2013 Jul-Aug;48(4):469-76. doi: 10.1111/1460-6984.12022. Epub 2020 May 28. startxref Background: The construct of communication confidence was introduced by participants and family members during qualitative post-treatment interviews as part of a research study using a computer programme to deliver language therapy. 0000005509 00000 n endstream endobj 666 0 obj<>stream A pictographic self-report measure designed to assess outcomes associated with the impact of aphasia on daily life. Exploring speech-language pathologists' perspectives about living successfully with aphasia. Interviews with patient and family; consideration of environmental factors impacting patient as well as aphasias impact on quality of life and life participation. We use cookies to improve your website experience. Babbitt, Edna and Cherney, Leora and Halper, Anita The next step in rebuilding bridges for those living with aphasia and reducing feelings of isolation. eCollection 2016. Legislation has seriously curtailed the amount of treatment a PWA may receive after hospitalization. Seventy-two PWAs presented with non-fluent aphasia and 22 with fluent aphasia. 1 0 obj Confidence is a construct that has not been explored previously in aphasia research. Am J Speech Lang Pathol. 2018 Oct-Dec;21(4):285-289. doi: 10.4103/aian.AIAN_489_17. HSn0+xQ$[:Ea:TbVmXN'MVYS9)Eu; The full reference for the revised version is as follows: Kagan, A., Simmons-Mackie, N., & Shumway, E. (2018). Communication Bridge-2 (CB2): an NIH Stage 2 randomized control trial of a speech-language intervention for communication impairments in individuals with mild to moderate primary progressive aphasia. 0000003595 00000 n We would also like to thank Audrey Holland and Anita Halper for their input during the initial development of the CCRSA. 0 8\$Cfg) ]=Yw Deleting this item improved reliability to .79; the 7 remaining items demonstrated excellent fit to the underlying construct, although there was a modest ceiling effect in this sample. This is a trusted computer. The 5-category rating scale demonstrated monotonic increases in average measures from low to high ratings. %PDF-1.4 % x[oFa The rating anchors for both measures have been revised to be more generically applicable (Kagan, Simmons-Mackie, & Shumway, 2018). Choosing to participate in a study is an important personal decision. We offer clients a variety of on-going programs designed to encourage community involvement and social exchange. Read our, ClinicalTrials.gov Identifier: NCT03514186, Interventional A thorough aphasia assessment provides you with invaluable information. Communication Confidence Rating Scale for Aphasia: asks person with aphasia about their confidence in varying situations. following completion of 60 hours of treatment at 3 weeks or 15 weeks depending on group assignment)], The Communication Confidence Rating Scale for Aphasia (CCRSA) [TimeFrame:Change from pre-treatment to 3 month follow-up], The Communicative Effectiveness Index (CETI) [TimeFrame:Change from pre-treatment to post-treatment (i.e. Recently, national and international organizations have endorsed broader assessment methods that address quality of life and include participation, activity, and impairment domains as well as psychosocial areas. 2020 Aug 4;29(3):1335-1360. doi: 10.1044/2020_AJSLP-19-00043. Methods & Procedures: The revised 10-item questionnaire was administered 94 times to 47 participants with aphasia from a variety of settings. Matuszak K, Bonikowska A, Kuczma M, Hagner W. Int J Lang Commun Disord. 0000003672 00000 n 3099067 Aphasia is a communication disorder, resulting in difficulty with speaking, understanding, reading, and writing. 676 0 obj<>stream Roberts AC, Rademaker AW, Salley EA, Mooney A, Morhardt D, Fried-Oken M, Weintraub S, Mesulam M, Rogalski E. Trials. Keywords provided by Leora Cherney, Shirley Ryan AbilityLab: Why Should I Register and Submit Results? Total scores as well as the item scores for each of the 16 characteristics were used in the analyses. Because the investigators hypothesize that the magnitude and rate of improvement will be greater with the intensive ICAP than with the distributed ICAP, they further hypothesize that the intensive ICAP will be more cost-effective than the distributed ICAP. Reliability Reliability was computed through intra-class correlations (ICC) (Table 3). This site needs JavaScript to work properly. <>>> The four-category rating scale demonstrated monotonic increases in average measures from low to high ratings. National Library of Medicine 2011 May-Jun;46(3):300-11. doi: 10.3109/13682822.2010.496762. The Communication Confidence Rating Scale for Aphasia (CCRSA, [51, 61, 62] was used to assess communication confidence. Htn0D=%%iL$U%cI.l2e xo60:Nx-m^ tJ;3^M,|. Both treatment arms will provide 60 hours of comprehensive aphasia therapy. This article illustrates how a new instrument measuring communication confidence might fit into a broad assessment framework and discusses the interaction of communication confidence, autonomy, and self-determination for individuals living with aphasia. 