Reliability and validity of the revised Triple C: Checklist of Communicative Competencies for adults with severe and multiple disabilities

Abstract

The revised Triple C provides a reliable means of gathering data on which to determine the communication skills of adults with severe and multiple disabilities. The results support a collaborative use of the Triple C, such that a speech-language pathologist or other communication specialist works with a support worker to ensure understanding of the skills observed and development of appropriate intervention strategies.

Reliability of an assessment used in formal accommodation services: Implications for adults with an intellectual disability

“…Similarly, staff members supporting people with an intellectual disability may have different perspectives of the people they work with that relate to the individual's level of functioning. The issue of a person's level of disability and its impact on interrater reliability has not been evident in previous studies (Ball et al, 2004;Dychawy-Rosner & Isacsson, 1996;Iacono et al, 2009;Moss et al, 1998;Prosser et al, 1998;Stancliffe, 1999). However, it is important to consider as goal setting and skills training provided to the person may be compromised.…”

“…As a result, there is a reliance on direct care staff to perform and obtain data from assessments needed for intervention planning and implementation (Iacono, West, Bloomberg, & Johnson, 2009). Furthermore, due to the limited communication skills of many adults with an intellectual disability, assessments are commonly completed by proxy respondents, creating a dependence on these proxy respondents to produce reliable and valid data (Dixon, 2007).…”

“…The authors suggested that the diagnosis of dementia must involve interviews with carers or relatives as they have known or worked with the person over an extended period and therefore were able to determine if there has been a change in performance or behaviour. Iacono et al (2009) assessed the interrater reliability of an assessment used to measure communication skills of adults with severe disabilities. An inclusion criterion for participating support workers was that they had a minimum of six months' experience working directly with the individual.…”

“…The importance of training in the use of the assessment tool has been recognised in previous studies (Iacono et al, 2009;Moss et al, 1998;Prosser et al, 1998). Iacono et al (2009) stated that training of some degree was necessary as care staff come from a variety of different backgrounds and may have limited education.…”

“…Iacono et al (2009) stated that training of some degree was necessary as care staff come from a variety of different backgrounds and may have limited education. In addition, a moderate to high level of agreement between raters was found in their study, which the authors suggested to be the result of staff receiving training in the use of the tool.…”