“…Interference in participation may come from physical impairments limiting communication abilities, but it may also come from many other sources interacting with the communication disorder such as other health symptoms (and consequences of treatment such as medication or radiation effects), environmental conditions including communication partners, or even a client’s personal outlook (personal priorities or coping strategies) (Baylor, Burns et al, 2011; Becker et al, 2011; Eadie, 2003; Hartelius, Elmberg, Holm, Lovberg, & Nikolaidis, 2008; Howe, 2008; Howe, Worrall, & Hickson, 2008a, 2008b; Threats, 2007; Whitehill, Ma, & Tse, 2010). After administering the CPIB, clinicians must engage clients in deeper interviews about the situations in which they experience interference and what factors they feel contribute to participation restrictions.…”