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

dc.contributor.authorWallace, Sarah J.
dc.contributor.authorWorrall, Linda
dc.contributor.authorRose, Tanya
dc.contributor.authorLe Dorze, Guylaine
dc.contributor.authorBreitenstein, Caterina
dc.contributor.authorHilari, Katerina
dc.contributor.authorBabbitt, Edna
dc.contributor.authorBose, Arpita
dc.contributor.authorBrady, Marian C.
dc.contributor.authorCherney, Leora R.
dc.contributor.authorCopland, David
dc.contributor.authorCruice, Madeline
dc.contributor.authorEnderby, Pam
dc.contributor.authorHersh, Deborah
dc.contributor.authorHowe, Tami
dc.contributor.authorKelly, Helen
dc.contributor.authorKiran, Swathi
dc.contributor.authorLaska, Ann-Charlotte
dc.contributor.authorMarshall, Jane
dc.contributor.authorNicholas, Marjorie
dc.contributor.authorPatterson, Janet
dc.contributor.authorPearl, Gill
dc.contributor.authorRochon, Elizabeth
dc.contributor.authorRose, Miranda
dc.contributor.authorSage, Karen
dc.contributor.authorSmall, Steven
dc.contributor.authorWebster, Janet
dc.contributor.funderBritish Aphasiology Societyen
dc.date.accessioned2018-12-19T11:56:27Z
dc.date.available2018-12-19T11:56:27Z
dc.date.issued2018-10-10
dc.date.updated2018-12-19T11:46:40Z
dc.description.abstractBackground: 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.sponsorshipBritish Aphasiology Society (Initiatives in Aphasia Seed Fund grant)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationWallace, 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:10.1177/1747493018806200en
dc.identifier.doi10.1177/1747493018806200
dc.identifier.issn1747-4930
dc.identifier.issn1747-4949
dc.identifier.journaltitleInternational Journal of Strokeen
dc.identifier.urihttps://hdl.handle.net/10468/7246
dc.language.isoenen
dc.publisherSAGE Publicationsen
dc.relation.urihttps://doi.org/10.1177/1747493018806200
dc.rights© 2018, the Authors. Published by SAGE Publications. All rights reserved.en
dc.subjectAphasiaen
dc.subjectStrokeen
dc.subjectConsensusen
dc.subjectMethodologyen
dc.subjectCore outcome seten
dc.subjectRecommendationsen
dc.titleA core outcome set for aphasia treatment research: the ROMA consensus statementen
dc.typeArticle (peer-reviewed)en
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