Brief Aphasia Assessment Protocol (PEBA) for patients with acute stroke: clinical validation and argentine normative data

Authors

DOI:

https://doi.org/10.15517/ap.v40i140.62212

Keywords:

Language assessment, screening test, aphasia, stroke, hospitalization

Abstract

Objective. To validate and present normative data for the Brief Aphasia Assessment Protocol (PEBA). The PEBA is a bedside Spanish-language screening tool for language assessment, designed for use in hospitalized patients during the acute phase, and developed within a cognitive neuropsychology framework. Method. A total of 23 patients with aphasia (left-sided stroke) and 177 individuals without brain injury (CG) were evaluated. Performance comparisons, clinical validity studies, reliability analysis, and the development of normative data for the Argentine population were conducted. Results. The CG showed near-ceiling performance, except in Writing, where an effect of educational level was observed. Patients performed significantly worse compared to the CG. Acceptable reliability indicators were obtained. Normative data were stratified by educational level. The PEBA is a valid and reliable instrument for the assessment of patients in the acute poststroke phase. Future studies with larger patient samples will be essential to confirm these findings and further support the use of the test.

Downloads

Download data is not yet available.

Author Biographies

  • Micaela Difalcis, University of Buenos Aires

    Universidad de Buenos Aires, Instituto de Lingüística, Facultad de Filosofía y Letras, Buenos Aires Argentina. (Estas personas contribuyeron igualmente como primeras autoras.)

  • Florentina Morello-Garcia, National Scientific and Technical Research Council

     Instituto de Neurociencias (INEU), Fleni-CONICET, Buenos Aires, Argentina. (Estas personas contribuyeron igualmente como primeras autoras)

  • Samanta Leiva , Hospital Interzonal General de Agudos “Eva Perón”

    Hospital Interzonal General de Agudos “Eva Perón”, Unidad de Neuropsicología, San Martín, Buenos Aires, Argentina

  • Magalí Guilarducci , Hospital Interzonal General de Agudos “Eva Perón”

    Hospital Interzonal General de Agudos “Eva Perón”, Unidad de Fonoaudiología, San Martín, Buenos Aires, Argentina

  • Natalia Florencia Macchia, Hospital Interzonal General de Agudos “Eva Perón”

    Hospital Interzonal General de Agudos “Eva Perón”, Unidad de Fonoaudiología, San Martín, Buenos Aires, Argentina

  • Aldo Ferreres , Hospital Interzonal General de Agudos “Eva Perón”

    Hospital Interzonal General de Agudos “Eva Perón”, Unidad de Neuropsicología, San Martín, Buenos Aires, Argentina

  • Andrea Micciulli, Hospital Interzonal General de Agudos “Eva Perón”

    Hospital Interzonal General de Agudos “Eva Perón”, Unidad de Neuropsicología, San Martín, Buenos Aires, Argentina

References

Adrián, J. A., Jorquera, J., & Cuetos, F. (2015). NEUROBEL: Breve batería neuropsicológica de evaluación del lenguaje oral en adultos mayores. Datos normativos iniciales. Revista de logopedia, foniatría y audiología, 35(3), 101-113. https://doi.org/10.1016/j.rlfa.2014.12.004 DOI: https://doi.org/10.1016/j.rlfa.2014.12.004

Ali, M., Lyden, P., and Brady, M. VISTA Collaboration (2015). Aphasia and dysarthria in acute stroke: recovery and functional outcome. Intern. J. Stroke, 10, 400-406. https://doi.org/10.1111/ijs.12067 DOI: https://doi.org/10.1111/ijs.12067

Ashaie, S., & Castro, N. (2021). Exploring the complexity of aphasia with network analysis. Journal of Speech, Language, and Hearing Research, 64(10), 3928-3941. https://doi.org/10.1044/2021_JSLHR-21-00157 DOI: https://doi.org/10.1044/2021_JSLHR-21-00157

Berthier, M. L. (2005). Poststroke aphasia: epidemiology, pathophysiology and treatment. Drugs & aging, 22, 163-182. https://doi.org/10.2165/00002512-200522020-00006 DOI: https://doi.org/10.2165/00002512-200522020-00006

Caplan, D. (2012). Aphasic sindromes. In K. Heilman y E. Valnstein (Eds.), Clinical Neurospsychology (5ta ed.). Nueva York: Oxford University Press.

