What is a Core Outcome Set (COS)?
Core Outcome Sets (COS) are increasingly used in healthcare research. Find out more about what COS are and how they can be used below.
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., 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., … Webster, J. (2019). A core outcome set for aphasia treatment research: The ROMA consensus statement. International journal of stroke : official journal of the International Stroke Society, 14(2), 180–185. https://doi.org/10.1177/1747493018806200
Wallace, Sarah J., Sullivan, Bridget, Rose, Tanya A., Worrall, Linda, Le Dorze, Guylaine and Shrubsole, Kirstine (2021). Core outcome set use in poststroke aphasia treatment research: examining barriers and facilitators to implementation using the theoretical domains framework. Journal of Speech, Language, and Hearing Research, 64 (10), 1-14. doi: 10.1044/2021_jslhr-20-00683
https://www.aphasiatrials.org/wp-content/uploads/2023/04/DESCRIBE-Standards-website-update-2023.docx
Read more about COS development: http://www.comet-initiative.org/
For further information contact Sarah Wallace: s.wallace3@uq.edu.au