Development and reliability of the functional communication classification system for children with cerebral palsy

Barty, Elizabeth, Caynes, Katy and Johnston, Leanne M. (2016) Development and reliability of the functional communication classification system for children with cerebral palsy. Developmental Medicine and Child Neurology, . doi:10.1111/dmcn.13124


Author Barty, Elizabeth
Caynes, Katy
Johnston, Leanne M.
Title Development and reliability of the functional communication classification system for children with cerebral palsy
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2016-04-17
Year available 2016
Sub-type Article (original research)
DOI 10.1111/dmcn.13124
Open Access Status Not Open Access
Total pages 6
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2017
Language eng
Formatted abstract
Aim: This 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).

Method: The 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.

Results: Overall 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.

Interpretation: The 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.
Keyword Functional Communication Classification System
FCCS
Cerebral palsy
CP
Communication
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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