Choi, H. J., Lee, D. Y., Seo, E. H., Jo, M. K., Sohn, B. K., Choe, Y. M., Byun, M. S., Kim, J. W., Kim, S. G., Yoon, J. C., Jhoo, J. H., Kim, K. W., & Woo, J. I. (2014). A normative study of the digit span in an educationally diverse elderly population. Psychiatry Investigation, 11(1), 39-43. https://doi.org/10.4306/pi.2014.11.1.39 DOI: https://doi.org/10.4306/pi.2014.11.1.39

Contador, I., Del Ser, T., Llamas, S., Villarejo, A., Benito León, J., & Bermejo-Pareja, F. (2017). Impact of literacy and years of education on the diagnosis of dementia: A population-based study. Journal of clinical and experimental neuropsychology, 39(2), 112-119. https://doi.org/10.1080/13803395.2016.1204992 DOI: https://doi.org/10.1080/13803395.2016.1204992

De Ryck, A., Fransen, E., Brouns, R., Geurden, M., Peij, D., Mariën, P., De Deyn, P. & Engelborghs, S. (2014). Poststroke depression and its multifactorial nature: results from a prospective longitudinal study. Journal of the neurological sciences, 347(1-2), 159-166. https://doi.org/10.1016/j.jns.2014.09.038 DOI: https://doi.org/10.1016/j.jns.2014.09.038

de Lima Ramos, R., Bahia, M. M., Flamand-Roze, C., & Chun, R. Y. S. (2023). Brazilian Portuguese adaptation and validation of the language screening test for poststroke patients. Journal of Speech, Language, and Hearing Research, 66(7), 2296-2315. https://doi.org/10.1044/2023_JSLHR-22-00611 DOI: https://doi.org/10.1044/2023_JSLHR-22-00611

El Hachioui, H., Visch-Brink, E. G., de Lau, L. M., van de Sandt-Koenderman, M. W., Nouwens, F., Koudstaal, P. J., & Dippel, D. W. (2017). Screening tests for aphasia in patients with stroke: a systematic review. Journal of neurology, 264, 211-220. https://doi.org/10.1007/s00415-016-8170-8 DOI: https://doi.org/10.1007/s00415-016-8170-8

Ellis, A.W., & Young, A.W. (1996). Human Cognitive Neuropsychology. A Textbook with Readings. Hove, East Sussex: Lawrence Erlbaum. https://doi.org/10.4324/9780203727041 DOI: https://doi.org/10.4324/9780203727041

Engelter, S. T., Gostynski, M., Papa, S., Frei, M., Born, C., Ajdacic-Gross, V., Gutzwiller, F. y Lyrer, P. A. (2006). Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. Stroke, 37(6), 1379-1384. https://doi.org/10.1161/01.STR.0000221815.64093.8c DOI: https://doi.org/10.1161/01.STR.0000221815.64093.8c

Ferreres, A., Micciulli, A., Guilarducci, M., Macchia, N. F., Difalcis, M., & Morello-García, F. (2024, August 19). Protocolo de Evaluación Breve de la Afasia (PEBA). https://doi.org/10.17605/OSF.IO/9CDTV

Fine, E. M., Kramer, J. H., Lui, L. Y., Yaffe, K., & Study of Osteoporotic Fractures (SOF) Research Group (2012). Normative data in women aged 85 and older: verbal fluency, digit span, and the CVLT-II short form. The Clinical Neuropsychologist, 26(1), 18-30. https://doi.org/10.1080/13854046.2011.639310 DOI: https://doi.org/10.1080/13854046.2011.639310

Fonseca, J., Miranda, F., Stein, B., & Maruta, C. (2024). Aphasia screening test (terap): construction and validation for european portuguese. Acta Medica Portuguesa, 37(12), 831-837. https://doi.org/10.20344/amp.22233 DOI: https://doi.org/10.20344/amp.22233

Grönberg, A., Henriksson, I., Stenman, M., & Lindgren, A. G. (2022). Incidence of aphasia in ischemic stroke. Neuroepidemiology, 56(3), 174-182. https://doi.org/10.1159/000524206 DOI: https://doi.org/10.1159/000524206

Hernández-Sampieri, R., Fernández-Collado, C. y Baptista-Lucio, P. (2014). Selección de la muestra. En Metodología de la Investigación (6ª ed., pp. 170-191). McGrawHill.

