Abstract：
UNASSIGNED: The Therapy Outcome Measure (TOM) comprises many profession and client group-specific adapted scales based on the International Classification of Functioning Model, used by different Health Care Professionals (HCPs). A new Multidisciplinary stroke TOM scale (MDT Stroke TOMs) was developed by amalgamating the relevant scales. This study aimed to develop a scale to describe patients\' abilities and improve communication and collaboration within the stroke Multidisciplinary Team (MDT). The present study investigated the inter-rater and intra-rater reliability of this adaptation.
UNASSIGNED: The MDT Stroke TOM Scale was developed by combining and rewording four profession-specific adapted TOM scales following iterative trials and discussions leading to an agreed version. 150 stroke Allied Health Professional (AHPs) and nurses were trained virtually in TOM and the MDT Stroke TOM Scale. Ten AHP and nursing raters from five professions evaluated ten composite stroke case studies for inter-rater reliability. Six participated in the intra-rater reliability review of the same three case studies at different time points. Reliability was quantified using intraclass correlation coefficients and measurement error using the smallest detectable change.
UNASSIGNED: There was good to excellent concordance between the raters in terms of scoring. Raters\' scores were also consistent. The MDT Stroke TOMs is being used consistently across the South West London Stroke Network.
UNASSIGNED: The Stroke MDT TOMs is psychometrically robust and should assist with improving team work in the rehabilitation of stroke patients and their carers. Future research may use MDT Stroke TOM to promote interprofessional team working and facilitate communication in Stroke Rehabilitation.
The introduction of a new Multidisciplinary Team (MDT) Stroke Therapy Outcome measure to encourage interdisciplinary working and collaboration.One measure to complete and document for busy MDTs, which has good - excellent reliability.Early and timely MDT discussions regarding patient care and needs.Using this reliable outcome measure facilitates audit and benchmarking of services.
UNASSIGNED: The MDT Stroke TOM Scale was developed by combining and rewording four profession-specific adapted TOM scales following iterative trials and discussions leading to an agreed version. 150 stroke Allied Health Professional (AHPs) and nurses were trained virtually in TOM and the MDT Stroke TOM Scale. Ten AHP and nursing raters from five professions evaluated ten composite stroke case studies for inter-rater reliability. Six participated in the intra-rater reliability review of the same three case studies at different time points. Reliability was quantified using intraclass correlation coefficients and measurement error using the smallest detectable change.
UNASSIGNED: There was good to excellent concordance between the raters in terms of scoring. Raters\' scores were also consistent. The MDT Stroke TOMs is being used consistently across the South West London Stroke Network.
UNASSIGNED: The Stroke MDT TOMs is psychometrically robust and should assist with improving team work in the rehabilitation of stroke patients and their carers. Future research may use MDT Stroke TOM to promote interprofessional team working and facilitate communication in Stroke Rehabilitation.
The introduction of a new Multidisciplinary Team (MDT) Stroke Therapy Outcome measure to encourage interdisciplinary working and collaboration.One measure to complete and document for busy MDTs, which has good - excellent reliability.Early and timely MDT discussions regarding patient care and needs.Using this reliable outcome measure facilitates audit and benchmarking of services.
摘要：
■治疗结果测量（TOM）包括许多基于国际功能模型分类的专业和客户群体适应量表，由不同的医疗保健专业人员（HCP）使用。通过合并相关量表，开发了新的多学科卒中TOM量表（MDTStrokeTOM）。这项研究旨在开发一个描述患者能力的量表，并改善卒中多学科团队（MDT）内部的沟通和合作。本研究调查了这种适应的评估者之间和评估者内部的可靠性。
■MDT卒中TOM量表是在迭代试验和讨论后，通过组合和重新表述四个特定行业的适应性TOM量表，从而得出一致的版本。150名中风联合健康专业人员（AHP）和护士接受了TOM和MDT中风TOM量表的虚拟培训。来自五个专业的十个AHP和护理评估者评估了十个综合中风案例研究的评估者间可靠性。六个人在不同的时间点参加了对同一三个案例研究的评估者内部可靠性审查。使用组内相关系数和使用最小可检测变化的测量误差来量化可靠性。
■就评分而言，评分者之间的一致性很好。评分者的得分也是一致的。MDT中风TOM在伦敦西南部中风网络中一直使用。
■卒中MDTTOMs在心理测量上是健壮的，应有助于改善团队合作，帮助卒中患者及其照顾者康复。未来的研究可能会使用MDT卒中TOM来促进跨专业团队合作并促进卒中康复中的沟通。
引入新的多学科团队（MDT）中风治疗结果措施，以鼓励跨学科的工作和合作。完成和记录繁忙MDT的一项措施，具有良好的可靠性。关于患者护理和需求的早期和及时的MDT讨论。使用这种可靠的结果度量有助于服务的审计和基准测试。
■MDT卒中TOM量表是在迭代试验和讨论后，通过组合和重新表述四个特定行业的适应性TOM量表，从而得出一致的版本。150名中风联合健康专业人员（AHP）和护士接受了TOM和MDT中风TOM量表的虚拟培训。来自五个专业的十个AHP和护理评估者评估了十个综合中风案例研究的评估者间可靠性。六个人在不同的时间点参加了对同一三个案例研究的评估者内部可靠性审查。使用组内相关系数和使用最小可检测变化的测量误差来量化可靠性。
■就评分而言，评分者之间的一致性很好。评分者的得分也是一致的。MDT中风TOM在伦敦西南部中风网络中一直使用。
■卒中MDTTOMs在心理测量上是健壮的，应有助于改善团队合作，帮助卒中患者及其照顾者康复。未来的研究可能会使用MDT卒中TOM来促进跨专业团队合作并促进卒中康复中的沟通。
引入新的多学科团队（MDT）中风治疗结果措施，以鼓励跨学科的工作和合作。完成和记录繁忙MDT的一项措施，具有良好的可靠性。关于患者护理和需求的早期和及时的MDT讨论。使用这种可靠的结果度量有助于服务的审计和基准测试。
