Development and reliability of the Functional Communication Classification System for children with cerebral palsy
Development and reliability of the Functional Communication Classification System for children with cerebral palsy
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DOI：
10.1111/dmcn.13124
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发表时间：
2016-10-01
影响因子：
3.8
通讯作者：
Johnston, Leanne M.
中科院分区：
文献类型：
--
作者：
Barty, Elizabeth;Caynes, Katy;Johnston, Leanne M.
目的探讨功能性沟通分类系统（FCCS）的发展、有效性和可靠性，该系统旨在对4岁和5岁脑瘫儿童的表达性沟通能力进行分类方法功能性沟通分类系统（FCCS）于2006年开发，使用文献综述，客户档案审计，和专家咨询委员会的过程，以设计量表的内容，结构，并检查临床有效性和实用性。评估者间的可靠性进行了检查之间的言语语言病理学家（SLP），其他专职医疗人员（AHPs），和48名儿童的父母与CP。对量表进行修订，增加临床推理提示表，并对42名儿童再次试用。结果是一个五个级别的系统与描述符和决策指南的分类功能表达沟通的儿童CP。ResultsOverall interrater可靠性是优秀的最终FCCS，组内相关系数=0.97（95%置信区间0.95至0.98）。Kappa值分别为0.94之间的SLP和AHPs，0.59之间的SLP和父母，和0.60之间的AHPs和parents.InterpretationThe FCCS是一个可靠的工具，用于描述功能的沟通，在幼儿CP，适用于SLP，其他AHPs，和父母的儿童CP。
AimThis paper describes the development, validation, and reliability of the Functional Communication Classification System (FCCS), designed to classify expressive communication skills of children with cerebral palsy (CP) aged 4 years and 5 years (between their fourth and sixth birthdays).MethodThe Functional Communication Classification System (FCCS) was developed in 2006 using a literature review, client file audit, and expert consultative committee process in order to devise scale content, structure, and check clinical validity and utility. Interrater reliability was examined between speech-language pathologists (SLPs), other allied health professionals (AHPs), and parents of 48 children with CP. The scale was revised and a clinical reasoning prompt sheet added, then trialled again for 42 children. The result was a five-level system with descriptors and decision-making guides for classification of functional expressive communication for children with CP.ResultsOverall interrater reliability was excellent for the final FCCS, intraclass correlation coefficient=0.97 (95% confidence interval 0.95 to 0.98). Kappa values were 0.94 between SLPs and AHPs, 0.59 between SLPs and parents, and 0.60 between AHPs and parents.InterpretationThe FCCS is a reliable tool for describing functional communication in young children with CP, appropriate for use by SLPs, other AHPs, and parents of children with CP.