Iñesta, C., Oltra-Cucarella, J., Bonete-López, B., Calderón-Rubio, E., & Sitges-Maciá, E. (2021). Regression-Based Normative Data for Independent and Cognitively Active Spanish Older Adults: Digit Span, Letters and Numbers, Trail Making Test and Symbol Digit Modalities Test. International Journal of Environmental Research and Public Health, 18(19), Artículo 9958. https://doi.org/10.3390/ijerph18199958 DOI: https://doi.org/10.3390/ijerph18199958

Kong, A. P. H. (2021). COVID-19 and Aphasia. Current neurology and neuroscience reports, 21, 1-8. https://doi.org/10.1007/s11910-021-01150-x DOI: https://doi.org/10.1007/s11910-021-01150-x

Maas MB, Lev MH, Ay H, Singhal AB, Greer DM, Smith WS, Harris GJ, Halpern EF, Koroshetz WJ, Furie KL (2012). The prognosis for aphasia in stroke. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc, 21, 350-357. https://doi.org/10.1016/j.jstrokecerebrovasdis.2010.09.009 DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2010.09.009

Mahmoud, S. S., Cheng, W., Wang, Y., Chen, J., Zhong, Y., & Fang, Q. (2025). A Rapid Aphasia Assessment Battery for Non-Written Chinese Dialect. IEEE Access, 13, 26456-26470. https://doi.org/10.1109/ACCESS.2025.3539613 DOI: https://doi.org/10.1109/ACCESS.2025.3539613

Martino, P. L., Cervigni, M. A., Gallegos, M., & Politis, D. G. (2021). Estudios normativos argentinos sobre pruebas cognitivas para adultos: Una revisión sistemática (2000-2020). Revista Argentina de Ciencias del Comportamiento, 13(3),19-33. https://doi.org/10.32348/1852.4206.v13.n3.28270 DOI: https://doi.org/10.32348/1852.4206.v13.n3.28270

Monaco, M., Costa, A., Caltagirone, C., & Carlesimo, G. A. (2013). Forward and backward span for verbal and visuo-spatial data: standardizationand normative data from an Italian adult population. Neurological Science, 34, 749-754. https://doi.org/10.1007/s10072-012-1130-x DOI: https://doi.org/10.1007/s10072-012-1130-x

Montero, I., & León, O. G. (2002). Clasificación y descripción de las metodologías de investigación en psicología. International Journal of Clinical and Health Psychology, 2(3), 503-508.

Parlak, M. M., & Köse, A. (2024). Turkish validity and reliability study on the quick aphasia battery. Brain and Behavior, 14(1), e3343. https://doi.org/10.1002/brb3.3343 DOI: https://doi.org/10.1002/brb3.3343

Peña-Chávez, R., Martínez-Jiménez, L., & López-Espinoza, M. (2014). Propiedades psicométricas y utilidad diagnóstica del “screening léxico para las afasias”. Revista de Neurología, 59(6), 255-263. https://doi.org/10.33588/rn.5906.2013169 DOI: https://doi.org/10.33588/rn.5906.2013169

Posit team (2023). RStudio: Integrated Development Environment for R. Posit Software, PBC, Boston, MA. URL: http://www.posit.co/

Romero, M., Sánchez, A., Marín, C., Navarro, M. D., Ferri, J., & Noé, E. (2012). Utilidad clínica de la versión en castellano del Mississippi Aphasia Screening Test (MASTsp): validación en pacientes con ictus. Neurología, 27(4), 216-224. https://doi.org/10.1016/j.nrl.2011.06.006 DOI: https://doi.org/10.1016/j.nrl.2011.06.006

Sabe, L., Courtis, M. J., Saavedra, M. M., Prodan, V., Luján-Calcagno, M. D., & Melián, S. (2008). Desarrollo y validación de una batería corta de evaluación de la afasia: bedside de lenguaje. Utilización en un centro de rehabilitación. Revista de neurología, 46(8), 454-460. https://doi.org/10.33588/rn.4608.2007509 DOI: https://doi.org/10.33588/rn.4608.2007509

Saxena, S., & Hillis, A. E. (2017). An update on medications and noninvasive brain stimulation to augment language rehabilitation in post-stroke aphasia. Expert review of neurotherapeutics, 17(11), 1091-1107. https://doi.org/10.1080/14737175.2017.1373020 DOI: https://doi.org/10.1080/14737175.2017.1373020

Sheppard, S. M., & Sebastian, R. (2021). Diagnosing and managing post-stroke aphasia. Expert review of neurotherapeutics, 21(2), 221-234. https://doi.org/10.1080/14737175.2020.1855976 DOI: https://doi.org/10.1080/14737175.2020.1855976

Slick, D. J., & Sherman, E. M. S. (2023). Psychometrics in neuropsychological assessment. In Sherman E. M. S., M. Hrabok, & J. Tan A Compendium of Neuropsychological Tests: Fundamentals of Neuropsychological Assessment and Test Reviews for Clinical Practice. Oxford University Press.

