A core outcome set for aphasia treatment research: The ROMA consensus statement
Background A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data. Objective The Research Outcome Measurement in...
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| Veröffentlicht in: | International journal of stroke 2019-02, Vol.14 (2), p.180-185 |
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| creator | Wallace, Sarah J Worrall, Linda Rose, Tanya Le Dorze, Guylaine Breitenstein, Caterina Hilari, Katerina Babbitt, Edna Bose, Arpita Brady, Marian Cherney, Leora R. Copland, David Cruice, Madeline Enderby, Pam Hersh, Deborah Howe, Tami Kelly, Helen Kiran, Swathi Laska, Ann-Charlotte Marshall, Jane Nicholas, Marjorie Patterson, Janet Pearl, Gill Rochon, Elizabeth Rose, Miranda Sage, Karen Small, Steven Webster, Janet |
| description | Background
A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data.
Objective
The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I–IV aphasia treatment studies.
Methods
This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting. This paper provides an overview of this process and presents the results and recommendations arising from the international consensus meeting.
Results
Five essential outcome constructs were identified: Language, communication, patient-reported satisfaction with treatment and impact of treatment, emotional wellbeing, and quality of life. Consensus was reached for the following measurement instruments: Language: The Western Aphasia Battery Revised (WAB-R) (74% consensus); emotional wellbeing: General Health Questionnaire (GHQ)-12 (83% consensus); quality of life: Stroke and Aphasia Quality of Life Scale (SAQOL-39) (96% consensus). Consensus was unable to be reached for measures of communication (where multiple measures exist) or patient-reported satisfaction with treatment or impact of treatment (where no measures exist).
Discussion
Harmonization of the ROMA COS with other core outcome initiatives in stroke rehabilitation is discussed. Ongoing research and consensus processes are outlined.
Conclusion
The WAB-R, GHQ-12, and SAQOL-39 are recommended to be routinely included within phases I–IV aphasia treatment studies. This consensus statement has been endorsed by the Collaboration of Aphasia Trialists, the British Aphasiology Society, the German Society for Aphasia Research and Therapy, and the Royal College of Speech Language Therapists. |
| doi_str_mv | 10.1177/1747493018806200 |
| format | Article |
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A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data.
Objective
The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I–IV aphasia treatment studies.
Methods
This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting. This paper provides an overview of this process and presents the results and recommendations arising from the international consensus meeting.
Results
Five essential outcome constructs were identified: Language, communication, patient-reported satisfaction with treatment and impact of treatment, emotional wellbeing, and quality of life. Consensus was reached for the following measurement instruments: Language: The Western Aphasia Battery Revised (WAB-R) (74% consensus); emotional wellbeing: General Health Questionnaire (GHQ)-12 (83% consensus); quality of life: Stroke and Aphasia Quality of Life Scale (SAQOL-39) (96% consensus). Consensus was unable to be reached for measures of communication (where multiple measures exist) or patient-reported satisfaction with treatment or impact of treatment (where no measures exist).
Discussion
Harmonization of the ROMA COS with other core outcome initiatives in stroke rehabilitation is discussed. Ongoing research and consensus processes are outlined.
