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Patient-Reported Outcome Measures

What are patient-reported outcome measures (PROMs)?
Patient-reported outcome measures (also known as person-reported outcome measures or person-centered outcome measures) are questionnaires designed to gather information directly from patients about their experience living with their medical conditions. These questionnaires enable clinicians to gain insights into how their patients’ participation in daily activities are affected by their medical conditions and communication challenges.

What are examples of PROMs that I can use as a SLP?

Below is a list of short PROM questionnaires that can be used clinically by speech-language pathologists for the management of their clients’ communication impairments following stroke. Click the links below to access more information about each clinical measure:

Clinical Measure Description
Communicative-Participation Item Bank (CPIB) This is a tool to evaluate how difficult it is for the respondents to participate in day-to-day communication tasks.
Example: “Does your condition interfere with talking with people you do not know?”
Patient Health Questionnaire-9 (PHQ-9) This is a tool to screen for the presence and severity of depressive symptoms and a possible depressive disorder.
Example: ” How often during the past 2 weeks were you bothered by feeling tired or having little energy?”
Modified Perceived Stress Scale (mPSS) This is a measure of chronic stress modified for use for people with aphasia and other stroke-related communication changes.
Example: “In the past month, how often have you felt stressed?”
UW Resilience Scale (UWRS) This is a measure of the respondent’s perceived resilience, or their  capacity to bounce back from and/or maintain function in the face of adversity.
Example: “When something stressful happens, I keep going”
Patient-Reported Outcome Measure Information System (PROMIS) questionnaires This is a a set of person-centered measures that evaluates and monitors physical, mental, and social health in adults and children. It can be used with the general population and with individuals living with chronic conditions.
Example: “How would you rate your fatigue on average?”
Communication Confidence Rating Scale for Aphasia (CCRSA) This is a measure to evaluate the respondent’s confidence in participating in various situations following aphasia or other stroke-related communication changes.
Example: “How confident are you about your ability to talk to people?”

 

Learn more about using patient-reported outcomes in speech pathology:

Cohen, M. L., & Hula, W. D. (2020). Patient-Reported Outcomes and Evidence-Based Practice in Speech-Language Pathology. American journal of speech-language pathology, 29(1), 357–370. https://doi.org/10.1044/2019_AJSLP-19-00076

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