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American Journal of Speech-Language Pathology Vol.15 307-320 November 2006. doi:10.1044/1058-0360(2006/030)
© American Speech-Language-Hearing Association
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Clinical Focus

Measuring Communicative Participation: A Review of Self-Report Instruments in Speech-Language Pathology

Tanya L. Eadie
Kathryn M. Yorkston
Estelle R. Klasner
Brian J. Dudgeon
Jean C. Deitz
Carolyn R. Baylor
Robert M. Miller
Dagmar Amtmann
University of Washington, Seattle

Contact author: Tanya L. Eadie, Department of Speech and Hearing Sciences, 1417 NE 42nd Street, Seattle, WA 98105. E-mail: teadie{at}u.washington.edu.

PURPOSE: To assess the adequacy of self-report instruments in speech-language pathology for measuring a construct called communicative participation.

METHOD: Six instruments were evaluated relative to (a) the construct measured, (b) the relevance of individual items to communicative participation, and (c) their psychometric properties.

RESULTS: No instrument exclusively measured communicative participation. Twenty-six percent (n = 34) of all items (N = 132) across the reviewed instruments were consistent with communicative participation. The majority (76%) of the 34 items were associated with general communication, while the remaining 24% of the items were associated with communication at work, during leisure, or for establishing relationships. Instruments varied relative to psychometric properties.

CONCLUSIONS: No existing self-report instruments in speech-language pathology were found to be solely dedicated to measuring communicative participation. Developing an instrument for measuring communicative participation is essential for meeting the requirements of our scope of practice.

Key Words: communication, participation, outcome measures, International Classification of Functioning, Disability and Health


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