Communication Assessment for Individuals With Minimal Verbal Skills: A Survey of Current Practices and Satisfaction

Purpose There are few tools developed specifically to assess communication in people with minimal verbal skills. The literature suggests that "gold standard" assessment practice includes a combination of three components: observation, direct assessment, and indirect assessment. The purpose of this study was to describe the assessment methods practitioners and researchers currently use to measure communication skills in individuals with minimal verbal skills. We also wanted to gain information about professionals' satisfaction with their current assessment methods, as well as the factors they consider when selecting assessments for this population. Method A 24-question survey, composed of forced-choice, multiple-choice, Likert-type, and open-ended questions, was disseminated online using LimeSurvey. A total of 217 individuals responded to the survey. Results from the questionnaire were analyzed using qualitative and quantitative methods. Results The number and type of assessments used varied. Observation was the assessment method identified most frequently. Nineteen percent of the respondents reported using the gold standard approach (i.e., observation + direct + indirect). Many respondents were dissatisfied with some or many aspects of their current assessment method. Respondents who used the gold standard approach reported that their assessment method assisted in setting goals significantly better than those who did not use this approach. Comprehensiveness of skills assessed as well as ease and comfort level of the examinee were key factors in assessment selection. Conclusions Results from this survey suggest the need to continue to promote using multiple forms of assessment for individuals with minimal verbal skills. In addition, it points to the need to develop additional effective assessment methods for individuals with minimal verbal skills.