Conclusion
The WAB-R, GHQ-12, and SAQOL-39 are recommended to be routinely included within phases I–IV aphasia treatment studies. This consensus statement has been endorsed by the Collaboration of Aphasia Trialists, the British Aphasiology Society, the German Society for Aphasia Research and Therapy, and the Royal College of Speech Language Therapists.</description><identifier>ISSN: 1747-4930</identifier><identifier>ISSN: 1747-4949</identifier><identifier>EISSN: 1747-4949</identifier><identifier>DOI: 10.1177/1747493018806200</identifier><identifier>PMID: 30303810</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aphasia - diagnosis ; Aphasia - therapy ; Consensus ; Emotions ; Humans ; Language ; Medicin och hälsovetenskap ; Outcome Assessment, Health Care ; Practice Guidelines as Topic ; Quality of Life ; Stroke - diagnosis ; Stroke - therapy ; Surveys and Questionnaires</subject><ispartof>International journal of stroke, 2019-02, Vol.14 (2), p.180-185</ispartof><rights>2018 World Stroke Organization</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-2e1c4330a726eebb48187f9ea26b7376b3e168e7e707bf29def1ca8aa534e973</citedby><cites>FETCH-LOGICAL-c467t-2e1c4330a726eebb48187f9ea26b7376b3e168e7e707bf29def1ca8aa534e973</cites><orcidid>0000-0002-2069-2441 ; 0000-0002-4589-7021 ; 0000-0002-0600-9343 ; 0000-0003-3694-2086</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1747493018806200$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1747493018806200$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,315,553,781,785,886,21824,27929,27930,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30303810$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:140111074$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Wallace, Sarah J</creatorcontrib><creatorcontrib>Worrall, Linda</creatorcontrib><creatorcontrib>Rose, Tanya</creatorcontrib><creatorcontrib>Le Dorze, Guylaine</creatorcontrib><creatorcontrib>Breitenstein, Caterina</creatorcontrib><creatorcontrib>Hilari, Katerina</creatorcontrib><creatorcontrib>Babbitt, Edna</creatorcontrib><creatorcontrib>Bose, Arpita</creatorcontrib><creatorcontrib>Brady, Marian</creatorcontrib><creatorcontrib>Cherney, Leora R.</creatorcontrib><creatorcontrib>Copland, David</creatorcontrib><creatorcontrib>Cruice, Madeline</creatorcontrib><creatorcontrib>Enderby, Pam</creatorcontrib><creatorcontrib>Hersh, Deborah</creatorcontrib><creatorcontrib>Howe, Tami</creatorcontrib><creatorcontrib>Kelly, Helen</creatorcontrib><creatorcontrib>Kiran, Swathi</creatorcontrib><creatorcontrib>Laska, Ann-Charlotte</creatorcontrib><creatorcontrib>Marshall, Jane</creatorcontrib><creatorcontrib>Nicholas, Marjorie</creatorcontrib><creatorcontrib>Patterson, Janet</creatorcontrib><creatorcontrib>Pearl, Gill</creatorcontrib><creatorcontrib>Rochon, Elizabeth</creatorcontrib><creatorcontrib>Rose, Miranda</creatorcontrib><creatorcontrib>Sage, Karen</creatorcontrib><creatorcontrib>Small, Steven</creatorcontrib><creatorcontrib>Webster, Janet</creatorcontrib><title>A core outcome set for aphasia treatment research: The ROMA consensus statement</title><title>International journal of stroke</title><addtitle>Int J Stroke</addtitle><description>Background
A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data.
Objective
The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I–IV aphasia treatment studies.
Methods
This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting. This paper provides an overview of this process and presents the results and recommendations arising from the international consensus meeting.
Results
Five essential outcome constructs were identified: Language, communication, patient-reported satisfaction with treatment and impact of treatment, emotional wellbeing, and quality of life. Consensus was reached for the following measurement instruments: Language: The Western Aphasia Battery Revised (WAB-R) (74% consensus); emotional wellbeing: General Health Questionnaire (GHQ)-12 (83% consensus); quality of life: Stroke and Aphasia Quality of Life Scale (SAQOL-39) (96% consensus). Consensus was unable to be reached for measures of communication (where multiple measures exist) or patient-reported satisfaction with treatment or impact of treatment (where no measures exist).
Discussion
Harmonization of the ROMA COS with other core outcome initiatives in stroke rehabilitation is discussed. Ongoing research and consensus processes are outlined.
