Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Psychometric Testing of the CEECCA Questionnaire to Assess Ability to Communicate among Individuals with Aphasia

Version 1 : Received: 9 January 2023 / Approved: 12 January 2023 / Online: 12 January 2023 (06:34:25 CET)

A peer-reviewed article of this Preprint also exists.

Martín-Dorta, W.-J.; García-Hernández, A.-M.; Delgado-Hernández, J.; Sainz-Fregel, E.; Miranda-Martín, R.-C.; Suárez-Pérez, A.; Jiménez-Álvarez, A.; Martín-Felipe, E.; Brito-Brito, P.-R. Psychometric Testing of the CEECCA Questionnaire to Assess Ability to Communicate among Individuals with Aphasia. Int. J. Environ. Res. Public Health 2023, 20, 3935. Martín-Dorta, W.-J.; García-Hernández, A.-M.; Delgado-Hernández, J.; Sainz-Fregel, E.; Miranda-Martín, R.-C.; Suárez-Pérez, A.; Jiménez-Álvarez, A.; Martín-Felipe, E.; Brito-Brito, P.-R. Psychometric Testing of the CEECCA Questionnaire to Assess Ability to Communicate among Individuals with Aphasia. Int. J. Environ. Res. Public Health 2023, 20, 3935.

Abstract

(1) Background: The CEECCA questionnaire assesses the ability to communicate among individuals with aphasia. It was designed using the NANDA-I and NOC standardised nursing languages (SNLs), reaching high content validity index and representativeness index values. The questionnaire was pilot-tested, demonstrating its feasibility for use by nurses in any healthcare setting. This study aims to identify the psychometric properties of this instrument. (2) Methods: 47 individuals with aphasia recruited from primary and specialist care facilities. The instrument was tested for construct validity and criterion validity, reliability, internal consistency, and responsiveness. The NANDA-I and NOC SNLs and the Boston test were used for criterion validity testing. (3) Results: 5 language dimensions explain 78.6% of the total variance. Convergent criterion validity tests showed concordances of up to 94% (Cohen’s κ: 0.9; p<0.001) using the Boston test, concordances of up to 81% using DCs of NANDA-I diagnoses (Cohen’s κ: 0.6; p<0.001), and concordances of up to 96% (Cohen’s κ: 0.9; p<0.001) using NOC indicators. Internal consistency (Cronbach’s alpha) was 0.98. Reliability tests revealed test-retest concordances of 76%-100% (p<0,001). (4) Conclusions: The CEECCA is an easy-to-use, valid, reliable instrument to assess the ability to communicate among individuals with aphasia.

Keywords

aphasia; surveys and questionnaires; standardised nursing terminology; nursing assessment; validation studies

Subject

Public Health and Healthcare, Nursing

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