Communication partner training for healthcare workers engaging with people with aphasia: Enacting Sustainable Development Goal 17 in Austria, Egypt, Greece, India and Serbia.

PURPOSE: This commentary describes how a grassroot-led partnership initiated by members of the organisations World Federation of NeuroRehabilitation and Collaboration of Aphasia Trialists is addressing the marginalisation of people with aphasia, through education and knowledge exchange related to communication partner training of health professionals. RESULT: A partnership between academics and healthcare professionals across Austria, Denmark, Egypt, Ireland, Greece, India, Serbia and the United Kingdom was established in 2020. Through bimonthly online sessions in 2021-2022 a Danish communication partner training program was introduced while six teams adapted and translated the training and its materials to their local contexts. CONCLUSION: A collaborative partnership enabled multiple translations of an existing communication partner training program for healthcare professionals working with people with aphasia to support a sustainable delivery model that is linguistic and culturally sensitive. This commentary paper focusses on Sustainable Development Goal (SDG) 17 and also addresses SDG 10.

Does subitizing reflect numerical estimation?

Subitizing is the rapid and accurate enumeration of small sets (up to 3-4 items). Although subitizing has been studied extensively since its first description about 100 years ago, its underlying mechanisms remain debated. One hypothesis proposes that subitizing results from numerical estimation mechanisms that, according to Weber's law, operate with high precision for small numbers. Alternatively, subitizing might rely on a distinct process dedicated to small numerosities. In this study, we tested the hypothesis that there is a shared estimation system for small and large quantities in human adults, using a masked forced-choice paradigm in which participants named the numerosity of displays taken from sets matched for discrimination difficulty; one set ranged from 1 through 8 items, and the other ranged from 10 through 80 items. Results showed a clear violation of Weber's law (much higher precision over numerosities 1-4 than over numerosities 10-40), thus refuting the single-estimation-system hypothesis and supporting the notion of a dedicated mechanism for apprehending small numerosities.

Verbal numerosity estimation deficit in the context of spared semantic representation of numbers: a neuropsychological study of a patient with frontal lesions.

Patients with frontal lobe damage have been shown to produce implausible answers in cognitive estimation, a task requiring approximate answers to quantity-related questions of general semantic knowledge. We investigated a patient with frontal lobe damage who presented executive deficits and difficulties in cognitive estimation. The patient also showed difficulties in verbal numerosity estimation (approximately evaluating the quantity of visually presented sets of items), as he produced extreme answers well outside healthy participants' range of answers. A series of tasks evidenced intact number processing and well preserved semantic representation of numbers. Detailed investigation of estimation processes suggested a deficit at the level of translation from an intact semantic representation of numbers to output, whether verbal or non-symbolic. This case study allows disentangling different processes involved in estimation and contributes to a better understanding of the cognitive estimation deficits frequently reported for patients with frontal lesions.

Principles underlying the design of "The Number Race", an adaptive computer game for remediation of dyscalculia.

BACKGROUND: Adaptive game software has been successful in remediation of dyslexia. Here we describe the cognitive and algorithmic principles underlying the development of similar software for dyscalculia. Our software is based on current understanding of the cerebral representation of number and the hypotheses that dyscalculia is due to a "core deficit" in number sense or in the link between number sense and symbolic number representations. METHODS: "The Number Race" software trains children on an entertaining numerical comparison task, by presenting problems adapted to the performance level of the individual child. We report full mathematical specifications of the algorithm used, which relies on an internal model of the child's knowledge in a multidimensional "learning space" consisting of three difficulty dimensions: numerical distance, response deadline, and conceptual complexity (from non-symbolic numerosity processing to increasingly complex symbolic operations). RESULTS: The performance of the software was evaluated both by mathematical simulations and by five weeks of use by nine children with mathematical learning difficulties. The results indicate that the software adapts well to varying levels of initial knowledge and learning speeds. Feedback from children, parents and teachers was positive. A companion article describes the evolution of number sense and arithmetic scores before and after training. CONCLUSION: The software, open-source and freely available online, is designed for learning disabled children aged 5-8, and may also be useful for general instruction of normal preschool children. The learning algorithm reported is highly general, and may be applied in other domains.

An open trial assessment of "The Number Race", an adaptive computer game for remediation of dyscalculia.

BACKGROUND: In a companion article, we described the development and evaluation of software designed to remediate dyscalculia. This software is based on the hypothesis that dyscalculia is due to a "core deficit" in number sense or in its access via symbolic information. Here we review the evidence for this hypothesis, and present results from an initial open-trial test of the software in a sample of nine 7-9 year old children with mathematical difficulties. METHODS: Children completed adaptive training on numerical comparison for half an hour a day, four days a week over a period of five-weeks. They were tested before and after intervention on their performance in core numerical tasks: counting, transcoding, base-10 comprehension, enumeration, addition, subtraction, and symbolic and non-symbolic numerical comparison. RESULTS: Children showed specific increases in performance on core number sense tasks. Speed of subitizing and numerical comparison increased by several hundred msec. Subtraction accuracy increased by an average of 23%. Performance on addition and base-10 comprehension tasks did not improve over the period of the study. CONCLUSION: Initial open-trial testing showed promising results, and suggested that the software was successful in increasing number sense over the short period of the study. However these results need to be followed up with larger, controlled studies. The issues of transfer to higher-level tasks, and of the best developmental time window for intervention also need to be addressed.