Family Ratings of Communication Largely Reflect Expressive Language and Conversation-Level Ability in People With Aphasia Purpose Family ratings of communication and social interactions represent an important source of information about people with aphasia. Because of the reliance on family/partner ratings as an outcome measure in many aphasia treatment studies and in the clinic, there is a great need for the validation of commonly used family/partner ... Supplement Article
Supplement Article  |   November 01, 2015
Family Ratings of Communication Largely Reflect Expressive Language and Conversation-Level Ability in People With Aphasia
 
Author Affiliations & Notes
  • Robert Fucetola
    Department of Neurology, Washington University School of Medicine, St. Louis, MO
  • Lisa Tabor Connor
    Department of Occupational Therapy, MGH Institute of Health Professions, Boston, MA
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Robert Fucetola: fucetolar@neuro.wustl.edu
  • Editor: Anastasia Raymer
    Editor: Anastasia Raymer×
  • Associate Editor: Nina Simmons-Mackie
    Associate Editor: Nina Simmons-Mackie×
Article Information
Normal Language Processing / Language Disorders / Aphasia / Attention, Memory & Executive Functions / Supplement: Select Papers From the 44th Clinical Aphasiology Conference
Supplement Article   |   November 01, 2015
Family Ratings of Communication Largely Reflect Expressive Language and Conversation-Level Ability in People With Aphasia
American Journal of Speech-Language Pathology, November 2015, Vol. 24, S790-S797. doi:10.1044/2015_AJSLP-14-0135
History: Received September 11, 2014 , Revised January 9, 2015 , Accepted February 5, 2015
 
American Journal of Speech-Language Pathology, November 2015, Vol. 24, S790-S797. doi:10.1044/2015_AJSLP-14-0135
History: Received September 11, 2014; Revised January 9, 2015; Accepted February 5, 2015

Purpose Family ratings of communication and social interactions represent an important source of information about people with aphasia. Because of the reliance on family/partner ratings as an outcome measure in many aphasia treatment studies and in the clinic, there is a great need for the validation of commonly used family/partner rating measures, and a better understanding of predictors of family ratings of communication.

Method The communication ability of 130 individuals with aphasia due to neurologic illness was rated by family members/partners on the Communicative Effectiveness Index (CETI; Lomas et al., 1989). Information on aphasia severity, mood, quality of life, nonverbal cognitive functioning, and various demographic factors was collected.

Results Principal component analysis confirmed a 2-factor model best represents the relationships among CETI rating items, and this model largely consists of a conversation-level ability factor. Family ratings were largely predicted by the patient's expressive (not receptive) language but also patient self-perceived quality of communication life.

Conclusions Family/partners typically rate the effectiveness of communication based largely on expressive language, despite the fact that other aspects of the aphasia (e.g., listening comprehension) are as important for everyday communication.

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