al componente de comunicación. Este enfoque garantiza que la evaluación se centre en los aspectos clave de la comunicación, mientras se prioriza el bienestar emocional del paciente.

Las Logopedas deben considerar esta modificación cuando los pacientes muestren señales de angustia o expresen preocupación por completar el cuestionario completo. Es importante documentar la razón en los registros del paciente en la cajita de comentarios.

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