Allison P Fisher1,2, Lisa M Gies1,2, Leah Chapman3, Jessica M Aguilar1, Keith Owen Yeates4, H Gerry Taylor5, Shari L Wade1,2. 1. Division of Physical Medicine and Rehabilitation, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. 2. Department of Psychology, University of Cincinnati, Cincinnati, OH, USA. 3. Department of Neurology, Wake Forest Baptist Health, Winston-Salem, NC, USA. 4. Department of Psychology, Alberta Children's Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Calgary, Canada. 5. Abigail Wexner Research Institute at Nationwide Children's Hospital, and Department of Pediatrics, The Ohio State University, Nationwide Children's Hospital, Columbus, OH, USA.
Abstract
ObjectivePediatric traumatic brain injury (TBI) is associated with long-term cognitive and behavioral deficits. Social communication impairments are common and impact functional outcomes, such as social engagement and academic performance. There are many barriers to identifying social communication deficits following TBI, including the absence of a standardized parent-reported communication measure for use in this population. The Children's Communication Checklist-Second Edition (CCC-2) has demonstrated utility in identifying communication deficits in diagnoses other than TBI. This study investigated the clinical utility of the CCC-2's social communication scales in children with TBI. Method: 203 children who sustained TBI or orthopedic injuries between the ages of 36 and 83 months were recruited as part of a larger, longitudinal study. We analyzed social communication subscale scores from the CCC-2 an average of 3.5 years postinjury. We used binary logistic regression analyses to examine the measure's accuracy in classifying children with and without social communication deficits on other measures of pragmatic language and social competence. Correlation analyses and linear mixed models were used to examine the construct validity of the CCC-2. Results: The CCC-2 was able to accurately classify those with and without pragmatic language impairments on the Comprehensive Assessment of Spoken Language 92% of the time (sensitivity = 55%) and 96% of the time on the Home and Community Social Behavior scale (sensitivity = 72%). The CCC-2 demonstrated strong correlations with and predictive validity for measures of social communication and competence. Conclusions: The findings offer support for the clinical utility of the CCC-2 in the pediatric TBI population.
ObjectivePediatric traumatic brain injury (TBI) is associated with long-term cognitive and behavioral deficits. Social communication impairments are common and impact functional outcomes, such as social engagement and academic performance. There are many barriers to identifying social communication deficits following TBI, including the absence of a standardized parent-reported communication measure for use in this population. The Children's Communication Checklist-Second Edition (CCC-2) has demonstrated utility in identifying communication deficits in diagnoses other than TBI. This study investigated the clinical utility of the CCC-2's social communication scales in children with TBI. Method: 203 children who sustained TBI or orthopedic injuries between the ages of 36 and 83 months were recruited as part of a larger, longitudinal study. We analyzed social communication subscale scores from the CCC-2 an average of 3.5 years postinjury. We used binary logistic regression analyses to examine the measure's accuracy in classifying children with and without social communication deficits on other measures of pragmatic language and social competence. Correlation analyses and linear mixed models were used to examine the construct validity of the CCC-2. Results: The CCC-2 was able to accurately classify those with and without pragmatic language impairments on the Comprehensive Assessment of Spoken Language 92% of the time (sensitivity = 55%) and 96% of the time on the Home and Community Social Behavior scale (sensitivity = 72%). The CCC-2 demonstrated strong correlations with and predictive validity for measures of social communication and competence. Conclusions: The findings offer support for the clinical utility of the CCC-2 in the pediatric TBI population.
Entities:
Keywords:
Children’s Communication Checklist; Traumatic brain injury; communication deficits; neuropsychological measures; parent-report measures; pediatric; social communication
Authors: Jennie L Ponsford; Marina G Downing; John Olver; Michael Ponsford; Rose Acher; Meagan Carty; Gershon Spitz Journal: J Neurotrauma Date: 2014-01-01 Impact factor: 5.269
Authors: H Gerry Taylor; Maegan D Swartwout; Keith Owen Yeates; Nicolay Chertkoff Walz; Terry Stancin; Shari L Wade Journal: J Int Neuropsychol Soc Date: 2008-09 Impact factor: 2.892
Authors: Aimee Gerrard-Morris; H Gerry Taylor; Keith Owen Yeates; Nicolay Chertkoff Walz; Terry Stancin; Nori Minich; Shari L Wade Journal: J Int Neuropsychol Soc Date: 2009-10-22 Impact factor: 2.892