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A thesis submitted in partial fulfilment of - Queen Margaret University

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(CLQT) was developed as a screen<strong>in</strong>g assessment for adults with acquired<br />

neurological impairment (Helm-Estabrooks, 2001) and was therefore considered<br />

appropriate to screen the cognitive strengths and weaknesses <strong>of</strong> ma<strong>in</strong><br />

<strong>in</strong>vestigation participants. The lack <strong>of</strong> depth <strong>in</strong> such a screen<strong>in</strong>g tool is<br />

acknowledged, however the deductions made from it <strong>in</strong> relation to new<br />

vocabulary learn<strong>in</strong>g was secondary to the ma<strong>in</strong> research question which aimed<br />

to ascerta<strong>in</strong> whether people with aphasia could demonstrate the ability to learn<br />

new vocabulary. The factors considered under the head<strong>in</strong>g <strong>of</strong> cognitive abilities<br />

were attention, memory, executive function and clock draw<strong>in</strong>g skills. The<br />

evidence for the impact <strong>of</strong> attention, memory and executive functions on<br />

language recovery and the acquisition <strong>of</strong> new learn<strong>in</strong>g are discussed <strong>in</strong> the<br />

literature review (see section 2.6.3.3). The clock draw<strong>in</strong>g task is thought to<br />

<strong>in</strong>volve attention, memory, executive function, visuospatial and language skills<br />

and has been reported to be <strong>in</strong> itself useful as a m<strong>in</strong>i-screen<strong>in</strong>g tool for cognitive<br />

abilities (Helm-Estabrooks, 2001). While the CLQT revealed visuospatial<br />

impairments <strong>in</strong> a number <strong>of</strong> participants, all had adequate visual skills to copy<br />

the stimuli (pictures and words). Therefore any visuospatial impairment did not<br />

affect participant ability to <strong>in</strong>teract with the stimuli, question<strong>in</strong>g the robustness <strong>of</strong><br />

the CLQT for the functional assessment <strong>of</strong> these skills. The cognitive capacity <strong>of</strong><br />

each participant to learn was also evaluated by assess<strong>in</strong>g the ability to learn and<br />

recall a non-l<strong>in</strong>guistic route task devised by the researcher based on a previous<br />

study (Evans et al., 2000). The f<strong>in</strong>d<strong>in</strong>gs related to the cognitive abilities and the<br />

capacity to learn will now be discussed.<br />

6.3.3.1 The impact <strong>of</strong> attention on the learn<strong>in</strong>g <strong>of</strong> new vocabulary<br />

The importance <strong>of</strong> attention <strong>in</strong> the process<strong>in</strong>g <strong>of</strong> <strong>in</strong>formation has been discussed<br />

<strong>in</strong> the literature review (see section 2.6.3.3). The learn<strong>in</strong>g <strong>of</strong> new vocabulary<br />

required active participation <strong>in</strong> the tra<strong>in</strong><strong>in</strong>g procedures and <strong>in</strong>dependent learn<strong>in</strong>g<br />

time <strong>in</strong> order to <strong>in</strong>corporate the new vocabulary <strong>in</strong>to participants’ current<br />

knowledge. Active participation <strong>in</strong>cluded tasks such as draw<strong>in</strong>g and copy<strong>in</strong>g,<br />

250

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