The Functional Vision for Communication Questionnaire (FVC-Q): Exploring Parental Report of Non-Speaking Children's Fixation Skills Using a Structured History-Taking Approach

Jenefer Sargent, Tom Griffiths (Lead / Corresponding author), Michael T. Clarke, Kim Bates, Katrina Macleod, John Swettenham

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Abstract

This paper explores whether a structured history-taking tool yields useful descriptions of children’s looking skills. Parents of 32 children referred to a specialist communication clinic reported their child’s looking skills using the Functional Vision for Communication Questionnaire (FVC-Q), providing descriptions of single object fixation, fixation shifts between objects and fixation shifts from object to person. Descriptions were compared with clinical assessment. 24/32 children were reported to have some limitation in fixation. Limitation was subsequently seen in 30/32 children. Parental report and assessment agreed fully in 23/32 (72%). The largest area of discrepancy was object-person fixation shifts, with five children not observed to show this behavior despite its being reported. Findings indicate a structured questionnaire yields description of fixations, which correspond well with clinical assessment. Descriptions supported discussion between parents and clinicians. It is proposed that the FVC-Q is a valuable tool in supporting clinicians in eliciting information about fixation skills.
Original languageEnglish
Number of pages7
JournalDevelopmental Neurorehabilitation
Early online date27 Apr 2024
DOIs
Publication statusE-pub ahead of print - 27 Apr 2024

Keywords

  • Functional vision
  • Cerebral palsy
  • Assessment
  • Children
  • Communication

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