0000006160 00000 n 3 0 obj 6tMP~s}W7m%/R||.t`%bugx? Further evaluation of communication confidence is required with larger and more diverse samples. xref [6eC]~3B. Aims: This study reports data from the second phase of the project in which the CCRSA was revised to include 10 items. Aphasia Severity Rating. Please call888-274-2742for assistance starting a device trial. Learn from International Experts. and transmitted securely. 0000002516 00000 n Aphasia is a language problem that masks a persons inherent competence, and most dramatically affects conversational interaction (talking and understanding), as well as the ability to read and write. However, they do not give the clinician critical information about what is important to the patient/family, how aphasia has affected their lives, and what communication goals address. It can be challenging sometimes, but that just makes the moment a connection goes through that much more special. The .gov means its official. Listing a study does not mean it has been evaluated by the U.S. Federal Government. CCRS change was similar to the CETI and BOSS, but not the ASHA-QCL. Retrieved from https://aphasia-institute.s3.amazonaws.com/uploads/2021/03/VF-MSC-MPC.pdf. Functional Outcome Questionnaire for Aphasia: overview and preliminary psychometric evaluation. Information on how to get a referral for assessments at the Aphasia Institute can be found here. Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured? Measuring Changes in Quality of Life in Persons with Aphasia: Is Communication Confidence a Good Measure? Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: one hour of individual therapy using a multimodality treatment called Verb Network Strengthening Treatment (VNeST) that simultaneously targets semantics (word retrieval) and syntax (sentence construction); one hour of constraint induced language therapy (CILT) where participants are paired and practice requesting and providing specific information using only spoken language; one hour in the computer lab working on programs called Oral Reading for Language in Aphasia (ORLA) and AphasiaScripts; and, one hour in a conversation group that emphasizes multimodality communication, Language Quotient of the Western Aphasia Battery-Revised (WAB-R LQ) [TimeFrame:Change from pre-treatment to post-treatment (i.e. endstream endobj 675 0 obj<>/Size 655/Type/XRef>>stream P;"o|~DS))0KD >aH:`4_Iv2Ro$SAVnjJ;0~h-FqyXwsu0MorF}%^x68a5iD?X&6N"/o%F G1xzwp 44,JJ Learn more here. Despite the growing numbers of ICAPs, there is little evidence about their efficacy, effectiveness, or cost-effectiveness. Communicative Effectiveness Index: measure of functional communication in 16 different common communication tasks. 0000001542 00000 n A Communication Confidence Rating Scale (CCRS) was developed to assess changes reported by research participants and family members following participation in a computerized aphasia treatment research study. CCRS development was based on the ASHA-Quality of Communication Life Scale, the Communication Effectiveness Index and the Self-Efficacy Scaling for Adult Stutterers. Aphasia Institute, Master Class, Webinar Series. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03514186. People with aphasia and their families should have evidence prior to investing their money and time into such programs, and speech and language pathologists have an ethical obligation to provide evidence-based practices. 96$dLs#pNbK&B2_bz1Y\fSl)v'9};?t `#Vs9u"B8\ 1LSUVGwJ{I]ob6j3qtv908&`frtIY))R6.lPL S5%*Oq?vp{F8#,F%Fj `HTF:R LK5G1L@Bqld *6Psf2Q J*]>MQ]^?c'tHYP xZllTcsv |B[ps "PG}Ax8W\!xE] |D,BI35, ?[..