Department of Speech-Language-Hearing: Sciences & Disorders, The University of Kansas, The Schiefelbusch Institute for Life Span Studies, Lawrence.
Research Design and Analysis Unit, The University of Kansas, The Schiefelbusch Institute for Life Span Studies, Lawrence.
Am J Speech Lang Pathol. 2018 Feb 6;27(1):237-246. doi: 10.1044/2017_AJSLP-17-0106.
The Communication Complexity Scale (CCS; Brady et al., 2012) was created to fill a void in measures of expressive communication skills in individuals who communicate primarily with presymbolic or early symbolic means. CCS scores reflect expressive communication observed during interactive communication contexts.
Two studies were completed to examine the reliability and validity of the revised CCS scores. Participants in both studies had minimal verbal skills (i.e., produced less than 20 functional words). Study 1 examined interobserver agreement, test-retest reliability, and concurrent validity for 239 participants with intellectual disabilities between the ages of 3-66 years, assessed with the protocol developed at the University of Kansas (KU CCS). CCS scores were compared with scores from the Vineland Adaptive Behavior Scales-Second Edition (Sparrow, Cicchetti, & Balla, 2005) and the Communication Matrix (Rowland & Fried-Oken, 2010). Study 2 examined the reliability and concurrent validity for CCS scores derived from 110 children (chronological age = 3-9) with autism from diverse backgrounds. These children were assessed with the Early Social Communication Scale (Mundy et al., 2003). CCS scores were compared with rates of communication derived from the Early Social Communication Scale.
CCS scores were moderately correlated with scores from existing measures of early communication. In addition, CCS scores from different raters were reliable, and test-retest scores were highly similar.
These findings support the validity and reliability of the CCS when used with individuals across a wide range of ages and with various types of disabilities. The CCS can be used in research and clinical practice to describe extant communication levels in individuals with minimal verbal skills.
交流复杂度量表（CCS；Brady 等人，2012）的创建是为了填补主要使用前符号或早期符号手段进行交流的个体表达性沟通技能测量的空白。CCS 分数反映了在互动沟通环境中观察到的表达性沟通。
完成了两项研究，以检验修订后的 CCS 分数的可靠性和有效性。两项研究的参与者的语言技能都很有限（即，产生的功能词少于 20 个）。研究 1 检验了 239 名年龄在 3 至 66 岁之间的智力障碍参与者的协议间一致性、重测信度和与同期效度，这些参与者是根据堪萨斯大学（KU CCS）制定的方案进行评估的。CCS 分数与 Vineland 适应行为量表第二版（Sparrow、Cicchetti 和 Balla，2005）和沟通矩阵（Rowland 和 Fried-Oken，2010）的分数进行了比较。研究 2 检验了来自不同背景的 110 名自闭症儿童（年龄为 3-9 岁）的 CCS 分数的可靠性和同期效度。这些儿童是根据早期社会沟通量表（Mundy 等人，2003）进行评估的。CCS 分数与早期社会沟通量表中的沟通率进行了比较。
CCS 分数与现有早期沟通测量的分数中度相关。此外，不同评分者的 CCS 分数是可靠的，重测分数高度相似。
这些发现支持 CCS 在广泛的年龄范围和各种类型的残疾个体中使用的有效性和可靠性。CCS 可用于研究和临床实践中，以描述语言技能有限的个体的现存沟通水平。
