Reliability of speech and language therapists using therapy outcome measures.
Reliability of speech and language therapists using therapy outcome measures.
复制标题
言语和语言治疗师使用治疗结果测量的可靠性。
DOI：
--
复制
发表时间：
2000
影响因子：
2.4
通讯作者：
Pam Enderby
中科院分区：
文献类型：
--
作者：
A. John;Pam Enderby
治疗结果测量（TOM）旨在为言语和语言治疗师提供一种实用的工具，通过提供一种快速简单的测量方法来测量护理结果，该方法可以在常规临床环境中与患者和客户一起使用。心理理论允许治疗师在11点顺序量表上反映他们对损伤，残疾/活动，障碍/参与和幸福的维度的临床判断。本文的目的是检验使用该措施的可靠性和对可靠性的影响。本报告介绍了三项研究，并提供了73个使用这一措施的不同客户群体的信息。研究一在训练和实践之后，使用心理理论评估六种认知模式的可靠程度。可靠性进行了研究，在三个场合，结果表明的影响，培训和实践。研究二包括56名患者，以检查在更广泛的客户群体的可靠性，并调查的效果，从内部或外部的专业评级患者的专业。11名治疗师参与了这项研究，研究了特定培训方法的影响。参与调查的人员达到了相当中等的可靠性水平;这是在所有领域建立的。TOM上实现的可靠性程度受到一些（但不是广泛的）培训和经验的影响。
The Therapy Outcome Measure (TOM) aims to provide Speech and Language Therapists (SLT) with a practical tool to measure outcomes of care by providing a quick and simple measure which can be used over time with patients and clients in a routine clinical setting. The TOM allows therapists to reflect their clinical judgement on the dimensions of impairment, disability/activity, handicap/participation and well-being on an 11-point ordinal scale. The purpose of this paper is to examine the reliability and the influences on reliability of SLT using this measure. Three studies are presented and give information on 73 SLT using the measure with different client groups. Study one assesses the degree of reliability of six SLT using the TOM following training and practice. Reliability was studied on three occasions and the results demonstrate the influence of training and practice. Study two included 56 SLT to examine reliability over a broader range of client groups and to investigate the effect of the SLT specializing on rating patients from within or -out that specialism. Eleven therapists were included in the study, which examined the influence of a specific training approach. The participating SLT achieved a substantial-moderate level of reliability; this was established in all domains. The degree of reliability achieved on the TOM was affected by some, but not extensive, training and experience.