Which statement best describes participation in PACE?

• A. In PACE, there is active participation of the listener in the speaker's efforts to convey a message.
• B. In PACE, the listener has no role in the message.
• C. PACE requires the speaker to convey a message without listener feedback.
• D. Participation in PACE is limited to the clinician.

Answer: (A)

Participation in PACE centers on active listener involvement in the communication process. It’s a two-way exchange where the listener engages with the speaker, provides feedback, asks clarifying questions, and uses the cues from the speaker to shape understanding. This back-and-forth supports tailoring information to the listener’s needs and helps translate communication into real, functional participation in daily life.

If the listener has no role, or feedback is withheld, or only the clinician participates, the interaction becomes one-way and less effective for achieving meaningful participation and understanding.