communication activity in stroke patients with aphasia objective to study communication disability in stroke patients with aphasiapatients and methods prospective multicentric cohort study of patients with aphasia consecutively included after a first stroke and examined 1 year later at home assessment included a stroke severity scale the barthel index the boston diagnostic aphasia examination a communication questionnaire and the aphasia depression rating scaleresults a total of 164 patients were included among the 100 survivors assessed at followup 24 had severe aphasia 12 moderate aphasia and 64 mild aphasia according to the boston diagnostic aphasia examination severity score patients mainly reported difficulties in conversation with strangers andor on abstract topics using a phone reading and writing administrative documents dealing with money and outdoor communication activities communication was strongly related to aphasia severity age gender education level residence status and type of stroke had no influence on communication activity on multivariate analysis severity of stroke and severity of aphasia on inclusion were found to account for 58 of variance and were independent predictors of the communication questionnaire score at followupconclusion documenting the most impaired communication skills may help to set priority goals for speech and language therapy in aphasia