Functional Communication Measures: Reliability Study Under Way ASHA has been giving considerable attention to the area of functional assessment in communication disorders as part of its interest in functional outcomes. In 1996, the American Speech-Language-Hearing Foundation awarded grants directed at supporting work in the area of establishing reliability and validity for the ASHA Functional Communication Measures (FCMs). ... Article
Article  |   March 01, 1998
Functional Communication Measures: Reliability Study Under Way
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Articles
Article   |   March 01, 1998
Functional Communication Measures: Reliability Study Under Way
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1998, Vol. 8, 4. doi:10.1044/nnsld8.1.4
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, March 1998, Vol. 8, 4. doi:10.1044/nnsld8.1.4
ASHA has been giving considerable attention to the area of functional assessment in communication disorders as part of its interest in functional outcomes. In 1996, the American Speech-Language-Hearing Foundation awarded grants directed at supporting work in the area of establishing reliability and validity for the ASHA Functional Communication Measures (FCMs). Alex Johnson and Barbara Jacobson of Henry Ford Hospital (Detroit, MI) were provided with one year of funding to establish reliability and validity of the FCMs as they might be used in medical speech-language pathology settings. This project, now completed, focused specifically on three adult patient populations: acute stroke patients; ALS patients; and patients with voice disorders. In this project videotaped communication samples were obtained from approximately 70 patients, and 10 clinicians were asked to rate these samples using the FCMs. The data from the study are now being analyzed and a final report will be generated within the next 6 months. However, some preliminary observations may be useful to clinicians working in this area:
  1. Clinician training and length of experience affect reliability of judgments made using the FCM.

  2. Reliability among clinician raters improves with training.

  3. Reliability of the FCM scales varied as they were applied to different patient populations.

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