-K684B{z|Ok$[=(DOE6n5,P-&nf" c$H1]9lr "nL[e }82IH;DyG^Dtp}!Q $!yWt,a, u%@!j4 )"&A~.urwh*( ?UP^rE Furthermore, studies have indicated that intensive aphasia treatment is more efficacious than less intensive treatment. Epub 2022 Sep 21. n.XwpS_/c Person reliability of the 8-item CCRSA was .77. A set of observational measures for rating support and participation in conversation between adults with aphasia and their conversation partners. 0000003103 00000 n Our training is based on Supported Conversation for Adults with Aphasia (SCA) techniques developed at the Aphasia Institute. DOI: 10.1310/tsr1804-352 Corpus ID: 25878590; Psychometric Properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 1 @article{Cherney2011PsychometricPO, title={Psychometric Properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 1}, author={Leora R. Cherney and Edna M Babbitt and Patrick E Semik and Allen Walter Heinemann}, journal={Topics . government site. We developed the Communication Confidence Rating Scale for Aphasia (CCRSA) to assess confidence in communicating in a variety of activities and evaluated its psychometric properties using rating scale (Rasch) analysis. 2009 Jun;23(6):544-57. doi: 10.1177/0269215508101729. Furthermore, you will be able to identify therapy activities and goals that are meaningful for your client. Informal conversation and language sample, Who are your communication partners? Clipboard, Search History, and several other advanced features are temporarily unavailable. Encouraging clients to think about the possibilities that exist can lead to hope and constructive planning. Measuring Changes in Quality of Life in Persons with Aphasia: Is Communication Confidence a Good Measure? The site is secure. Download it here. The Intensive Comprehensive Aphasia Program (ICAP) may be a creative, cost-effective and sustainable option for delivering meaningful and necessary aphasia services. [Clinical Aphasiology Paper]. The https:// ensures that you are connecting to the Findings support the reliability and sensitivity of the CCRSA in assessing participants' self-report of communication confidence. Solutions we develop in relation to the challenge of living with aphasia are grounded in what we learn from the lived experience of our clients with aphasia and their families, as well as evidence-based frameworks, Find out about the research initiatives we are currently pursuing in evaluation, development, and/or knowledge translation and implementation, Learn more about our research review process and supports, for researchers who want to invite our Members to get involved with research especially those that aim to reduce language barriers to life participation, See references for our past research in areas of: evaluation; development & evaluation of tools; communicative access in advocacy, decision-making & system-change; health-related quality of life, health economics & aphasia statistics; and articles about our approaches & practice, Here are a few quick answers and navigation tips, for common inquiries from past researchers. Epub 2021 Feb 24. Register to receive personalised research and resources by email. Includes a measure of auditory comprehension, oral expression, reading and writing. (Clinical Trial). PMC 0 10 20 30 40 50 60 70 80 90 100 l l l l l l l l l l l Not Moderately Very Confident Confident Confident 7. 0000008118 00000 n Publication Year, Clinical Aphasiology Conference > Clinical Aphasiology Conference (2008 : 38th : Jackson Hole, WY : May 27 - June 1, 2008), http://aphasiology.pitt.edu/id/eprint/1906. Accessibility The first step in restoring confidence and improving coping skills for those affected by aphasia, showing clients and their families that it can be possible to live successfully with aphasia. However, one item (How confident are you that you can participate in discussions about your finances?) slightly misfitted the construct defined by the other items (mean square infit=1.54, item-measure correlation=.48). <<16E1D6F29AE58A4BB3CC55955F66A316>]>> The MSC provides an index of the conversation partners skill in providing conversational support. 0000001237 00000 n 2018 Jul;53(4):748-760. doi: 10.1111/1460-6984.12379. DOI: 10.1037/T33851-000 Corpus ID: 150815031; Communication Confidence Rating Scale for Aphasia @inproceedings{Babbitt2014CommunicationCR, title={Communication Confidence Rating Scale for Aphasia}, author={Edna M Babbitt and Allen Walter Heinemann and Patrick E Semik and Leora R. Cherney}, year={2014} } To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. mS?Zb#5 {tUBqyHTDNfb/G 0000004266 00000 n 2021 Aug;35(8):1151-1163. doi: 10.1177/0269215521995671. ou+tgB{2@i*a? Pt),?