Psychometric Properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 1.

Confidence is a construct that has not been explored previously in aphasia research. We developed the Communication Confidence Rating Scale for Aphasia (CCRSA) to assess confidence in communicating in a variety of activities and evaluated its psychometric properties using rating scale (Rasch) analys...

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Published in:Topics in Stroke Rehabilitation Vol. 18; no. 4; pp. 352 - 361
Main Authors: Cherney, Leora R., Babbitt, Edna M., Semik, Patrick, Heinemann, Allen W.
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jul/Aug2011
Online Access:View this record in EBSCOhost
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      dt: Jul/Aug2011
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      pub: Taylor & Francis Ltd
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        atl: Psychometric Properties of the Communication Confidence Rating Scale for Aphasia (CCRSA): Phase 1.
      aug:
        au:
          Cherney, Leora R.
          Babbitt, Edna M.
          Semik, Patrick
          Heinemann, Allen W.
        affil: Rehabilitation Institute of Chicago, Chicago, Illinois
      sug:
        subj:
          Psychometrics
          Communication Evaluation
          Aphasia Diagnosis
          Instrument Validation
          Confidence
          Human
          Funding Source
          Scales
          Communication Skills
          Quality of Life
          Patient Attitudes
          Perception
          Male
          Female
          Psychological Tests
          Adolescence
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Chi Square Test
          Goodness of Fit Chi Square Test
          Data Analysis Software
          Factor Analysis
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Confidence is a construct that has not been explored previously in aphasia research. We developed the Communication Confidence Rating Scale for Aphasia (CCRSA) to assess confidence in communicating in a variety of activities and evaluated its psychometric properties using rating scale (Rasch) analysis. The CCRSA was administered to 21 individuals with aphasia before and after participation in a computer-based language therapy study. Person reliability of the 8-item CCRSA was .77. The 5-category rating scale demonstrated monotonic increases in average measures from low to high ratings. However, one item ('I follow news, sports, stories on TV/movies') misfit the construct defined by the other items (mean square infit = 1.69, item-measure correlation = .41). Deleting this item improved reliability to .79; the 7 remaining items demonstrated excellent fit to the underlying construct, although there was a modest ceiling effect in this sample. Pre- to posttreatment changes on the 7-item CCRSA measure were statistically significant using a paired samples t test. Findings support the reliability and sensitivity of the CCRSA in assessing participants' self-report of communication confidence. Further evaluation of communication confidence is required with larger and more diverse simples.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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