A core outcome set for aphasia treatment research: the ROMA consensus statement

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dc.contributor.author Wallace, Sarah J.
dc.contributor.author Worrall, Linda
dc.contributor.author Rose, Tanya
dc.contributor.author Le Dorze, Guylaine
dc.contributor.author Breitenstein, Caterina
dc.contributor.author Hilari, Katerina
dc.contributor.author Babbitt, Edna
dc.contributor.author Bose, Arpita
dc.contributor.author Brady, Marian C.
dc.contributor.author Cherney, Leora R.
dc.contributor.author Copland, David
dc.contributor.author Cruice, Madeline
dc.contributor.author Enderby, Pam
dc.contributor.author Hersh, Deborah
dc.contributor.author Howe, Tami
dc.contributor.author Kelly, Helen
dc.contributor.author Kiran, Swathi
dc.contributor.author Laska, Ann-Charlotte
dc.contributor.author Marshall, Jane
dc.contributor.author Nicholas, Marjorie
dc.contributor.author Patterson, Janet
dc.contributor.author Pearl, Gill
dc.contributor.author Rochon, Elizabeth
dc.contributor.author Rose, Miranda
dc.contributor.author Sage, Karen
dc.contributor.author Small, Steven
dc.contributor.author Webster, Janet
dc.date.accessioned 2018-12-19T11:56:27Z
dc.date.available 2018-12-19T11:56:27Z
dc.date.issued 2018-10-10
dc.identifier.citation Wallace, S. J., Worrall, L., Rose, T., Le Dorze, G., Breitenstein, C., Hilari, K., Babbitt, E., Bose, A., Brady, M., Cherney, L. R., Copland, D., Cruice, M., Enderby, P., Hersh, D., Howe, T., Kelly, H., Kiran, S., Laska, A-C., Marshall, J., Nicholas, M., Patterson, J., Pearl, G., Rochon, E., Rose, M., Sage, K., Small S., and Webster, J. (2018) 'A core outcome set for aphasia treatment research: the ROMA consensus statement', International Journal of Stroke. doi:10.1177/1747493018806200 en
dc.identifier.issn 1747-4930
dc.identifier.issn 1747-4949
dc.identifier.uri http://hdl.handle.net/10468/7246
dc.identifier.doi 10.1177/1747493018806200
dc.description.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. en
dc.description.sponsorship British Aphasiology Society (Initiatives in Aphasia Seed Fund grant) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher SAGE Publications en
dc.relation.uri https://doi.org/10.1177/1747493018806200
dc.rights © 2018, the Authors. Published by SAGE Publications. All rights reserved. en
dc.subject Aphasia en
dc.subject Stroke en
dc.subject Consensus en
dc.subject Methodology en
dc.subject Core outcome set en
dc.subject Recommendations en
dc.title A core outcome set for aphasia treatment research: the ROMA consensus statement en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Helen Kelly, Speech And Hearing Sciences, University College Cork, Cork, Ireland. +353-21-490-3000 Email: helen.kelly@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2018-12-19T11:46:40Z
dc.description.version Accepted Version en
dc.internal.rssid 453694983
dc.contributor.funder British Aphasiology Society en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Stroke en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress helen.kelly@ucc.ie en
dc.internal.bibliocheck In press. Check for vol. / issue / page numbers. Amend citation as necessary.

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