Measuring communication as a core outcome in aphasia trials: Results of the ROMA‐2 international core outcome set development meeting

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dc.contributor.authorWallace, Sarah J.en
dc.contributor.authorWorrall, Lindaen
dc.contributor.authorRose, Tanya A.en
dc.contributor.authorAlyahya, Reem S. W.en
dc.contributor.authorBabbitt, Ednaen
dc.contributor.authorBeeke, Suzanneen
dc.contributor.authorde Beer, Carolaen
dc.contributor.authorBose, Arpitaen
dc.contributor.authorBowen, Audreyen
dc.contributor.authorBrady, Marian C.en
dc.contributor.authorBreitenstein, Caterinaen
dc.contributor.authorBruehl, Stefanieen
dc.contributor.authorBryant, Lucyen
dc.contributor.authorCheng, Bonnie B. Y.en
dc.contributor.authorCherney, Leora R.en
dc.contributor.authorConroy, Paulen
dc.contributor.authorCopland, David A.en
dc.contributor.authorCroteau, Claireen
dc.contributor.authorCruice, Madelineen
dc.contributor.authorDipper, Lucyen
dc.contributor.authorHilari, Katerinaen
dc.contributor.authorHowe, Tamien
dc.contributor.authorKelly, Helenen
dc.contributor.authorKiran, Swathien
dc.contributor.authorLaska, Ann‐Charlotteen
dc.contributor.authorMarshall, Janeen
dc.contributor.authorMurray, Laura L.en
dc.contributor.authorPatterson, Janeten
dc.contributor.authorPearl, Gillen
dc.contributor.authorJana Quintingen
dc.contributor.authorRochon, Elizabethen
dc.contributor.authorRose, Miranda L.en
dc.contributor.authorRubi‐Fessen, Ilonaen
dc.contributor.authorSage, Karenen
dc.contributor.authorSimmons‐Mackie, Ninaen
dc.contributor.authorVisch‐Brink, Evyen
dc.contributor.authorVolkmer, Annaen
dc.contributor.authorWebster, Janeten
dc.contributor.authorWhitworth, Anneen
dc.contributor.authorLe Dorze, Guylaineen
dc.contributor.funderNational Health and Medical Research Councilen
dc.contributor.funderUniversity of Manchesteren
dc.contributor.funderNational Institute for Health and Care Researchen
dc.contributor.funderStroke Associationen
dc.date.accessioned2023-04-04T14:43:57Z
dc.date.available2023-04-04T14:43:57Z
dc.date.issued2022-12-30en
dc.description.abstractBackground: Evidence-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. Aim: To establish consensus on a communication OMI for inclusion in the ROMA COS. Methods & Procedures: Research 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 & Results: In 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 & Implications: Consensus 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.en
dc.description.sponsorshipNational Health and Medical Research Council (Grant/Award Number: 1175821); University of Manchester; National Institute for Health and Care Research (NIHR Advanced Fellowship)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationWallace, S.J., Worrall, L., Rose, T.A., Alyahya, R.S.W., Babbitt, E., Beeke, S., De Beer, C., Bose, A., Bowen, A., Brady, M.C., Breitenstein, C., Bruehl, S., Bryant, L., Cheng, B.B.Y., Cherney, L.R., Conroy, P., Copland, D.A., Croteau, C., Cruice, M., Dipper, L., Hilari, K., Howe, T., Kelly, H., Kiran, S., Laska, A., Marshall, J., Murray, L.L., Patterson, J., Pearl, G., Quinting, J., Rochon, E., Rose, M.L., Rubi‐Fessen, I., Sage, K., Simmons‐Mackie, N., Visch‐Brink, E., Volkmer, A., Webster, J., Whitworth, A. and Dorze, G.L. (2022) ‘Measuring communication as a core outcome in aphasia trials: Results of the ROMA‐2 international core outcome set development meeting’, International Journal of Language & Communication Disorders, (12 pp). https://doi.org/10.1111/1460-6984.12840.en
dc.identifier.doi10.1111/1460-6984.12840en
dc.identifier.endpage12en
dc.identifier.issn1368-2822en
dc.identifier.issn1460-6984en
dc.identifier.journaltitleInternational Journal of Language & Communication Disordersen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/14361
dc.language.isoenen
dc.publisherWileyen
dc.relation.ispartofInternational Journal of Language & Communication Disordersen
dc.rights© 2022 The Authors. International Journal of Language & Communication Disorders published by John Wiley & Sons Ltd on behalf of Royal College of Speech and Language Therapists. This is an open access article under the terms of the Creative Commons Attribution-Non Commercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are madeen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectAphasiaen
dc.subjectConsensusen
dc.subjectCore outcome seten
dc.subjectRecommendationsen
dc.subjectStrokeen
dc.titleMeasuring communication as a core outcome in aphasia trials: Results of the ROMA‐2 international core outcome set development meetingen
dc.typeArticle (peer-reviewed)en
dc.typejournal-articleen
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