Torres, V. L., Vila-Castelar, C., Bocanegra, Y., Baena, A., Guzmán-Vélez, E., Aguirre-Acevedo, D. C., Tirado, V., Munoz, C., Henao, E., Moreno, S., Giraldo, M., Acosta, N., Rios Romenets, S., Langbaum, J. B., Cho, W., Reiman, E. M., Tariot, P. N., Rosselli, M., Quiroz, Y. T., & Lopera, F. (2021). Normative data stratified by age and education for a Spanish neuropsychological test battery: Results from the Colombian Alzheimer’s prevention initiative registry. Applied Neuropsychology: Adult, 28(2), 230-244. https://doi.org/10.1080/23279095.2019.1627357 DOI: https://doi.org/10.1080/23279095.2019.1627357

Vigliecca, N. S. (2004). Neuropsychological tests abbreviated and adapted to Spanish speakers: review of previous findings and validity studies for the discrimination of patients with anterior vs. posterior lesions. Revista de Neurologia, 39(3), 205-212. https://doi.org/10.33588/rn.3903.2003602 DOI: https://doi.org/10.33588/rn.3903.2003602

Vigliecca, N. S. (2017). Relación entre el informe del cuidador sobre el habla espontánea del paciente y la Evaluación Breve de la Afasia. CoDAS, 29(5), 1-8. https://doi.org/10.1590/2317-1782/20172017035 DOI: https://doi.org/10.1590/2317-1782/20172017035

Vigliecca, N. S. (2019). Validez y características del habla espontánea en la afasia aguda evaluada con la Evaluación Breve de la Afasia: ¿Es la afasia fluente más severa que la no fluente? CoDAS, 31(1), 1-10. https://doi.org/10.1590/2317-1782/20192018048 DOI: https://doi.org/10.1590/2317-1782/20192018048

Vigliecca, N. S., & Aleman, G. P. (2010). A novel neuropsychological assessment to discriminate between ischemic and nonischemic dementia. Journal of pharmacological and toxicological methods, 61(1), 38-43. https://doi.org/10.1016/j.vascn.2009.10.003 DOI: https://doi.org/10.1016/j.vascn.2009.10.003

Vigliecca, N. S., Peñalva, M. C., Castillo, J. A., Molina, S. C., Voos, J., Ortiz, M. M., & Ribichich, M. (2011a). Brief Aphasia Evaluation (minimum verbal performance): psychometric data in healthy participants from Argentina. Journal of Neuroscience and Behavioural Health, 3(2), 16-26. https://doi.org/10.3109/02699052.2011.556106

Vigliecca, N. S., Peñalva, M. C., Molina, S. C., & Voos, J. A. (2011b). Brief aphasia evaluation (minimum verbal performance): concurrent and conceptual validity study in patients with unilateral cerebral lesions. Brain Injury, 25(4), 394-400. https://doi.org/10.3109/02699052.2011.556106 DOI: https://doi.org/10.3109/02699052.2011.556106

Vuković, M., Milovanović, T., Teovanović, P., & Stojanovik, V. (2024). Evaluation of reliability and validity of the Serbian Aphasia Screening Test. Plos one, 19(5), e0304565. DOI: https://doi.org/10.1371/journal.pone.0304565

Zakariás, L., & Lukács, Á. (2023). The first aphasia screening test in Hungarian: A preliminary study on validity and diagnostic accuracy. Plos one, 18(8), e0290153. https://doi.org/10.1371/journal.pone.0290153 DOI: https://doi.org/10.1371/journal.pone.0290153

Downloads

Published

2026-05-28

How to Cite

Difalcis, M., Morello-Garcia, F., Leiva , S., Guilarducci , M., Florencia Macchia, N., Ferreres , A., & Micciulli, A. (2026). Brief Aphasia Assessment Protocol (PEBA) for patients with acute stroke: clinical validation and argentine normative data. Actualidades En Psicología, 40(140), 130-148. https://doi.org/10.15517/ap.v40i140.62212