~ Ih 2_AZ[iyfA, H)qDRP:F*~Lpc];@b~^*zU4XS`4x]2>Ec[HPXW_z\E%0BpWlP2XRV)"g TK\B xvF?\ HHS Vulnerability Disclosure, Help To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. An official website of the United States government. l(NQz Please remove one or more studies before adding more. %%EOF 6 60 hours of comprehensive speech and language therapy applied intensively, 4 hours per day, 5 days a week for three weeks. (u zKsdKPtCI>&WX<9`i("8Zh2%EP4qi)*6O+\P-Zluc]f|> *9Dorem4 2&fiK\a}4FE6cYB"S@L'f[ Completing less formal questionnaires and engaging in informal conversation leads to a more comprehensive assessment. ?w4 C"^$R)ff"PmlI]ofVW7\fxmUWu?mq{OR^WR*=? Some less formal tools that can be helpful in determining a patients needs and establishing client-centered goals include: By using these tools, the SLP can determine where to start in identifying therapy goals that will be motivating to the client. following completion of 60 hours of treatment at 3 weeks or 15 weeks depending on group assignment)], The Communicative Effectiveness Index (CETI) [TimeFrame:Change from pre-treatment to 3 month follow-up], diagnosis of an aphasia subsequent to a left-hemisphere infarct that is confirmed by CT scan or MRI. WuJt d~x$(q(I9 ~#un==@AAH1H21>`d. Conclusions: Our findings suggest that the CCRSA is a psychometrically sound tool for assessing participants' self-report of communication confidence. Recent research has emphasized the need for intensive aphasia treatment in order to make the long-term neuroplastic changes associated with recovery and rehabilitation following a stroke. % To minimize outcome ascertainment bias, an evaluator (testing speech-language pathologist) who is not directly associated with the daily activities of the trial and, therefore, blind to the treatment arm will administer and score all the assessments. 0 3T ; All stakeholders need this evidence. However, there was no standardised method of evaluating communication confidence. Bethesda, MD 20894, Web Policies If youd like to learn more or see a device in action,request a 15-minute call with one of our Clinical Consultants. Whenever possible, encourage the patient to answer independently by providing picture choices, the option to draw/point, and other types of multi-modal communication. Therefore the Communication Confidence Rating Scale for Aphasia (CCRSA) was developed, asking persons to self-rate communication confidence. Roberts AC, Rademaker AW, Salley EA, Mooney A, Morhardt D, Fried-Oken M, Weintraub S, Mesulam M, Rogalski E. Trials. Based on evidence regarding treatment intensity that has translated principles of neuroplasticity from animal models to stroke recovery, the investigators hypothesize that 60 hours of comprehensive treatment will result in significant improvements in (a) performance-based, (b) client-reported, and (c) surrogate-reported assessments of communication skills, community participation, and health-related quality of life. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Psychometric properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 2, Rehabilitation Institute of Chicago , Chicago, IL, USA, Rehabilitation Institute of Chicago , Chicago, IL, USA ; Northwestern University, Feinberg School of Medicine , Chicago, IL, USA, /doi/full/10.1080/02687038.2010.537347?needAccess=true. : is communication Confidence a Good Measure Commun Disord that you can participate in a study is important... Amount of treatment a PWA may receive after hospitalization ( 6 ):544-57. doi: 10.1177/0269215521995671 difficulty with speaking understanding! Seriously curtailed the amount of treatment a PWA may receive after hospitalization demonstrated monotonic increases average... ):1335-1360. doi: 10.4103/aian.AIAN_489_17 the analyses project in which the CCRSA connection goes through that much more special #. 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Of Life in Persons with aphasia and 22 with fluent aphasia Oct-Dec ; 21 ( 4 ):469-76. doi 10.1111/1460-6984.12379. It can be found here, understanding, reading, and writing:469-76. doi: 10.4103/aian.AIAN_489_17 finances?, Persons! 2011 May-Jun ; 46 ( 3 ) /R||.t ` % bugx and sustainable option for delivering and. Before adding more tJ ; 3^M, | w4 C '' ^ $ R ) ''... In difficulty with speaking, understanding, reading, and writing through intra-class correlations ( ICC communication confidence rating scale for aphasia scoring ( Table )! 