The Communicative Effectiveness Index

1989 ◽  
Vol 54 (1) ◽  
pp. 113-124 ◽  
Author(s):  
Jonathan Lomas ◽  
Laura Pickard ◽  
Stella Bester ◽  
Heather Elbard ◽  
Alan Finlayson ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Interrater Reliability ◽  
Significant Others ◽  
Functional Communication ◽  
Performance Change ◽  
Communication Situations ◽  
Global Ratings ◽  
Communication Ability ◽  
Effectiveness Index ◽  
Communicative Effectiveness

Groups of aphasic patients and their spouses generated a series of communication situations that they felt were important in their day-to-day life. Using criteria to ensure that the situations were generalizable across people, times, and places, we reduced the number of situations to 36 and constructed an index that allowed the significant others of 11 recovering and 11 stable aphasic individuals to rate their partners' performance in the situations on two occasions 6 weeks apart. These data were then used to evaluate the psychometric properties of the Communicative Effectiveness Index (CETI) as a measure of change in functional communication ability. Further application of a generalization criterion reduced the final index to 16 situations. Results showed the CETI to be internally consistent and to have acceptable test-retest and interrater reliability. It was valid as a measure of functional communication according to the pattern of correlations found with other measures (Western Aphasia Battery, Speech Questionnaire, and global ratings). Finally, it was responsive to functionally important performance change between testings. Further research with the CETI and its usefulness for clinicians and researchers are discussed.

scholarly journals Clinical Effectiveness of the Queen Square Intensive Comprehensive Aphasia Service for Patients With Poststroke Aphasia

Stroke ◽  
2021 ◽  
Author(s):  
Alexander P. Leff ◽  
Sarah Nightingale ◽  
Beth Gooding ◽  
Jean Rutter ◽  
Nicola Craven ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Clinical Effectiveness ◽  
Functional Communication ◽  
Auditory Comprehension ◽  
Language Therapy ◽  
Time Interaction ◽  
Short Period ◽  
High Doses ◽  
Effectiveness Index ◽  
Communicative Effectiveness

Background and Purpose: Poststroke aphasia has a major impact on peoples’ quality of life. Speech and language therapy interventions work, especially in high doses, but these doses are rarely achieved outside of research studies. Intensive Comprehensive Aphasia Programs (ICAPs) are an option to deliver high doses of therapy to people with aphasia over a short period of time. Methods: Forty-six people with aphasia in the chronic stage poststroke completed the ICAP over a 3-week period, attending for 15 days and averaging 6 hours of therapy per day. Outcome measures included the Comprehensive Aphasia Test, an impairment-based test of the 4 main domains of language (speaking, writing, auditory comprehension, and reading) which was measured at 3 time points (baseline, immediately posttreatment at 3 weeks and follow-up at 12-week post-ICAP); and, the Communicative Effectiveness Index, a carer-reported measure of functional communication skills collected at baseline and 12 weeks. Results: A 2-way repeated measures multivariate ANOVA was conducted. We found a significant domain-by-time interaction, F =12.7, P <0.0005, indicating that the ICAP improved people with aphasia’s language scores across all 4 domains, with the largest gains in speaking (Cohen’s d =1.3). All gains were maintained or significantly improved further at 12-week post-ICAP. Importantly, patients’ functional communication, as indexed by changes on the Communicative Effectiveness Index, also significantly improved at 12-week post-ICAP, t =5.4, P <0.0005, also with a large effect size (Cohen’s d =0.9). Conclusions: People with aphasia who participated in the Queen Square ICAP made large and clinically meaningful gains on both impairment-based and functional measures of language. Gains were sustained and in some cases improved further over the subsequent 12 weeks.

The Communicative Effectiveness Index: Psychometric properties of a Danish adaptation

Aphasiology ◽  
2001 ◽  
Vol 15 (8) ◽  
pp. 787-802 ◽  
Author(s):  
Palle Møller Pedersen ◽  
Kirsten Vinter ◽  
Tom Skyhøj Olsen
Keyword(s):  
Psychometric Properties ◽  
Effectiveness Index ◽  
Communicative Effectiveness

scholarly journals The Communicative Effectiveness Index: Its use with South African stroke patients

1992 ◽  
Vol 39 (1) ◽  
Author(s):  
Claire Penn ◽  
Kelly Milner ◽  
Peter Fridjhon
Keyword(s):  
South African ◽  
Left Hemisphere ◽  
Right Hemisphere ◽  
Assessment Tool ◽  
Communication Disorders ◽  
Functional Communication ◽  
Stroke Patients ◽  
Language Groups ◽  
Effectiveness Index ◽  
Communicative Effectiveness

