Core outcome set for aphasia research

Research Outcome Measurement in Aphasia

The ROMA project aims to address the heterogeneous measurement of outcomes in aphasia treatment research through the development and implementation of a core outcome set (COS; an agreed, minimum set of outcomes) for aphasia treatment studies.

The ROMA COS was informed by a program of research which comprised investigation of stakeholder-important outcomes using consensus processes, a scoping review of aphasia outcome measurement instruments and two international consensus meetings. International consensus meetings were held in London, UK (December, 2016) and Aveiro Portugal (September, 2018).

Domain Assessment
Language The Western Aphasia Battery Revised (WAB-R)
Emotional well-being General Health Questionnaire (GHQ)-12
Quality of life Stroke and Aphasia Quality of Life Scale (SAQOL-39)
Communication The Scenario Test
Patient-reported satisfaction with treatment Currently no suitable measure
Patient-reported impact of treatment Currently no suitable measure

The ROMA 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.

ROMA is led by Dr Sarah Wallace (Australia), Prof. Linda Worrall (Australia), Dr Tanya Rose (Australia) and Guylaine Le Dorze (Canada).

Read more about the ROMA COS:

Wallace, S. J., Worrall, L., Rose, T., & Le Dorze, G. (2014). Measuring outcomes in aphasia research: A review of current practice and an agenda for standardisation. Aphasiology, 28(11), 1364-1384. doi:10.1080/02687038.2014.930262

Wallace, S. J., Worrall, L., Rose, T., Le Dorze, G., Cruice, M., Isaksen, J., . . . Gauvreau, C. A. (2017). Which outcomes are most important to people with aphasia and their families? An international nominal group technique study framed within the ICF. Disabil Rehabil, 39(14), 1364-1379. doi:10.1080/09638288.2016.1194899

Wallace, S. J., Worrall, L., Rose, T., & Le Dorze, G. (2017). Which treatment outcomes are most important to aphasia clinicians and managers? An international e-Delphi consensus study. Aphasiology, 31(6), 643-673. doi:10.1080/02687038.2016.1186265

Wallace, S. J., Worrall, L., Rose, T., & Le Dorze, G. (2016). Core Outcomes in Aphasia Treatment Research: An e-Delphi Consensus Study of International Aphasia Researchers. American Journal of Speech-Language Pathology, 25(4S), S729-S742. doi:10.1044/2016_AJSLP-15-0150

Wallace, S. J., Worrall, L., Rose, T., & Le Dorze, G. (2017). Using the International Classification of Functioning, Disability, and Health to identify outcome domains for a core outcome set for aphasia: a comparison of stakeholder perspectives. Disabil Rehabil, 1-10. doi:10.1080/09638288.2017.1400593

Wallace, S. J., Worrall, L., Rose, T., Le Dorze, G., Kirke, E., & Kolomeitz, D. (2018). Report from ROMA: an update on the development of a core outcome set for aphasia research. Aphasiology, 32(sup1), 241-242. doi:10.1080/02687038.2018.1487020

Wallace, S. J., Worrall, L., Rose, T., Le Dorze, G., Breitenstein, C., Hilari, K., . . . Webster, J. (Accepted). A core outcome set for aphasia treatment research: the ROMA consensus statement. International Journal of Stroke.

Read more about COS development: http://www.comet-initiative.org/

For further information contact Sarah Wallace s.wallace3@uq.edu.au