Authors:
Thumbeck, Sarah-Maria, sarah-maria.thumbeck@uni-erfurt.de, University of Erfurt, Department of Linguistics, Germany
Dressel, Katharina, katharina.dressel@srh.de, SRH University of Applied Health Sciences Heidelberg, Campus Düsseldorf, Germany
Baumgärtner , Annette, annette.baumgaertner@uni-luebeck.de, Universität zu Lübeck, Institute of Health Sciences, Germany
Büttner-Kunert, Julia, julia.Buettner@germanistik.uni-muenchen.de, Ludwig Maximilians University of Munich, Department of Linguistics, Speech-Language-Therapy, Germany
Ablinger, Irene, irene.ablinger@srh.de, SRH University of Applied Health Sciences Heidelberg, Campus Bonn, Germany
Keywords: Framework, text level reading comprehension, person-centred rehabilitation, neurology, participation
Abstract:
Background and aims. Person-centred rehabilitation focusses on individually meaningful change. Frameworks like the International Classification of Functioning, Disability and Health (ICF; World Health Organisation, 2005) or Living with Aphasia: Framework for Outcome Measurement (A-FROM; Kagan et al., 2008) help to structure thinking about relevant outcomes. In A-FROM, the quality of life (living with aphasia) is formed by an interplay of the outcome domains aphasia severity, participation in life situations, personal factors, and environment. We aimed to create a framework for outcome measurement for people with acquired text comprehension disorders by adapting A-FROM to this target group.
Methods: Based on a narrative literature review, we identified models on text comprehension that related to at least one A-FROM domain. We extracted model-specific descriptions on the A-FROM domains with a focus on text comprehension. The results guided the adaptation of the names and descriptions of each domain.
Results. We extracted information from the multilevel model of reading (Rosebrock & Nix, 2020), the Heuristic for Thinking About Reading Comprehension outlined by the RAND Reading Study Group (Snow, 2002), the model of reading engagement by Guthrie et al. (2012), the situation model (van Dijk & Kintsch, 1983), the Construction-Integration model (Kintsch, 2018), A Blueprint of the Reader (Perfetti, 1999) and the Integrated Model of Text and Picture Comprehension (Schnotz, 2014). The integration of the extracted information into A-FROM resulted in TEXT-FROM. Central to TEXT-FROM is the quality of life in the context of acquired text comprehension disorders, which is moderated by the outcome domains reader characteristics, reading environment, participation and everyday reading activities, as well as text comprehension functions and their impairments.
Conclusions and implications. TEXT-FROM can help to guide outcome measurement and collaborative intervention planning for acquired text comprehension disorders. It is a simple, ICF-compatible framework that emphasizes individual strengths, needs, and perspectives.