{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T17:24:14Z","timestamp":1791393854676,"version":"4.3.3"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2025,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Remote assessment through telehealth offers potential benefits for people with aphasia (PWA), particularly where in\u2010person services are limited. However, its diagnostic validity in developing countries remains underexplored due to differences in infrastructure and digital literacy.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To compare in\u2010person and remote administration of the Persian Diagnostic Aphasia Battery\u20102: Aphasia Quotient 2 (P\u2010DAB2\u2010AQ2) in Persian\u2010speaking PWA and to examine participants\u2019 technology use and satisfaction with remote assessment.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Twenty adults with mild to severe aphasia (mean age 55.85 years) completed the P\u2010DAB2\u2010AQ2 both in person and remotely via Skype. The test order was counterbalanced, and administration was conducted by two independent, blinded assessors. Intraclass correlation coefficients (ICCs) and Wilcoxon signed\u2010rank tests were used to analyse score consistency across formats. Participants also completed surveys on prior technology use and satisfaction with remote assessment.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n ICCs indicated excellent agreement between in\u2010person and remote AQ2 scores (0.986) and good to excellent agreement for subtests (0.834\u20130.981). No significant differences were found for individual subtests (\n p<\/jats:italic>\n > 0.05), although the total AQ2 score was marginally higher for in\u2010person assessments (\n p<\/jats:italic>\n = 0.044). Connected speech showed the highest variability across formats, leading to aphasia type reclassification in four participants. Ten participants showed AQ2 differences > 5 points, primarily among those with severe aphasia. Despite 60% reporting low comfort with technology, 75% were satisfied with remote assessment, and no significant correlation was found between tech experience or satisfaction and performance.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Remote administration of the P\u2010DAB2\u2010AQ2 was reliable and comparable to in\u2010person testing, supporting its clinical feasibility in Iran. However, variability in connected speech scores highlights the need for cautious interpretation. Further studies with larger samples are needed to optimize remote protocols and ensure broader applicability.<\/jats:p>\n <\/jats:sec>\n \n WHAT THIS PAPER ADDS<\/jats:title>\n \n What is already known on the subject<\/jats:italic>\n \n \n Telehealth in speech\u2010language pathology (SLP), particularly for aphasia assessment, has shown comparable results to in\u2010person assessments in developed countries. However, challenges such as technological infrastructure and professional readiness hinder its widespread adoption in developing countries like Iran.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n What this study adds to the existing knowledge<\/jats:italic>\n \n \n This study is the first to compare in\u2010person and remote administration of the Persian Diagnostic Aphasia Battery (P\u2010DAB) in Persian\u2010speaking people with aphasia (PWA). It provides detailed insights into the validity of remote assessments for each subtest, highlighting which areas are less reliable when administered remotely.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n What are the potential or clinical implications of this work?<\/jats:italic>\n \n \n The findings support the feasibility of using remote assessments to provide speech therapy services in Iran, potentially improving access to rehabilitation for PWA, especially in underserved and rural areas. This could lead to broader implementation of telehealth, ensuring timely intervention and improved quality of life for PWA.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1460-6984.70097","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T16:55:16Z","timestamp":1753808116000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Online Administration of Persian Diagnostic Aphasia Battery in Iranian People With Aphasia"],"prefix":"10.1111","volume":"60","author":[{"given":"Sayed Mohammad Mahdi","family":"Vaghei","sequence":"first","affiliation":[{"name":"Department of Speech Therapy, School of Rehabilitation Sciences Semnan University of Medical Sciences Semnan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mozhgan","family":"Asadi","sequence":"additional","affiliation":[{"name":"Neuromuscular Rehabilitation Research Center Semnan University of Medical Sciences Semnan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banafshe","family":"Mansuri","sequence":"additional","affiliation":[{"name":"Department of Speech Therapy, School of Rehabilitation Sciences Semnan University of Medical Sciences Semnan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1460458214556373"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0253441"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687038.2022.2085237"},{"key":"e_1_2_13_5_1","volume-title":"Multilingual Aphasia Examination","author":"Benton