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The clinical utility of the Children’s Communication Checklist-2 in children with early childhood traumatic brain injury
The Clinical Neuropsychologist ( IF 3.9 ) Pub Date : 2020-12-29 , DOI: 10.1080/13854046.2020.1866675
Allison P Fisher 1, 2 , Lisa M Gies 1, 2 , Leah Chapman 3 , Jessica M Aguilar 1 , Keith Owen Yeates 4 , H Gerry Taylor 5 , Shari L Wade 1, 2
Affiliation  

Abstract

Objective

Pediatric traumatic brain injury (TBI) is associated with long-term cognitive and behavioral deficits. Social communication impairments are common and impact functional outcomes, such as social engagement and academic performance. There are many barriers to identifying social communication deficits following TBI, including the absence of a standardized parent-reported communication measure for use in this population. The Children’s Communication Checklist—Second Edition (CCC-2) has demonstrated utility in identifying communication deficits in diagnoses other than TBI. This study investigated the clinical utility of the CCC-2’s social communication scales in children with TBI. Method: 203 children who sustained TBI or orthopedic injuries between the ages of 36 and 83 months were recruited as part of a larger, longitudinal study. We analyzed social communication subscale scores from the CCC-2 an average of 3.5 years postinjury. We used binary logistic regression analyses to examine the measure’s accuracy in classifying children with and without social communication deficits on other measures of pragmatic language and social competence. Correlation analyses and linear mixed models were used to examine the construct validity of the CCC-2. Results: The CCC-2 was able to accurately classify those with and without pragmatic language impairments on the Comprehensive Assessment of Spoken Language 92% of the time (sensitivity = 55%) and 96% of the time on the Home and Community Social Behavior scale (sensitivity = 72%). The CCC-2 demonstrated strong correlations with and predictive validity for measures of social communication and competence. Conclusions: The findings offer support for the clinical utility of the CCC-2 in the pediatric TBI population.



中文翻译:

儿童沟通检查表2在儿童早期创伤性脑损伤儿童中的临床应用

摘要

客观的

儿童创伤性脑损伤(TBI)与长期认知和行为缺陷有关。社交沟通障碍很常见,会影响功能结果,例如社交参与和学业成绩。识别 TBI 后的社交沟通缺陷存在许多障碍,包括缺乏家长报告的用于该人群的标准化沟通措施。儿童沟通检查表第二版 (CCC-2) 已证明在识别除 TBI 以外的诊断中的沟通缺陷方面具有实用性。本研究调查了 CCC-2 社交沟通量表在 TBI 儿童中的临床效用。方法:作为一项更大规模的纵向研究的一部分,招募了 203 名年龄在 36 至 83 个月之间遭受 TBI 或骨科损伤的儿童。我们分析了受伤后平均 3.5 年的 CCC-2 社交沟通子量表得分。我们使用二元逻辑回归分析来检验该测量在根据其他实用语言和社交能力测量对有或没有社交沟通缺陷的儿童进行分类时的准确性。使用相关分析和线性混合模型来检验 CCC-2 的构造有效性。结果: CCC-2 能够在口语综合评估中准确地对有或没有语用语言障碍的人进行分类,准确率是 92%(灵敏度 = 55%),在家庭和社区社会行为量表上的准确率是 96% (灵敏度 = 72%)。CCC-2 表现出与社交沟通和能力测量的强烈相关性和预测有效性。结论:研究结果为 CCC-2 在儿科 TBI 人群中的临床效用提供了支持。

更新日期:2020-12-29
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