EFA-4: Examining for Aphasia-Fourth Edition

Test Level: A

Leonard L. LaPointe and Jon Eisenson

Ages: 18+
Testing Time: 30 to 60 minutes
Administration: Individual

Examining for Aphasia-Fourth Edition (EFA-4) assesses aphasia and the relative impact of this brain-based language disorder on quality of life. 

Based on Jon Eisenson’s previous editions, the EFA-4 has been completely revised to evaluate the cognitive, personality, and linguistic modifications that are associated with acquired aphasia. The EFA-4’s subtests help determine areas of strength and weakness for receptive and expressive functions as well as for the communication processes that underpin language use. EFA-4 tests visual, auditory and tactile recognition as well as auditory and reading comprehension of words, sentences, and paragraphs. Expressive and productive tasks include simple skills, automatic language, arithmetic computations, and language items that parallel those for receptive tasks.  This edition incorporates aspects of the examinee’s social history, acknowledging the contemporary integration of social models of aphasia with attention to treatment planning that focuses on ICF guidelines: restoration of activities and participation in daily life.

The EFA-4 emphasizes more detailed examination of word retrieval and lexical-semantic skills including phonological, semantic, and category generative naming. An optional “Tell a Story” test (in response to a picture) assesses self-organized language content. The Personal History Form is used to record information on individual and unique aspects of the examinee and his or her test performance as well as to record and profile the EFA-4 subtest and composite scores. Raw scores can be converted to percentiles and plotted on the profile and compared to extensive new norms that have been collected with the EFA-4. The Examiner Record Booklet includes brief administration directions for experienced EFA-4 examiners and space for observations and clinical impressions. New in this edition is the EFA-4 Short Form, which can be used when the full Diagnostic Form cannot be administered due to practical time restrictions.

Features of the EFA-4:

• An all new Short Form which includes 17 item sets from the Diagnostic Form.
• All new Personal History and Diagnostic Summary Forms have been added to facilitate the gathering of the client’s background information and summarizing the results of the EFA-4 testing.
• All new normative data--Standard scores and percentile ranks are now provided. 
• Highly reliable and valid--Special attention has been devoted to showing that the test is reliable and valid for the general population.
• All new positive predictive studies indicate the high sensitivity, specificity, and positive predictive ability of the EFA-4.
• Characteristics of the total EFA-4 normative sample relative to socioeconomic factors, gender, ethnicity, and other critical variables are the same as those reported for 2005 in the Statistical Abstract of the United States (U.S. Bureau of the Census, 2005) and, therefore, are representative of the current U.S. population.

COMPLETE EFA-4 (©2008) KIT INCLUDES: Examiner’s Manual, Picture Book, 25 Diagnostic Form Examiner Record Booklets, 25 Short Form Examiner Record Booklets, 25 Diagnostic Form Response Forms, 25 Short Form Response Forms, 25 Diagnostic Summary Forms, 25 Per