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Fucetola, Robert; Tabor Connor, Lisa

Family Ratings of Communication Largely Reflect Expressive Language and Conversation-Level Ability in People With Aphasia

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  • Media type: E-Article
  • Title: Family Ratings of Communication Largely Reflect Expressive Language and Conversation-Level Ability in People With Aphasia
  • Contributor: Fucetola, Robert; Tabor Connor, Lisa
  • imprint: American Speech Language Hearing Association, 2015
  • Published in: American Journal of Speech-Language Pathology
  • Language: English
  • DOI: 10.1044/2015_ajslp-14-0135
  • ISSN: 1058-0360; 1558-9110
  • Origination:
  • Footnote:
  • Description: <jats:sec> <jats:title>Purpose</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Method</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec>