Preliminary Validation of the Virtual Version of the Parallel Picture Naming Test for Tele-Assessment of Naming Disorder in Persian Speaking Adult

Document Type : Original Articles

Authors
1 MSc, Department of Speech Therapy, School of Rehabilitation Sciences AND Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Assistant Professor, Department of Speech Therapy, School of Rehabilitation Sciences AND Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
10.48305/jrrs.2026.46330.1148
Abstract
Introduction: In recent years, providing virtual rehabilitation services has become an accepted clinical approach. The findings of studies using telerehabilitation indicate challenges with the validity of scores obtained through this approach to language assessment. As a result, the virtual evaluation of patients must be conducted in accordance with valid frameworks. This pilot study aims to evaluate the validity of the virtual version of the parallel picture-naming test (PPNT).
Materials and Methods: In this descriptive-analytical, cross-sectional study, two versions of the PPNT, each consisting of 109 black-and-white line drawings of Persian nouns, were prepared for virtual presentation. Five speech therapists determined the face validity of the virtual versions. Then, the virtual test was administered to 30 healthy adults, and test-retest reliability and equivalent versions were calculated.
Results: The versions A and B of PPNT demonstrated acceptable levels of simplicity, clarity, and comprehensibility, with mean impact scores ranging from 4.1 to 4.4 and content validity indices (CVI) between 0.99 and 1.0. The intraclass correlation coefficients (ICCs) obtained for version A and version B were 0.88 and 0.79, respectively, which were significant (P < 0.001). The difference in scores between the two versions of the virtual test was not significant (P = 0.450).
Conclusion: The virtual versions of PPNT have acceptable face validity and reliability. Given the importance of evaluating naming skills in linguistic and cognitive assessments, these tests can serve as viable virtual tools for the remote evaluation of word-retrieval deficits. Further research across diverse patient groups is recommended.
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1.     Agostini M, Garzon M, Benavides-Varela S, et al. Telerehabilitation in poststroke anomia. Biomed Res Int, 2014; 2014: 706909.
2.     Laver KE, Adey‐Wakeling Z, Crotty M, Lannin NA, George S, Sherrington C. Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews. 2020; 31; 1(1): CD010255.
3.     Hill AJ, Theodoros DG, Russell TG, Ward EC, Wootton R. The effects of aphasia severity on the ability to assess language disorders via telerehabilitation. Aphasiology. 2009; 23(5): 627-42.
4.     Whelan BM, Theodoros D, Cahill L, et al. Feasibility of a telerehabilitation adaptation of the Be Clear speech treatment program for non-progressive dysarthria. Brain Sci . 2022 ; 31; 12(2): 197.
5.     Hill AJ, Theodoros D, Russell T, Ward E. Using telerehabilitation to assess apraxia of speech in adults. Int J Lang Commun Disord. 2009; 10; 44(5): 731-47.
6.     Theodoros DG. Telerehabilitation for service delivery in speech-language pathology. J Telemed Telecare. 2008; 14(5): 221-4.
7.     Yochim BP, Beaudreau SA, Fairchild JK, et al. Verbal naming test for use with older adults: development and initial validation. J Int Neuropsychol Soc. 2015; 21(3): 239-48.
8.     Mayer J, Murray L. Functional measures of naming in aphasia: Word retrieval in confrontation naming versus connected speech. Aphasiology. 2003; 17(5): 481-97.
9.     Meyer AM, Getz HR, Brennan DM, Hu TM, Friedman RB. Telerehabilitation of anomia in primary progressive aphasia. Aphasiology. 2016; 30(4): 483-507.
10.  Tahanzadeh B, Soleymani Z, Jalaie S. Parallel Picture-Naming Tests: Development and psychometric properties for farsi-speaking adults. Appl Neuropsychol Adult. 2017; 24(2): 100-7.
11.  Modarres Zadeh A, Mehri A, Murray LL, Nejati V, Khatoonabadi AR. The effects of adding attention training to naming treatment for individuals with aphasia. Applied Neuropsychology: Adult. 2025; 32(6): 1751-65.
12.  Farmani H., Khatoonabadi A., Olichney JM., Xia J., Saadati M., Vahabi Z., & Hadian Rasanani M.. Picture naming performance as a behavioral marker of cognitive and functional status in mild cognitive impairment. Applied Neuropsychology: Adult. 2026; 1-12.
13.  Theodoros D, Russell TG, Hill A, Cahill L, Clark K. Assessment of motor speech disorders online: a pilot study. J Telemed Telecare. 2003; 9(2_suppl): 66-8.
14.  Jafari M, Makarem A, Dalvandi A, Azimian M, Hosseini M. Determination of facilitators and barriers in post stroke life, in Kerman city. MRJ 2011; 5(2): 54-62
15.  Teti SD, Murray LL, Orange JB, Kankam KS, Roberts AC. Telepractice Assessments for Individuals with Aphasia: A Systematic Review. Telemed J E Health. 2025; 31(1): 37-49.
16.  Tibus EO, Weatherill M, Rodriguez AD. Optimizing Telepractice Selection and Implementation for Persons with Aphasia. Int J Telerehabil. 2024; 16(1): e6604.
17.  Abdollahipour F, Alizadeh Zarei M, Akbar Fahimi M, Karamali Esmaeili S. Study of face and content validity of the Persian version of behavior rating inventory of executive function, preschool version. Jrehab. 2016; 10; 17(1): 2-9.
18.  Madadizadeh F, Bahariniya S. Tutorial on how to calculating content validity of scales in medical research. Perioperative Care and Operating Room Management. 2023; 1; 31: 100315.
19.  Brearly TW, Shura RD, Martindale SL, Lazowski RA, Luxton DD, Shenal BV, Rowland JA. Neuropsychological Test Administration by Videoconference: A Systematic Review and Meta-Analysis. Neuropsychol Rev. 2017; 27(2): 174-186.
20.  Jewell CC, Diedrichs VA, Blackett DS, Durfee AZ, Harnish SM. Comparative Effectiveness of In-Person and Virtual Picture-Naming Treatment for Poststroke Anomia. Am J Speech Lang Pathol. 2025; 34(1): 218-230.
21.  Walker GM, Schwartz MF. Short-form Philadelphia naming test: rationale and empirical evaluation. Am J Speech Lang Pathol. 2012; 21(2): S140-53.