Abstract：
Aphasia constitutes a very complex clinical entity that requires a \"competent\" caregiver to interact with the person with aphasia (PWA). The literature lacks a valid and reliable set of standardized tools which can offer objective and quantifiable data of a caregiver\'s communicative competence. The aim of the study was to develop, standardize and validate an evaluation tool suited to measur the caregivers\' competence in communicating with family members affected by aphasic disorders. Forty-two patients with aphasia and their respective caregivers were enrolled in the study. Caregivers\' communicative competence was assessed through a new evaluation tool called ACCA-cl. Aphasia severity and functional communication abilities of the PWA were also investigated. Our data showed encouraging results regarding the reliability and the validity of the ACCA-cl scale in detecting the caregiver\'s communicative competence, especially as far as verbal content was considered. This scale can also be used to assess the improvement achieved by the caregiver after a communication training. The analysis provides encouraging findings for verbal content scales of the ACCA-cl and its possible use in clinical settings as a quantitative tool for detecting changes induced by the educational method of the caregiver. The tool is currently available in Italian.
摘要：
失语症是一个非常复杂的临床实体，需要“称职”的护理人员与失语症患者（PWA）进行互动。文献缺乏一套有效和可靠的标准化工具，这些工具可以提供护理人员沟通能力的客观和可量化的数据。这项研究的目的是发展，标准化和验证一种评估工具，该工具适用于测量护理人员与受失语症影响的家庭成员的沟通能力。42名失语症患者及其各自的护理人员被纳入研究。护理人员的沟通能力是通过一种名为ACCA-cl的新评估工具进行评估的。还调查了PWA的失语症严重程度和功能性沟通能力。我们的数据显示，关于ACCA-cl量表在检测护理人员的沟通能力方面的可靠性和有效性，尤其是考虑到口头内容。该量表还可用于评估护理者在沟通训练后所实现的改善。该分析为ACCA-cl的言语内容量表及其在临床环境中的可能用途提供了令人鼓舞的发现，作为检测护理人员教育方法引起的变化的定量工具。该工具目前有意大利语版本。
