Скачать презентацию Sally Boa and Joan Murphy Funded by NHS
ca8f787f587c9b016a031afb0af7b094.ppt
- Количество слайдов: 31
Скачать презентацию Sally Boa and Joan Murphy Funded by NHS
Скачать презентацию Sally Boa and Joan Murphy Funded by NHS
Sally Boa and Joan Murphy Funded by NHS Education Scotland Conducted by Talking Mats Limited
Communication Matters outcome measurement project Aims: “To provide information to service providers and users in order to equip them with knowledge about tools that are appropriate to identify change associated with services and an individual’s communication skills”
Points arising • Confusion between assessment and outcome measurement • Lots of Outcome Measures and assessments being used • Why do we collect data? – To improve our individual practice – To provide feedback to others
Literature review • Methods • Review questions and data extraction • Findings
Methods • Rapid Review (Khangura et al 2012) – “streamlined approach to synthesising evidence” – Systematic search but a quick overview of existing research on a topic
Review questions • Which Outcome Measures (OM) are used in Health, Education and Social Services? • What are the purposes of the measures? • How do these relate to AAC? • Are there any gaps in the literature?
Papers screened • Google scholar, ASSIA, Cochrane reviews – Total: 5121
Full papers read • Google scholar: 5 • ASSIA: 109 • Cochrane reviews: 31
Data extracted • Author; Year; Country; Population; OM • Outcome measures mentioned in papers – Total number: 72 • Categorisation: – Global/disease specific – Measuring what? – Valid and reliable? – Application to AAC?
Global outcome measures • • • AUSTOMS Barthel COPM EQ 5 D Expanded Disability status scale FIM/FAM Frenchay Activity Index GAS Nottingham Health Profile TOMS
Other measures • Disease specific – Functional Assessment in Multiple Sclerosis (FAMS) – Aphasia Communication Outcome Measure • Age specific: – Gross Motor Function Measure (Paediatric) – Mental Status Questionnaire (older people) • Aimed at patients – COSSS Children's Overall Satisfaction with Schooling Scale – measure yourself medical outcome profile (MYMOP) • Aimed at carers – Carers of Older People in Europe (COPE) Index – Family Impact of Childhood Disability measure
Things to consider • Validity and reliability of measures • What are they measuring? • Are they relevant to AAC?
Survey • • • Survey Monkey Email Twitter Scotland, UK, International Friday 1 st – 8 th March Total responses 153
Sector
Geographical location
Profession
Extent of knowledge
Purpose
Outcome measure used Numbers None used 58 Care Aims 9 TOMs 9 GAS 3 Talking Mats 3 CODES Framework 2 EFFC 2 Functional Communication 2 AFROM Advocacy projects Outcomes 1
Outcome measure used Numbers Carer feedback 1 East Kent Outcome Scale 1 Emotion Talks 1 Goal setting 1 In house 1 Sarah Blackstone’s Circles 1 Sign List 1 Talking Points 1 VASES 1 WAB 1
Frequency of use
Value
Why do we need Outcome Measures? • I am not sure what an outcome measure is. . . • Demonstrates the value of interventions • . .
Strengths • It allows therapists to be outcome led and aim for functional, achievable goals that are personal to the patients • It provides consistent approach across whole caseload • Allows us to check as a multi agency team that we are all assessing clients similarly within reasonable limits
Limitations • No way of demonstrating outcomes with different types of AAC • Difficult to share with service users • Not formally evidence based or standardised. Difficult to prove effectiveness if measured against others • Too formal • Not consistently used in social settings • More difficult as intervention for higher tech users usually cuts across a multi disciplinary/agency setting where it is harder to agree and measure outcomes
Expert panel days • Presentation of literature review and survey • What is an Outcome Measure? • Directions for future work
Main points arising from expert panel days • Agreed on what we mean by ‘Outcome Measure’ • Agreed on what is the best measure to use in AAC • Identified the need for a measure to be workable across agencies
Definition of an outcome measure Outcome Measures should: Measure change Are repeated over time Can be used across clients, settings and disciplines Can be used to give feedback to services, professionals, carers and clients (about what works as well as what doesn’t) Are robust/standardised/well respected Inform discharge Are short and straightforward to use Allow for comparison with different types of AAC/No AAC
Main contender for outcome measure in AAC • TOMs AAC • (still in development – needs to be tested for reliability and validity)
Final report available on our website www. talkingmats. com
Скачать презентацию Sally Boa and Joan Murphy Funded by NHS
ca8f787f587c9b016a031afb0af7b094.ppt