Why Literacy Matters
Study Design
The Numbers
Participant Experiences
SLP Connections
100

This is the broad skill area that allows individuals to participate involving activities such as reading mail, completing forms, texting, reading menus, and writing emails.

What is literacy? --- Literacy

100

Madden and Bush described their study as using this type of research design because they collected both quantitative and qualitative data.

What is mixed methods? --- Mixed-Methods Design

100

This percentage of participants reported that their literacy abilities changed after their stroke.

What is 100%?

100

Before their strokes, participants often described reading and writing using words such as “happy,” “enjoyable,” “good,” and this word which describes a lack of strong feelings.

What is indifferent?

100

Name one strategy participants reported using to make reading easier.

What are reading slowly, sounding out words, using visual supports, text-to-speech, or audiobooks? --- Any of the 3

200

According to the article, literacy difficulties can negatively affect independence, social participation, and what other broader aspect of someone’s well-being?

What is quality of life? --- Quality of Life

200

Participants needed to be at least this far post-onset in order to participate in the study.

What is 3 months? --- 3 months post-onset

200

This percentage of participants wanted to improve both their reading and writing skills.

What is 95%?

200

Name two emotions participants commonly described immediately after their stroke.

What are sadness, anxiety, loneliness, frustration, or discouragement? --- Any 2 of the 4

200

This group was identified by participants as one of the most helpful sources of reading and writing support.

Who are speech-language pathologists?

300

Compared with spoken language rehabilitation, behavioral assessment and treatment resources for this area after stroke are minimal.

What is reading and writing/literacy? --- Literacy Skills

300

Participants completed this many closed-ended survey questions addressing reading and writing before and after stroke.

What is 68?

300

Reading work materials dropped from 90% before stroke to this percentage after stroke.

What is 24%?

300

According to participants, this literacy skill often seemed to return more easily than writing.

What is reading?

300

A client says, “I don't care about reading worksheets. I just want to be able to text my grandchildren.” What should the SLP take from this?

What is… literacy intervention should be functional and based on the client's personally meaningful goals (any applicable answer counts)

400

True or False: Literacy difficulties after stroke only affect a person's ability to communicate through written language.

What is False? --- False

Explanation:
Literacy difficulties can also affect independence, social participation, work, community participation, and quality of life.

400

Name two types of data collection used in the study besides the open-ended interviews.

What are assessment/testing and a closed-ended survey?

400

Writing at work decreased from 95% before stroke to this percentage after stroke.

What is 14%?

400

Participants emphasized that their difficulty with literacy was not because they lacked this.

What is desire/motivation?

Quote from article: “It’s not the lack of desire… it’s the inability.”

400

Parr emphasized that SLPs should consider a person's roles before and after stroke because changes in these roles can influence literacy needs. (What is the name for roles pre and post stroke?)

What are premorbid and current roles?

500

A client with aphasia has trouble reading her medical paperwork, so she needs her daughter to help her understand her appointments. What bigger effect of poor literacy does this example show?

What is reduced independence? --- Reduced Independence

500

Why was the qualitative interview component particularly valuable in this study?

What is.. it allowed participants to describe their personal experiences, feelings, supports, and goals in their own words

500

This was the only literacy activity discussed in the study that increased after stroke, with reading increasing by 19% and writing by 9%.

What is text messaging?

500

Why might literacy have been “taken for granted” by participants before their strokes?

What is… because they could read and write frequently and easily without needing to consciously think about those abilities

500

A client scores poorly on a reading assessment but reports feeling proud of their progress and says they can now read short text messages independently. What does this study suggest the SLP should do?

What is… consider both standardized performance AND the client's personal perceptions, goals, emotions, and functional participation?