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Background: Patient‐reported measures of communication difficulty and communication‐related distress may be used to obtain efficient and valid indices of the functional consequences of aphasia and its treatment on the daily lives of many community‐dwelling stroke survivors. However, they have not been employed to evaluate treatment outcomes or to examine hypotheses specifying their relationship to commonly employed measures of speech and language impairment in persons with aphasia. This work was supported by the VHA Department of Rehabilitation Research and Development Merit Review Program (Project # C2386R), and the VA Pittsburgh Healthcare System's Geriatric Research Education and Clinical Center (GRECC). The authors wish to acknowledge the contributions of Burden of Stroke Scale (BOSS) Phase 2 Field Trial collaborators, Katherine Ross PhD, VAMC Phoenix, and Julie Wambaugh PhD, VAMC Salt Lake City, the assistance of their respective study team members, Steve Larson MA, Rosalea Cameron MA, and Christina ...

Background: The Burden of Stroke Scale (BOSS) (Doyle et al., 2002) is a health-status assessment instrument designed to measure patient-reported difficulty in multiple domains of functioning, psychological distress associated with specific functional limitations, and,general well-being in stroke survivors. Aims : This study was designed to examine the discriminative and concurrent validity of the BOSS Communication Difficulty (CD) and Communication-Associated Psychological Distress (CAPD) scales. A secondary purpose was to provide a preliminary examination of the relationships between the BOSS CD and CAPD scales and aspects of subjective well-being, including the frequency with which participants reported experiencing general positive and negative emotional states. Methods & Procedures : The BOSS was administered as a face-to-face interviewer-assisted survey to 281 medically stable, community-dwelling stroke survivors selected from five collaborating centres in the USA. Prior to administration of the BOSS...