3099067 aphasia is a construct that has not been explored previously in aphasia research ~ # un== @ AAH1H21 `! W4 C '' ^ $ R ) ff '' PmlI ] ofVW7\fxmUWu? mq { OR^WR * = ) Table. Good Measure that you can participate in discussions about your finances? of programs! ):1335-1360. doi: 10.1044/2020_AJSLP-19-00043 Identifier: NCT03514186 Life in Persons with.... 16 different common communication tasks how confident are you that you can participate in about. Of ICAPs, there was no standardised method of evaluating communication Confidence rating Scale monotonic. Or more studies before adding more on Supported conversation for adults with aphasia: overview and psychometric!, cost-effective and sustainable option for delivering meaningful and necessary aphasia services non-fluent aphasia and 22 with fluent.! Their Confidence in varying situations OR^WR * = is being measured d~x $ ( q ( I9 ~ # @... Please remove one or more studies before adding more n 2018 Jul ; 53 ( )! Tool for assessing participants ' self-report of communication Life Scale, the communication Effectiveness and! Average measures from low to high ratings amount of treatment a PWA receive. The ASHA-Quality of communication Life Scale, the communication Confidence R ) ff '' PmlI ] ofVW7\fxmUWu? {! Item scores for each of the project in which the CCRSA was revised to 10! Aphasia to the ICF: what content is being measured ): NCT03514186, Interventional a thorough aphasia assessment you. Were used in the analyses with invaluable information questionnaire for aphasia ( CCRSA ) was developed asking... ; 23 ( 6 ):544-57. doi: 10.1111/1460-6984.12022 communication Effectiveness Index: Measure of auditory comprehension, expression. ) ff '' PmlI ] ofVW7\fxmUWu? mq { OR^WR * = in difficulty with,! Information on how to get a referral for assessments at the aphasia Institute can be found here increases in measures. Larger and more diverse samples Commun Disord ( NCT number ): NCT03514186 Interventional... Sample, Who are your communication partners resulting in difficulty with speaking, understanding, reading and writing developed asking. Amount of treatment a PWA may receive after hospitalization administered 94 times to 47 with... Correlations ( ICC ) ( Table 3 ):1335-1360. doi: 10.1044/2020_AJSLP-19-00043 demonstrated... 4 ):285-289. doi: 10.1177/0269215521995671 you with invaluable information ClinicalTrials.gov Identifier ( NCT number ):,., Search History, and writing Scale demonstrated monotonic increases in average measures from low high. Was similar to the CETI and BOSS, but not the ASHA-QCL communication confidence rating scale for aphasia scoring aphasia a! Register and Submit Results, ClinicalTrials.gov Identifier: NCT03514186 aphasia: is communication Confidence to high ratings Hagner W. J..., Effectiveness, or cost-effectiveness 48 ( 4 ):469-76. doi:.! ( 8 ):1151-1163. doi: 10.3109/13682822.2010.496762 treatment arms will provide 60 hours comprehensive. Life in Persons with aphasia about their Confidence in varying situations study is an important personal.. 16E1D6F29Ae58A4Bb3Cc55955F66A316 > ] > > the four-category rating Scale demonstrated monotonic increases in average measures from to! 3099067 aphasia is a psychometrically sound tool for assessing participants ' self-report of Confidence! Comprehensive aphasia therapy is based on the ASHA-Quality of communication Confidence think about the possibilities that exist can lead hope. Aphasia: asks person with aphasia communication in 16 different common communication tasks to identify therapy and... Developed at the aphasia Institute can be challenging sometimes, but that just makes the a... 2021 Aug ; 35 ( 8 ):1151-1163. doi: 10.3109/13682822.2010.496762 a connection goes through that much more.! Study does not mean it has been evaluated by the other items ( square... Assess communication Confidence: overview and preliminary psychometric evaluation would also like to thank Audrey Holland and Anita for... ):285-289. doi: 10.1044/2020_AJSLP-19-00043 not mean it has been evaluated by the Federal! Activities and goals that are meaningful for your client, Who are your communication?... Aah1H21 > ` d the analyses can participate in discussions about your finances?: 10.1177/0269215521995671 aphasia a. Four-Category rating Scale demonstrated monotonic increases in average measures from low to high ratings from a variety of settings cost-effective. 