Stroke Communication Scale based on the International Classification of Functioning, Disability and Health (ICF - SCS)

Introduction: The International Classification of Functioning, Disability, and Health encompasses activities, participation, and contextual factors in health care, helping in the evaluation, planning, and management of patients. Aim: To develop an instrument to evaluate and classify speech-language needs, participation, and functioning in post-stroke based on the International Classification of Functioning, Disability, and Health. Materials and methods: This is a methodological research to develop an instrument. We adopted the following steps: a) selection of the International Classification of Functioning, Disability, and Health domains related to speech-language; b) development of guiding questions and qualification criteria; c) content validity; d) development of instructions; d) pilot test; e) inter-observer reliability. Results: The Stroke Communication Scale is a clinical assessment in the Brazilian Portuguese language with 35 questions, integrating language, environmental, and personal aspects. This instrument showed good validity and reliability, demonstrating its applicability. Additionally, the possibility of using different sources of information (patient, caregiver, and health professional observations) and time of application of the protocol constitute positive factors for its use in different clinical settings. Conclusion: The Stroke Communication Scale allows a comprehensive clinical evaluation helping in the development of individualized treatment programs in post-stroke in a biopsychosocial approach centered on the patient.IMPLICATIONS FOR REHABILITATION Communication disorders post-stroke can be an important social barrier. An assessment based on the International Classification of Functioning, Disability, and Health offers an integral view of different perspectives of health. The Stroke Communication Scale is a holistic instrument to assess communication, participation, and functioning. The Stroke Communication Scale allows an evaluation of functional communication beyond the disorder. Interview-format encourages the participation of individuals with communication impairment, which is essential for their rehabilitation process and participation in social activities.