Conclusion
The WAB-R, GHQ-12, and SAQOL-39 are recommended to be routinely included within phases I–IV aphasia treatment studies. This consensus statement has been endorsed by the Collaboration of Aphasia Trialists, the British Aphasiology Society, the German Society for Aphasia Research and Therapy, and the Royal College of Speech Language Therapists.</description><subject>Aphasia - diagnosis</subject><subject>Aphasia - therapy</subject><subject>Consensus</subject><subject>Emotions</subject><subject>Humans</subject><subject>Language</subject><subject>Medicin och hälsovetenskap</subject><subject>Outcome Assessment, Health Care</subject><subject>Practice Guidelines as Topic</subject><subject>Quality of Life</subject><subject>Stroke - diagnosis</subject><subject>Stroke - therapy</subject><subject>Surveys and Questionnaires</subject><issn>1747-4930</issn><issn>1747-4949</issn><issn>1747-4949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp1kctLAzEQh4Movu-eJEcvqzObdJP1JuILlIL0HrLbWdva3dQki_jfm9KHIkgOGYbvm5D5MXaGcImo1BUqqWQpALWGIgfYYYfLViZLWe5uawEH7CiEGYAcKFHsswMB6WiEQza84bXzxF0fa9cSDxR54zy3i4kNU8ujJxtb6iL3FMj6enLNRxPir8OXpdkF6kIfeIg20hI7YXuNnQc6Xd_HbHR_N7p9zJ6HD0-3N89ZLQsVs5ywlkKAVXlBVFVSo1ZNSTYvKiVUUQnCQpMiBapq8nJMDdZWWzsQkkoljlm2Ghs-adFXZuGnrfVfxtmpWbfeU0VG6gFAkfjyX37h3fhH2ogoARFByeRerNwEfvQUommnoab53Hbk-mByRC0gbVkkFFZo7V0InprtQwhmmZj5m1hSztfT-6ql8VbYRPTrq_aNzMz1vkuL_X_gN37Snk8</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Wallace, Sarah J</creator><creator>Worrall, Linda</creator><creator>Rose, Tanya</creator><creator>Le Dorze, Guylaine</creator><creator>Breitenstein, Caterina</creator><creator>Hilari, Katerina</creator><creator>Babbitt, Edna</creator><creator>Bose, Arpita</creator><creator>Brady, Marian</creator><creator>Cherney, Leora R.</creator><creator>Copland, David</creator><creator>Cruice, Madeline</creator><creator>Enderby, Pam</creator><creator>Hersh, Deborah</creator><creator>Howe, Tami</creator><creator>Kelly, Helen</creator><creator>Kiran, Swathi</creator><creator>Laska, Ann-Charlotte</creator><creator>Marshall, Jane</creator><creator>Nicholas, Marjorie</creator><creator>Patterson, Janet</creator><creator>Pearl, Gill</creator><creator>Rochon, Elizabeth</creator><creator>Rose, Miranda</creator><creator>Sage, Karen</creator><creator>Small, Steven</creator><creator>Webster, Janet</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-2069-2441</orcidid><orcidid>https://orcid.org/0000-0002-4589-7021</orcidid><orcidid>https://orcid.org/0000-0002-0600-9343</orcidid><orcidid>https://orcid.org/0000-0003-3694-2086</orcidid></search><sort><creationdate>20190201</creationdate><title>A core outcome set for aphasia treatment research: The ROMA consensus statement</title><author>Wallace, Sarah J ; Worrall, Linda ; Rose, Tanya ; Le Dorze, Guylaine ; Breitenstein, Caterina ; Hilari, Katerina ; Babbitt, Edna ; Bose, Arpita ; Brady, Marian ; Cherney, Leora R. ; Copland, David ; Cruice, Madeline ; Enderby, Pam ; Hersh, Deborah ; Howe, Tami ; Kelly, Helen ; Kiran, Swathi ; Laska, Ann-Charlotte ; Marshall, Jane ; Nicholas, Marjorie ; Patterson, Janet ; Pearl, Gill ; Rochon, Elizabeth ; Rose, Miranda ; Sage, Karen ; Small, Steven ; Webster, Janet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-2e1c4330a726eebb48187f9ea26b7376b3e168e7e707bf29def1ca8aa534e973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aphasia - diagnosis</topic><topic>Aphasia - therapy</topic><topic>Consensus</topic><topic>Emotions</topic><topic>Humans</topic><topic>Language</topic><topic>Medicin och hälsovetenskap</topic><topic>Outcome Assessment, Health Care</topic><topic>Practice Guidelines as Topic</topic><topic>Quality of Life</topic><topic>Stroke - diagnosis</topic><topic>Stroke - therapy</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wallace, Sarah J</creatorcontrib><creatorcontrib>Worrall, Linda</creatorcontrib><creatorcontrib>Rose, Tanya</creatorcontrib><creatorcontrib>Le Dorze, Guylaine</creatorcontrib><creatorcontrib>Breitenstein, Caterina</creatorcontrib><creatorcontrib>Hilari, Katerina</creatorcontrib><creatorcontrib>Babbitt, Edna</creatorcontrib><creatorcontrib>Bose, Arpita</creatorcontrib><creatorcontrib>Brady, Marian</creatorcontrib><creatorcontrib>Cherney, Leora R.