The communicative participation in pre-school children estimated by the FOCUS questionnaire: a functional communicative outcome measure

Purpose: Participation-outcome measures are required in the phoniatric and speech-language pathology practice to evaluate real-life changes during interventions. In line with the bio-psycho-social model of health, ‘Focus on the Outcomes of Communication Under Six’ (FOCUS) is a validated scale by which parents rate their child’s Communicative Participation (CP). CP has been widely investigated in atypically-developing population, and it may be an innovative construct also for typically-developing children (TDC). The aim of the study is to describe the CP and its components observed in a large group of TDC, exploring whether children’s CP is influenced by their age. Method: Through a cross-sectional observational study, parents of 355 Italian-speaking TDC aged 3.0–5.11 years without developmental impairments completed the Italian FOCUS (FOCUS-I). Result: CP significantly increased with age (p <.001). Components’ scores differed by age, with some competences (‘pragmatics’, ‘receptive language/attention’, ‘social competence/play’, ‘coping strategies/emotions’) increased with age less than others (‘speech’, ‘intelligibility’, ‘independence’, ‘expressive language’). Conclusion: The study suggests that a spontaneous significant increase in CP should be expected with a child’s development and it discusses the differences in the profile scores. When exploring real-life communicative participation, parents rate their children as changing mostly in their speech and expressive-linguistic competences.