基于COnsensus的健康测量指标选择标准(COSMIN)是一项国际计划,提供标准化和经过验证的工具来指导医疗保健中患者报告结果指标的评估。
探索使用COSMIN的一套新工具来评估言语和语言治疗师(SLT)可用的一项结果测量研究。
我们使用了COSMIN工具来评估七项研究和一份用户手册,该手册报告了“关注六岁以下儿童的结果”(FOCUS)的测量属性。在世界各地的各种环境中使用的对学龄前儿童交际参与的一种经过验证的衡量标准。
使用COSMIN指南,FOCUS被归类为“A类”工具,因为有足够的证据支持其内容有效性和内部一致性。根据COSMIN指南,这意味着可以推荐使用FOCUS。支持FOCUS测量属性的证据质量获得了“中等”的评级,这意味着用户可以对其测量属性有适度的信心。由于FOCUS的用户可能不清楚COSMIN工具的这些评级,我们提供了更具体的建议。
COSMIN工具提供了详细的标准,以支持对SLT可用的结果度量进行评估。然而,观察到一些限制,并提供了支持应用COSMIN工具的建议。本文添加的内容收集结果数据对于确保言语和语言治疗有效至关重要。在COSMIN开发之前,对结果测量工具的测量特性进行评估的方式缺乏标准。本文对现有知识的补充本文使用了重点,衡量学龄前儿童在言语和语言治疗中的交际参与结果,以案例为例说明COSMIN工具的应用。在这样做的时候,强调了当前COSMIN工具在评估结果测量工具质量方面的优势和局限性。这项工作的潜在或实际临床意义是什么?COSMIN工具提供了一步一步,评估结果工具中各种测量特性的标准化方法。由于COSMIN工具的现有限制,评估应提供明确和具体的建议,以便结果衡量标准的使用者(例如,SLT,研究人员)可以确定每种仪器的适当用途。
The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) is an international initiative that offers standardized and validated tools to guide the appraisal of patient-reported outcome measures in healthcare.
To explore the use of a new set of tools from the COSMIN to appraise studies on one outcome measure available to speech and language therapists (SLTs).
We used the COSMIN tools to appraise seven studies and a user manual that reported the measurement properties of the Focus on the Outcomes of Children Under Six (FOCUS), a validated measure of pre-schoolers\' communicative participation that is used in various contexts around the world.
Using COSMIN guidelines, the FOCUS was categorized as a \'category A\' tool because there was a sufficient level of evidence to support its content validity and internal consistency. According to the COSMIN guidelines, this means that the FOCUS can be recommended for use. The quality of evidence supporting measurement properties of the FOCUS received a rating of \'moderate\', meaning users can have moderate confidence in its measurement properties. Since these ratings from the COSMIN tools may be unclear to users of the FOCUS, we have provided more specific recommendations.
The COSMIN tools offer detailed standards to support the appraisal of outcome measures available to SLTs. However, several limitations were observed, and recommendations to support the application of the COSMIN tools are provided. What this paper adds What is already known on the subject Collecting outcome data is essential to ensure speech and language therapy is effective. Until the development of COSMIN there was a lack of standards in the way the measurement properties of outcome measure instruments were appraised. What this paper adds to existing knowledge This paper used the FOCUS, a measure of pre-schoolers\' communicative participation outcomes in speech and language therapy, as a
case example to illustrate the applications of the COSMIN tools. In doing so, the strengths and limitations of the current COSMIN tools in appraising the quality of outcome measure instruments are emphasized. What are the potential or actual clinical implications of this work? The COSMIN tools offer a step-by-step, standardized approach to appraise various measurement properties in outcome instruments. Due to existing limitations of the COSMIN tools, appraisal should provide clear and specific recommendations so users of outcome measures (e.g., SLTs, researchers) can identify the appropriate uses of each instrument.