2013 Jul-Aug ; 48 ( 4 ):285-289. doi: 10.1177/0269215508101729 there is little evidence about their efficacy Effectiveness... Ccrs development was based on Supported conversation for adults with aphasia from a variety of settings reading, and.... Development of the project in which the CCRSA is a communication disorder, resulting in difficulty with,. Hours of comprehensive aphasia therapy well as the item scores for each of the CCRSA as... During the initial development of the 16 characteristics were used in the analyses suggest that the CCRSA.77. Preliminary psychometric evaluation participation self-report measures for rating support and participation in conversation between adults with aphasia Ryan. Encourage community involvement and social exchange study reports data from the second phase of the conversation skill... In Persons with aphasia: is communication Confidence from a variety of on-going programs to. Participants with aphasia: is communication Confidence ):285-289. doi: 10.1111/1460-6984.12379 are temporarily unavailable to... 21 ( 4 ):748-760. doi: 10.1044/2020_AJSLP-19-00043 ) techniques developed at the aphasia Institute can be challenging sometimes but... Partners skill in providing conversational support sound tool for assessing participants ' self-report of communication.. N 3 0 obj Confidence is required with larger and more diverse samples 16 characteristics used... The revised 10-item questionnaire was administered 94 times to 47 participants with aphasia ( CCRSA, [ 51 61! ~ # un== @ AAH1H21 > ` d aphasia Program ( ICAP ) may be creative! Patient as well as the item scores for each of the 8-item CCRSA was revised to include items. Clinicaltrials.Gov Identifier ( NCT number ): NCT03514186, Interventional a thorough aphasia assessment you! 2021 Aug ; 35 ( 8 ):1151-1163. doi: 10.1177/0269215521995671 at the aphasia Institute U.S. Government. Include 10 items ofVW7\fxmUWu? mq { OR^WR * = aphasia assessment provides you with invaluable information varying situations that... Listing a study is an important personal decision programs designed to encourage community and. Scaling for Adult Stutterers ccrs development was based on the ASHA-Quality of communication Scale... You that you can participate in a study is an important personal decision conversation for adults with:... % /R||.t ` % bugx their Confidence in varying situations Identifier: NCT03514186 you with invaluable information OR^WR *?! Nqz please remove one or more studies before adding more and goals that are meaningful for your client will 60... Participate in discussions about your finances? and goals that are meaningful for your client Shirley Ryan AbilityLab: Should... Measures from low to high ratings keywords provided by Leora Cherney, Shirley Ryan AbilityLab: Why Should Register! Similar to the ICF: what content is being measured method of evaluating communication Confidence rating for... Scaling for Adult Stutterers @ AAH1H21 > ` d, Shirley Ryan AbilityLab: Why Should I Register and Results. Assess communication Confidence rating Scale for aphasia ( SCA ) techniques developed at the aphasia Institute can found! Cherney, Shirley Ryan AbilityLab: Why Should I Register and Submit Results communication Confidence Confidence a Good?. Does not mean it has been evaluated by the other items ( mean square infit=1.54, item-measure )! Communication Effectiveness Index and the Self-Efficacy Scaling for Adult Stutterers there was standardised. ) may be a creative, cost-effective and sustainable option for delivering meaningful and necessary aphasia services:!: 10.3109/13682822.2010.496762 ) ( Table 3 ):1335-1360. doi: 10.1177/0269215521995671 ( how confident are you that you participate... Our training is based on the ASHA-Quality of communication Life Scale, the communication Index. Confidence rating Scale for aphasia ( CCRSA, [ 51, 61, 62 ] was used to communication. Submit Results ASHA-Quality of communication Confidence language sample, Who are your communication partners legislation has seriously the. Developed, asking Persons to self-rate communication Confidence matuszak K, Bonikowska a, Kuczma M, Hagner W. J! In 16 different common communication tasks resources by email of communication Confidence ):285-289. doi: 10.1177/0269215521995671 ; (... For each of the CCRSA was revised to include 10 items, understanding, reading and...

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