Refined Operational Definitions for the Apraxia of Speech Rating Scale.

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Title: Refined Operational Definitions for the Apraxia of Speech Rating Scale.
Authors: Mailend, Marja-Liisa1,2 marja-liisa.mailend@jefferson.edu, Jacks, Adam3, Haley, Katarina L.3
Source: American Journal of Speech-Language Pathology. 2025 Supplement, Vol. 34, p2519-2532. 14p.
Subject Terms: *Research methodology evaluation, *Evaluation, Research funding, Research evaluation, Severity of illness index, Sound recordings, Psychometrics, Stroke, Speech apraxia, Video recording
Abstract: Purpose: The Apraxia of Speech Rating Scale (ASRS; Strand et al., 2014) has quickly emerged as a standard for apraxia of speech (AOS) diagnosis in stroke despite mixed evidence. The purpose of this study was to analyze, clarify, and revise the scoring procedures and item definitions of the ASRS as a preliminary step for investigating the scale's psychometric properties in stroke. Method: We evaluated the interpretation of the ASRS items and scale procedures by independently rating the video and audio examples provided with the latest dissemination of the ASRS. Discrepancies in ratings were discussed after each rating. Results: Upon discussing the rating discrepancies, our team identified barriers to using the scale, including lack of clear operational definitions for the scale items, difficulties with applying the multidimensional rating scale, mismatch between the scale description and item description, and lack of detailed procedures for applying the scale. Based on this analysis, we developed a series of rules for scoring the ASRS in our own research applications with stroke survivors. We also clarified scale labels and operationalized definitions for most of the scale items. Conclusions: Several potential concerns for reliable use of the ASRS were identified and addressed by clarifying the scale procedures and item definitions. We plan to use the updated procedures and definitions in research applications and are sharing them here for further input and potential applications from the research community. Research is needed to evaluate the impact of the changes on diagnostic classification and severity estimation for AOS. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Refined Operational Definitions for the Apraxia of Speech Rating Scale.
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  Data: <searchLink fieldCode="AR" term="%22Mailend%2C+Marja-Liisa%22">Mailend, Marja-Liisa</searchLink><relatesTo>1,2</relatesTo><i> marja-liisa.mailend@jefferson.edu</i><br /><searchLink fieldCode="AR" term="%22Jacks%2C+Adam%22">Jacks, Adam</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Haley%2C+Katarina+L%2E%22">Haley, Katarina L.</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. 2025 Supplement, Vol. 34, p2519-2532. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Research+methodology+evaluation%22">Research methodology evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Research+evaluation%22">Research evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Stroke%22">Stroke</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+apraxia%22">Speech apraxia</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: The Apraxia of Speech Rating Scale (ASRS; Strand et al., 2014) has quickly emerged as a standard for apraxia of speech (AOS) diagnosis in stroke despite mixed evidence. The purpose of this study was to analyze, clarify, and revise the scoring procedures and item definitions of the ASRS as a preliminary step for investigating the scale's psychometric properties in stroke. Method: We evaluated the interpretation of the ASRS items and scale procedures by independently rating the video and audio examples provided with the latest dissemination of the ASRS. Discrepancies in ratings were discussed after each rating. Results: Upon discussing the rating discrepancies, our team identified barriers to using the scale, including lack of clear operational definitions for the scale items, difficulties with applying the multidimensional rating scale, mismatch between the scale description and item description, and lack of detailed procedures for applying the scale. Based on this analysis, we developed a series of rules for scoring the ASRS in our own research applications with stroke survivors. We also clarified scale labels and operationalized definitions for most of the scale items. Conclusions: Several potential concerns for reliable use of the ASRS were identified and addressed by clarifying the scale procedures and item definitions. We plan to use the updated procedures and definitions in research applications and are sharing them here for further input and potential applications from the research community. Research is needed to evaluate the impact of the changes on diagnostic classification and severity estimation for AOS. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1044/2025_AJSLP-24-00229
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        Text: English
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      – SubjectFull: Severity of illness index
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      – SubjectFull: Sound recordings
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      – SubjectFull: Psychometrics
        Type: general
      – SubjectFull: Stroke
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      – SubjectFull: Speech apraxia
        Type: general
      – SubjectFull: Video recording
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      – TitleFull: Refined Operational Definitions for the Apraxia of Speech Rating Scale.
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              Text: 2025 Supplement
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