The functional communication of a group of 28 South African stroke patients was examined using the Communicative Effectiveness Index (CETI). It was translated into Afrikaans, Sotho and Zulu and administered to the significant others of 22 aphasic patients with left hemisphere damage and 6 patients with right hemisphere damage. Results were related to the results of standardised language testing and to case history factors such as cultural factors and time since onset. The CETI was readministered in the case of eight of the aphasic subjects after a mean period of six months in order to assess its sensitivity to recovery. Results showed that the CETI seems applicable across different language groups, that it is sensitive to change across time as well as sensitive to the communication disorders resulting from both right and left hemisphere damage. Further it appears to correlate well with overall level of severity. It does not appear differentiate patients in terms of time since onset. Its potential use as a relatively culture free assessment tool in the South African context is discussed.

scholarly journals The Family Psychoeducation Fidelity Scale: Psychometric Properties

2020 ◽  
Vol 47 (6) ◽  
pp. 894-900 ◽  
Author(s):  
I. Joa ◽  
J. O. Johannessen ◽  
K. S. Heiervang ◽  
A. A. Sviland ◽  
H. A. Nordin ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Interrater Reliability ◽  
Review Process ◽  
Trial Registration ◽  
Family Psychoeducation ◽  
Time Points ◽  
The Family ◽  
Fidelity Scale

Abstract This study examined psychometric properties and feasibility of the Family Psychoeducation (FPE) Fidelity Scale. Fidelity assessors conducted reviews using the FPE fidelity scale four times over 18 months at five sites in Norway. After completing fidelity reviews, assessors rated feasibility of the fidelity review process. The FPE fidelity scale showed excellent interrater reliability (.99), interrater item agreement (88%), and internal consistency (mean = .84 across four time points). By the 18-month follow-up, all five sites increased fidelity and three reached adequate fidelity. Fidelity assessors rated feasibility as excellent. The FPE fidelity scale has good psychometric properties and is feasible for evaluating the implementation of FPE programs. Trial registration ClinicalTrials.gov Identifier: NCT03271242.

scholarly journals Functional communication ability in frontotemporal lobar degeneration and Alzheimer's disease

2008 ◽  
Vol 2 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Isabel Albuquerque M. de Carvalho ◽  
Valéria Santoro Bahia ◽  
Leticia Lessa Mansur
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Social Communication ◽  
Functional Communication ◽  
Communicative Behavior ◽  
Communication Assessment ◽  
Significant Difference ◽  
Communication Ability ◽  
Close Relatives ◽  
The Impact

Abstract Functional communication is crucial for independent and efficient communicative behavior in response to every day activities. In the course of dementia progression, cognitive losses may impair these abilities. For this reason, functional communication assessment should be part of a formal assessment to quantify and qualify the impact of deficiency on patients' lives. Objective: To compare functional communication abilities in fronto-temporal lobar degeneration (FLTD) and Alzheimer's disease (AD). Methods: Six AD patients (mean age: 82.50±2.66 years; mean education: 5.67±3.61 years), and eight FTLD patients (mean age: 57.13±9.63 years; mean education: 10.86±6.91 years) had their close relatives answer the Functional Assessment of Communication Skills for Adults (Asha-facs) . Statistical analyses correlated the performance on each of the Asha-facs domains (social communication, communication of basic needs; reading, writing, number concept and daily planning) between both groups. Results: Analyses showed that functional communication was similar for AD and FTLD patients. Only two items had statistical difference, namely 'Comprehension of inference' (AD 6.7±1.33; FTLD 2.43±2.30, p=0.017) and 'capacity to make basic money transactions' (AD 2.17±2.04; FTLD 4.00±0.90, p=0.044). Comparison among the four domains' mean scores revealed no significant difference. Conclusion: The Asha-facs is a useful instrument to characterize functional communication abilities in both FTLD and AD. Nevertheless, the analysis presented for this sample showed that the Asha-facs could not discriminate which aspects of the FTLD and AD differed.

scholarly journals Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecka Maria Norman ◽  
Ingeborg Strømseng Sjetne
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Nursing Care ◽  
Home Setting ◽  
Norwegian Version ◽  
Care Workers ◽  
Global Ratings

Abstract Background To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNCA-NH) was developed and validated in Switzerland to measure the extent of implicit rationing of nursing care in nursing homes. The BERNCA-NH comprises a list of nursing care activities in which a care worker reports the frequency to which activities were left unfinished over the last 7 working days as a result of lack of time. The aim of this study was to adapt and modify a Norwegian version of the BERNCA-NH intended for all care workers, and assess the instruments’ psychometric properties in a Norwegian nursing home setting. Methods The BERNCA-NH was translated into Norwegian and modified to fit the Norwegian setting with inputs from individual cognitive interviews with informants from the target population. The instrument was then tested in a web-based survey with a final sample of 931 care workers in 162 nursing home units in different parts of Norway. The psychometric evaluation included score distribution, response completeness and confirmatory factor analysis (CFA) of a hypothesised factor structure and evaluation of internal consistency. Hypothesised relation to other variables was assessed through correlations between the subscale scores and three global ratings. Results The Norwegian version of BERNCA-NH comprised four subscales labelled: routine care, ‘when required’ care, documentation and psychosocial care. All subscales demonstrated good internal consistency. The CFA supported the four-factor structure with fit statistics indicating a robust model. There were moderate to strong bivariate associations between the BERNCA-NH subscales and the three global ratings. Three items which were not relevant for all care workers were not included in the subscales and treated as single items. Conclusions This study found good psychometric properties of the Norwegian version BERNCA-NH, assessed in a sample of care workers in Norwegian nursing homes. The results indicate that the instrument can be used to measure unfinished care in similar settings.

