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Reliability is a crucial component of the measurement process. It is used in the theoretical characterization of communication disorders, assessment of individuals with communication disorders, and evaluation of intervention efficacy. Measurement is a process of representing theoretical constructs through observable events scored by an observer. This entry discusses measurements’ internal cohesiveness and repeatability with respect to their uses in assessing individuals and evaluating intervention efficacy.

The theoretical constructs of interest in communication disorders are often cognitive/motoric abilities developed by the person’s nervous system, including understanding of spoken language, construction of language units, speech fluency, and production of speech sounds, to name a few. The largely unobservable internal neural organization of these abilities is represented in the measurement process through an operational definition in which an observable behavior represents the unobservable neural organization or ability. For example, the underlying construct of expressive language ability has been operationally defined using measures such as mean length of utterance (MLU; average length of a speaker’s utterances in morphemes) and number of different words used.

Reliability measures degree of consistency and repeatability. Consistency refers to the internal cohesiveness of a measure or the degree to which components of the measurement agree with one another. Repeatability is the degree to which a measure will produce similar results under similar conditions for the same person.

Consistency

Measurements of underlying constructs related to oral and written communication typically involve multiple observations that are summed or averaged to form a score or set of subtest scores. A test’s internal consistency refers to the relationships between the individual test items and the overall test score. For example, the average MLU for children between the ages of 3 years, 0 months and 3 years, 6 months is between 3.0 and 3.75 morphemes per utterance. Typical utterances of this length include talking about actions (e.g., “He walks” or “He is walking”). So an adult who asks the child questions about actions during an adult–child interaction would be providing test items like “What is he doing?” that would be consistent with the child’s ability and would probably result in relatively consistent responses by the child. Test items that ask the child to identify objects in the room (e.g., “What is this?” and “Who is this doll?”) would likely result in shorter utterances (e.g., “a ball” and “the mommy”) with scores lower than the typical child’s test average. Thus, some of the adult questions would result in child responses that are more consistent with the child’s overall score than others.

Clinicians and experimenters who construct tests use measures of internal consistency to improve their test procedures. Items not consistent with the total score are, at best, an inefficient part of the measurement. At worst, a lack of relationship between a test item and overall score indicates that the item is not measuring the right underlying ability and thus is not a valid measure. Responses to the unrelated items vary randomly relative to the person’s targeted ability and thus add unwanted variability to the test scores, making the scores less repeatable.

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