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Teleassessment of Impaired Language Comprehension Post Stroke ***Overview:*** Stroke aphasia often impairs language comprehension. Accurate assessment of language comprehension is crucial for neuropsychological profiling and clinical management. The use of telepractice has been increasing with improved availability of software and due to necessity during COVID-19 related movement restrictions. It is important to consider how to assess language comprehension in an online environment in people with potentially severe impairments of comprehension and/or cognition. Individuals with severe language comprehension impairments are under-represented in aphasia research and this is the case for research that has evaluated online language comprehension assessment. Adapting language comprehension assessment for the online environment can be difficult because most assessments require a pointing response. As such, carers or research partners are often required to support the processes of comprehension assessment. This involvement risks inadvertently biasing patient responses. ***Method:*** This project developed a battery of language comprehension, semantic and phonological assessments for use with people with moderate-severe language comprehension impairments post-stroke. Assessments were developed in PowerPoint and presented over Zoom using screen sharing and remote control functions. The assessments worked on desktop, laptop and tablet computers. Cognitive and motor demands were kept as consistent as possible across different assessments. Testing flexibility was retained in that the researcher was able to repeat, pause and terminate the experiment and to go back over training where necessary. ***Results:*** Only 2/14 participants with aphasia required the constant presence of a carer when completing the testing. Approximately half the participants required a carer when setting up the first testing session. Only 1/161 tests undertaken had to be abandoned for technical reasons. ***Conclusions*** Online assessment is suitable for individuals with cognitive and comprehension impairments if the flexibility of in-person testing is retained.
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