Related Concept Videos
Language and Cognition
Negative and Cognitive Symptoms of Schizophrenia
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Cognitive Development During Adulthood
Role of Communication in the Nursing Process I: Assessment and Diagnosis
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.
Intellectual Disability
Higher Mental Functions of the Brain: Language
Language formation and comprehension take place in the dominant hemisphere. The dominant hemisphere is responsible for understanding the meaning of spoken, written, or sign language, as well as the ability to communicate. For most people, the left hemisphere is the dominant one. The right hemisphere, then, gives tone and emotional context to the...
You might also read
Related Articles
Articles linked to this work by shared authors, journal, and citation graph.
Adaptive balancing of effort, accuracy and response speed in anomia treatment for post-stroke aphasia in community-based settings in the USA: a within-subjects randomised controlled trial protocol.
Inside Semantic Feature Analysis: A Within-Trial Analysis of Feature Quantity and Quality.
Comment on Panuccio et al. Quality of Assessment Tools for Aphasia: A Systematic Review. <i>Brain Sci.</i> 2025, <i>15</i>, 271.
Test-retest reliability of edge-level resting-state functional connectivity in people with aphasia.
Cognitive Functions Supporting Learning Over Time in Naming Treatment for Aphasia.
Increasing Representation of Black Stroke Survivors in Aphasia Research: A Community Outreach Pilot.
Multi-Domain Benefits of Exergaming for Sarcopenia Management in Institutionalized Older Adults: Physical, Psychological, and Social Outcomes.
Health Literacy During Inpatient Rehabilitation and Its Association with One-Year Health and Functional Outcomes in Individuals with Traumatic Spinal Cord Injury.
Apraxia in Patients with Cognitive Impairment: Evidence from Familiar Tool Use.
COMPARISON OF ULTRASOUND-GUIDED LAVAGE AND SUBACROMIAL BURSA INJECTION FOR CALCIFIC TENDINITIS: A PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND TRIAL.
Neurogenic bowel dysfunction in multiple sclerosis: clinical determinants and its association with bladder dysfunction in a multicenter study.
Companionship as a mediator of the relationship between marital status and psychosocial outcomes: Findings in individuals with spinal cord injury.
Related Experiment Video
Updated: Jun 14, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
Patient-reported cognitive and communicative functioning: 1 construct or 2?
William D Hula1, Patrick J Doyle, Shannon N Austermann Hula
1Geriatric Research Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA 15206, USA. William.Hula@va.gov
Patient-reported scales for stroke survivors may not be unidimensional. Separately measuring cognitive and communication functions improves accuracy and responsiveness, highlighting the need for distinct assessments.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychometrics
Background:
- Patient-reported outcome measures (PROMs) are crucial for assessing functioning after stroke.
- Existing scales often combine cognitive and communication domains, potentially oversimplifying patient experiences.
Purpose of the Study:
- To investigate the dimensionality of scales measuring cognitive and communicative functioning in stroke survivors.
- To assess the impact of treating these functions as a single construct versus separate entities.
Main Methods:
- Secondary analysis of cross-sectional data from 316 unilateral stroke survivors.
- Utilized confirmatory factor analysis, Rasch analysis, and differential item functioning (DIF) tests.
- Compared scores derived from combined versus separately estimated cognition and communication items.
Main Results:
- While some analyses supported unidimensionality, DIF analyses indicated multidimensionality based on stroke laterality.
- Separate scoring of cognition and communication yielded different patient scores and enhanced group-difference responsiveness.
Conclusions:
- Patient-reported scales for cognitive and communicative functioning may have an internal structure inconsistent with unidimensionality.
- Treating these as a single construct may negatively impact measurement accuracy and clinical interpretation.