</creatorcontrib><creatorcontrib>Copland, David</creatorcontrib><creatorcontrib>Cruice, Madeline</creatorcontrib><creatorcontrib>Enderby, Pam</creatorcontrib><creatorcontrib>Hersh, Deborah</creatorcontrib><creatorcontrib>Howe, Tami</creatorcontrib><creatorcontrib>Kelly, Helen</creatorcontrib><creatorcontrib>Kiran, Swathi</creatorcontrib><creatorcontrib>Laska, Ann-Charlotte</creatorcontrib><creatorcontrib>Marshall, Jane</creatorcontrib><creatorcontrib>Nicholas, Marjorie</creatorcontrib><creatorcontrib>Patterson, Janet</creatorcontrib><creatorcontrib>Pearl, Gill</creatorcontrib><creatorcontrib>Rochon, Elizabeth</creatorcontrib><creatorcontrib>Rose, Miranda</creatorcontrib><creatorcontrib>Sage, Karen</creatorcontrib><creatorcontrib>Small, Steven</creatorcontrib><creatorcontrib>Webster, Janet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>International journal of stroke</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wallace, Sarah J</au><au>Worrall, Linda</au><au>Rose, Tanya</au><au>Le Dorze, Guylaine</au><au>Breitenstein, Caterina</au><au>Hilari, Katerina</au><au>Babbitt, Edna</au><au>Bose, Arpita</au><au>Brady, Marian</au><au>Cherney, Leora R.</au><au>Copland, David</au><au>Cruice, Madeline</au><au>Enderby, Pam</au><au>Hersh, Deborah</au><au>Howe, Tami</au><au>Kelly, Helen</au><au>Kiran, Swathi</au><au>Laska, Ann-Charlotte</au><au>Marshall, Jane</au><au>Nicholas, Marjorie</au><au>Patterson, Janet</au><au>Pearl, Gill</au><au>Rochon, Elizabeth</au><au>Rose, Miranda</au><au>Sage, Karen</au><au>Small, Steven</au><au>Webster, Janet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A core outcome set for aphasia treatment research: The ROMA consensus statement</atitle><jtitle>International journal of stroke</jtitle><addtitle>Int J Stroke</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>14</volume><issue>2</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>1747-4930</issn><issn>1747-4949</issn><eissn>1747-4949</eissn><abstract>Background
A core outcome set (COS; an agreed, minimum set of outcomes) was needed to address the heterogeneous measurement of outcomes in aphasia treatment research and to facilitate the production of transparent, meaningful, and efficient outcome data.
Objective
The Research Outcome Measurement in Aphasia (ROMA) consensus statement provides evidence-based recommendations for the measurement of outcomes for adults with post-stroke aphasia within phases I–IV aphasia treatment studies.
Methods
This statement was informed by a four-year program of research, which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments, and an international consensus meeting. This paper provides an overview of this process and presents the results and recommendations arising from the international consensus meeting.
Results
Five essential outcome constructs were identified: Language, communication, patient-reported satisfaction with treatment and impact of treatment, emotional wellbeing, and quality of life. Consensus was reached for the following measurement instruments: Language: The Western Aphasia Battery Revised (WAB-R) (74% consensus); emotional wellbeing: General Health Questionnaire (GHQ)-12 (83% consensus); quality of life: Stroke and Aphasia Quality of Life Scale (SAQOL-39) (96% consensus). Consensus was unable to be reached for measures of communication (where multiple measures exist) or patient-reported satisfaction with treatment or impact of treatment (where no measures exist).
Discussion
Harmonization of the ROMA COS with other core outcome initiatives in stroke rehabilitation is discussed. Ongoing research and consensus processes are outlined.
Conclusion
The WAB-R, GHQ-12, and SAQOL-39 are recommended to be routinely included within phases I–IV aphasia treatment studies. This consensus statement has been endorsed by the Collaboration of Aphasia Trialists, the British Aphasiology Society, the German Society for Aphasia Research and Therapy, and the Royal College of Speech Language Therapists.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30303810</pmid><doi>10.1177/1747493018806200</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2069-2441</orcidid><orcidid>https://orcid.org/0000-0002-4589-7021</orcidid><orcidid>https://orcid.org/0000-0002-0600-9343</orcidid><orcidid>https://orcid.org/0000-0003-3694-2086</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of stroke, 2019-02, Vol.14 (2), p.180-185 |
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| language | eng |
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| source | Access via SAGE; MEDLINE; SWEPUB Freely available online |
| subjects | Aphasia - diagnosis Aphasia - therapy Consensus Emotions Humans Language Medicin och hälsovetenskap Outcome Assessment, Health Care Practice Guidelines as Topic Quality of Life Stroke - diagnosis Stroke - therapy Surveys and Questionnaires |
| title | A core outcome set for aphasia treatment research: The ROMA consensus statement |
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