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Updated: Jun 9, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Communication confidence in persons with aphasia
Edna M Babbitt1, Leora R Cherney
1Center for Aphasia Research and Treatment, Rehabilitation Institute of Chicago, Chicago, Illinois, USA.
Abstract:
Communication confidence is a construct that has not been explored in the aphasia literature. Recently, national and international organizations have endorsed broader assessment methods that address quality of life and include participation, activity, and impairment domains as well as psychosocial areas. Individuals with aphasia encounter difficulties in all these areas on a daily basis in living with a communication disorder. Improvements are often reflected in narratives that are not typically included in standard assessments. This article illustrates how a new instrument measuring communication confidence might fit into a broad assessment framework and discusses the interaction of communication confidence, autonomy, and self-determination for individuals living with aphasia.
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