The Reliability and Validity of the Health of the Nation Outcome Scales: Validation in Relation to Patient Derived Measures

2000 ◽  
Vol 34 (3) ◽  
pp. 504-511 ◽  
Author(s):  
Robert Brooks
Keyword(s):  
Mental Health ◽  
Psychometric Properties ◽  
Interrater Reliability ◽  
New South ◽  
Short Form ◽  
Reliability And Validity ◽  
The Third ◽  
South Wales ◽  
Sf 36 ◽  
Before And After

Objective: The Health of Nation Outcome Scales (HoNOS) was developed to assess mental health outcomes. The aim of the studies is to examine the psychometric properties, reliability and validity of the HoNOS. Method: Three studies were conducted within St John of God Hospitals in New South Wales, Australia. They examined the reliability and the validity of the HoNOS. The first study examined the interrater reliability of the HoNOS, before and after staff training in the use of the HoNOS. The second study examined the validity of the HoNOS with the Symptom Checklist 90 Revised (SCL90-R) and the third study examined the validity of the HoNOS with the Short-Form 36 (SF-36). Results: The first study showed an improvement in the interrater reliability (IRR) of the HoNOS due to training. However, a generally unsatisfactory IRR (range 0.50–0.65) was achieved. The second study found no correlation between the SCL90-R and the HoNOS on admission (r = 0.04) and discharge (r = 0.06). The third study found no significant correlation between the Mental Component Score of the SF-36 and the HoNOS on admission (r = −0.033) nor on discharge (r = −0.104). Conclusions: The HoNOS has at best moderate interrater reliabilities. Further, the validity of the HoNOS is under question, that is, it does not correlate with a major measure of mental health symptoms, nor with a major measure of health status. As such, it is concluded that the psychometric properties of the HoNOS do not warrant its use as a routine measure.

scholarly journals Functional Communication Ability in Aphasic Patients: CADL Test Performance as it relates to Aphasia Severity and Age.

1991 ◽  
Vol 32 (4) ◽  
pp. 387-396
Author(s):  
Toshiko Watamori ◽  
Aiko Takeuchi ◽  
Motonobu Itoh ◽  
Kyoko Endo ◽  
Yoko Fukusako
Keyword(s):  
Test Performance ◽  
Functional Communication ◽  
Communication Ability

Agree to disagree: Examining the psychometrics of cybervetting

2020 ◽  
Vol 35 (5) ◽  
pp. 435-450
Author(s):  
Amber N. Schroeder ◽  
Kaleena R. Odd ◽  
Julia H. Whitaker
Keyword(s):  
Psychometric Properties ◽  
Interrater Reliability ◽  
Self Assessment ◽  
Content Type ◽  
Job Applicant ◽  
Rating Process ◽  
Mixed Factorial Design ◽  
High Degree ◽  
The Impact ◽  
Method Agreement

PurposeDue to the paucity of research on web-based job applicant screening (i.e. cybervetting), the purpose of the current study was to examine the psychometric properties of cybervetting, including an examination of the impact of adding structure to the rating process.Design/methodology/approachUsing a mixed-factorial design, 122 supervisors conducted cybervetting evaluations of applicant personality, cognitive ability, written communication skills, professionalism, and overall suitability. Cross-method agreement (i.e. the degree of similarity between cybervetting ratings and other assessment methods), as well as interrater reliability and agreement were examined, and unstructured versus structured cybervetting rating formats were compared.FindingsCybervetting assessments demonstrated high interrater reliability and interrater agreement, but only limited evidence of cross-method agreement was provided. In addition, adding structure to the cybervetting process did not enhance the psychometric properties of this assessment technique.Practical implicationsThis study highlighted that whereas cybervetting raters demonstrated a high degree of consensus in cybervetting-based attributions, there may be concerns regarding assessment accuracy, as cybervetting-based ratings generally differed from applicant test scores and self-assessment ratings. Thus, employers should use caution when utilizing this pre-employment screening technique.Originality/valueWhereas previous research has suggested that cybervetting ratings demonstrate convergence with other traditional assessments (albeit with relatively small effects), these correlational links do not provide information regarding cross-method agreement or method interchangeability. Thus, this study bridges a crucial gap in the literature by examining cross-method agreement for a variety of job-relevant constructs, as well as empirically testing the impact of adding structure to the cybervetting rating process.

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