A. L.","year":"1994"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2004.10.147"},{"key":"e_1_2_13_7_1","volume-title":"Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders","author":"Chapey R","year":"2008"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP-CAC48-18-0217"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_AJSLP-19-00023"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.32598\/hdq.10.1.573.1"},{"issue":"2","key":"e_1_2_13_11_1","first-page":"387","article-title":"The Phenomenon of Population Aging in Iran","volume":"30","author":"Fathi E","year":"2020","journal-title":"Iranian Journal of Official Statistics Studies"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030444000075"},{"issue":"1","key":"e_1_2_13_13_1","first-page":"141","article-title":"Analysis of Connected Speech in Persian Aphasic Patients and Its Relationship With Type and Severity of Aphasia","volume":"3","author":"Ghoreishi Z. S.","year":"2020","journal-title":"Function and Disability Journal"},{"key":"e_1_2_13_14_1","volume-title":"BDAE: The Boston Diagnostic Aphasia Examination","author":"Goodglass H.","year":"2001"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0015"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/02687030801909659"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1375\/brim.9.2.179"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0310885"},{"key":"e_1_2_13_19_1","volume-title":"Boston Naming Test","author":"Kaplan E.","year":"2001"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16674087"},{"key":"e_1_2_13_21_1","volume-title":"Western Aphasia Battery\u2013Revised","author":"Kertesz A","year":"2007"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2016.02.012"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3181ca2647"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1460458219863604"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.577338"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-5009.165540"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7248.1517"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/2050571X.2021.1976550"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0080"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2009.07.005"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.32598\/irj.23.1.417.5"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.32598\/RJ.21.3.2893.1"},{"issue":"4","key":"e_1_2_13_33_1","first-page":"182","article-title":"Reliability and Validity of Persian Aphasia Battery Test","volume":"10","author":"Nilipour R.","year":"2016","journal-title":"Iranian Journal of Ageing"},{"issue":"4","key":"e_1_2_13_34_1","first-page":"253","article-title":"Reliability and Validity of Bedside Version of Persian WAB (P\u2010WAB\u20101)","volume":"5","author":"Nilipour R.","year":"2014","journal-title":"Basic and Clinical Neuroscience"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.057468"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1258\/135763307779701121"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0704.05"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.32598\/RJ.24.2.141.3"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_AJSLP-21-00150"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12467"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.17622.2"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.4503.308"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.32598\/RJ.26.1.1719.10"},{"key":"e_1_2_13_44_1","doi-asserted-by":"crossref","unstructured":"Sikaroodi H. S.Yadegari andS. R.Miri.2013.Montreal Cognitive Assessment\u2013Persian Versio (MoCA\u2010P)[Database record]. APA Psyc Tests.https:\/\/doi.org\/10.1037\/t78304\u2010000.","DOI":"10.1037\/t78304-000"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1044\/tele1.1.10"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2007.0091"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2007.007044"},{"key":"e_1_2_13_48_1","volume-title":"Speech\u2010Language Pathologists Providing Clinical Services via Telepractice: Position Statement [Position Statement]","author":"The Speech Pathology Association of Australia Limited","year":"2005"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.2147\/ciia.2006.1.4.467"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2004.10.200"},{"key":"e_1_2_13_51_1","unstructured":"World Health Organization.2023.Global Strategy on Digital Health 2020\u20132025. Geneva 2021.WHO."},{"key":"e_1_2_13_52_1","volume-title":"Oral and Verbal Apraxia Tasks for Adults","author":"Yadegari F","year":"2014"}],"container-title":["International Journal of Language & Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.70097","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1460-6984.70097","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1460-6984.70097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:14:22Z","timestamp":1769724862000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1460-6984.70097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,29]]},"references-count":51,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/1460-6984.70097"],"URL":"https:\/\/doi.org\/10.1111\/1460-6984.70097","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,29]]},"assertion":[{"value":"2024-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70097"}}