Examining Face Validity of Visual Stimuli Used in Preference Assessments for Older Adults With Communication Impairments

March 28, 2022


  • Vanessa L. Burshnic-Neal
  • Kelly Knollman-Porter
  • Rachel H. Topper
  • Eleanor S. McConnell
  • Kimberly VanHaitsma
  • Katherine M. Abbott

Preference assessment is integral to person-centered treatment planning for older adults with communication impairments. There is a need to validate photographs used in preference assessment for this population. Therefore, this study aimed to establish preliminary face validity of photographs selected to enhance comprehension of questions from the Preferences for Everyday Living Inventory–Nursing Home (PELI-NH) and describe themes in older adults' recommendations for revising photographic stimuli. It was found that cognitive interviewing was useful for improving face validity of stimuli pertaining to personal care topics. Abstract and subjective preferences (e.g., cultural traditions) may be more challenging to represent. This study provides a framework for further testing with older adults with cognitive, communication, and hearing impairments.

American Journal of Speech-Language Pathologyhttps://doi.org/10.1044/2022_AJSLP-21-00303

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  • Cognitive/Communication Challenges
  • Long-Term Care - Other