Semin Speech Lang 2020; 41(01): 001-009
DOI: 10.1055/s-0039-3401029
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Choosing Discourse Outcome Measures to Assess Clinical Change

Mary Boyle
1  Department of Communication Sciences and Disorders, Montclair State University, Bloomfield, New Jersey
› Author Affiliations
Further Information

Publication History

Publication Date:
23 December 2019 (online)


Surveys of speech-language pathologists who work with people with aphasia indicate that they view the large number of existing measures to be a barrier to using discourse analysis in their practice. This article provides a process that can help determine whether a particular discourse outcome measure might be useful with a particular client. The process involves answering questions about the client, the treatment, the work setting, and the psychometric properties of the discourse outcome measure in question. By following this systematic process, clinicians can eliminate outcome measures that are not likely to provide useful data and can focus on those that can help them demonstrate treatment-related change.


Financial: Mary Boyle receives a salary from Montclair State University. Her current work on discourse is supported by grants from the Aphasia Center of California Research Fund and from the Stroke Association.

Nonfinancial: No relevant nonfinancial relationships exist.