Wallace, Sarah J. ORCID: 0000-0002-0600-9343, Worrall, Linda, Rose, Tanya A., Alyahya, Reem S. W., Babbitt, Edna, Beeke, Suzanne, de Beer, Carola ORCID: 0000-0002-2918-6756, Bose, Arpita ORCID: 0000-0002-0193-5292, Bowen, Audrey, Brady, Marian C., Breitenstein, Caterina, Bruehl, Stefanie, Bryant, Lucy ORCID: 0000-0001-8497-7406, Cheng, Bonnie B. Y., Cherney, Leora R., Conroy, Paul, Copland, David A., Croteau, Clare, Cruice, Madeline, Dipper, Lucy ORCID: 0000-0002-5918-3898, Hilari, Katerina, Howe, Tami, Kelly, Helen, Kiran, Swathi ORCID: 0000-0003-1586-8913, Laska, Ann-Charlotte, Marshall, Jane, Murray, Laura L., Patterson, Janet, Pearl, Gill, Quinting, Jana, Rochon, Elizabeth ORCID: 0000-0001-5521-0513, Rose, Miranda L., Rubi-Fessen, Ilona, Sage, Karen, Simmons-Mackie, Nina, Visch-Brink, Evy, Volkmer, Anna, Webster, Janet, Whitworth, Anne ORCID: 0000-0002-4653-0782 and Dorze, Guylaine Le . Measuring communication as a core outcome in aphasia trials: Results of the ROMA-2 international core outcome set development meeting. Int. J. Lang. Commun. Disord.. HOBOKEN: WILEY. ISSN 1460-6984

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Abstract

BackgroundEvidence-based recommendations for a core outcome set (COS; minimum set of outcomes) for aphasia treatment research have been developed (the Research Outcome Measurement in Aphasia-ROMA, COS). Five recommended core outcome constructs: communication, language, quality of life, emotional well-being and patient-reported satisfaction/impact of treatment, were identified through three international consensus studies. Constructs were paired with outcome measurement instruments (OMIs) during an international consensus meeting (ROMA-1). Before the current study (ROMA-2), agreement had not been reached on OMIs for the constructs of communication or patient-reported satisfaction/impact of treatment. AimTo establish consensus on a communication OMI for inclusion in the ROMA COS. Methods & ProceduresResearch methods were based on recommendations from the Core Outcome Measures in Effectiveness Trials (COMET) Initiative. Participants with expertise in design and conduct of aphasia trials, measurement instrument development/testing and/or communication outcome measurement were recruited through an open call. Before the consensus meeting, participants agreed on a definition of communication, identified appropriate OMIs, extracted their measurement properties and established criteria for their quality assessment. During the consensus meeting they short-listed OMIs and participants without conflicts of interest voted on the two most highly ranked instruments. Consensus was defined a priori as agreement by >= 70% of participants. Outcomes & ResultsIn total, 40 researchers from nine countries participated in ROMA-2 (including four facilitators and three-panel members who participated in pre-meeting activities only). A total of 20 OMIs were identified and evaluated. Eight short-listed communication measures were further evaluated for their measurement properties and ranked. Participants in the consensus meeting (n = 33) who did not have conflicts of interest (n = 29) voted on the top two ranked OMIs: The Scenario Test (TST) and the Communication Activities of Daily Living-3 (CADL-3). TST received 72% (n = 21) of 'yes' votes and the CADL-3 received 28% (n = 8) of 'yes' votes. Conclusions & ImplicationsConsensus was achieved that TST was the preferred communication OMI for inclusion in the ROMA COS. It is currently available in the original Dutch version and has been adapted into English, German and Greek. Further consideration must be given to the best way to measure communication in people with mild aphasia. Development of a patient-reported measure for satisfaction with/impact of treatment and multilingual versions of all OMIs of the COS is still required. Implementation of the ROMA COS would improve research outcome measurement and the quality, relevance, transparency, replicability and efficiency of aphasia treatment research. WHAT THIS PAPER ADDSWhat is already known on this subjectInternational consensus has been reached on five core constructs to be routinely measured in aphasia treatment studies. International consensus has also been established for OMIs for the three constructs of language, quality of life and emotional well-being. Before this study, OMIs for the constructs of communication and patient-reported satisfaction/impact of treatment were not established. What this paper adds to existing knowledgeWe gained international consensus on an OMI for the construct of communication. TST is recommended for inclusion in the ROMA COS for routine use in aphasia treatment research. What are the potential or actual clinical implications of this work?The ROMA COS recommends OMIs for a minimum set of outcomes for adults with post-stroke aphasia within phases I-IV aphasia treatment research. Although not intended for clinical use, clinicians may employ the instruments of the ROMA COS, considering the quality of their measurement properties. The systematic inclusion of a measure of communication, such as TST, in clinical practice could ultimately support the implementation of research evidence and best practices.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Wallace, Sarah J.UNSPECIFIEDorcid.org/0000-0002-0600-9343UNSPECIFIED
Worrall, LindaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rose, Tanya A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alyahya, Reem S. W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Babbitt, EdnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Beeke, SuzanneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Beer, CarolaUNSPECIFIEDorcid.org/0000-0002-2918-6756UNSPECIFIED
Bose, ArpitaUNSPECIFIEDorcid.org/0000-0002-0193-5292UNSPECIFIED
Bowen, AudreyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brady, Marian C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Breitenstein, CaterinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bruehl, StefanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bryant, LucyUNSPECIFIEDorcid.org/0000-0001-8497-7406UNSPECIFIED
Cheng, Bonnie B. Y.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cherney, Leora R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Conroy, PaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Copland, David A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Croteau, ClareUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cruice, MadelineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dipper, LucyUNSPECIFIEDorcid.org/0000-0002-5918-3898UNSPECIFIED
Hilari, KaterinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Howe, TamiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kelly, HelenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kiran, SwathiUNSPECIFIEDorcid.org/0000-0003-1586-8913UNSPECIFIED
Laska, Ann-CharlotteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marshall, JaneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Murray, Laura L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Patterson, JanetUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pearl, GillUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Quinting, JanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rochon, ElizabethUNSPECIFIEDorcid.org/0000-0001-5521-0513UNSPECIFIED
Rose, Miranda L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rubi-Fessen, IlonaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sage, KarenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Simmons-Mackie, NinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Visch-Brink, EvyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Volkmer, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Webster, JanetUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Whitworth, AnneUNSPECIFIEDorcid.org/0000-0002-4653-0782UNSPECIFIED
Dorze, Guylaine LeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698316
DOI: 10.1111/1460-6984.12840
Journal or Publication Title: Int. J. Lang. Commun. Disord.
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1460-6984
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RELIABILITY; DISCOURSEMultiple languages
Audiology & Speech-Language Pathology; Linguistics; RehabilitationMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69831

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