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1 Introduction Selecting appropriate outcome measures is a persistent challenge in clinical and research settings, particularly when assessing latent, multidimensional constructs such as communication (Kimberlin and Winterstein 2008; Prinsen et al. 2018). This challenge is amplified when measures are applied to populations for whom they were not originally developed, such as individuals with intellectual disabilities (Nicolaidis et al. 2020; Ellis et al. 2023).
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