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The RCSLT Outcomes Project

 

The RCSLT Outcomes Project

The Royal College of Speech and Language Therapists (RCSLT) has embarked on an innovative and ambitious project to support speech and language therapists with delivering and measuring effective outcomes.

In 2013, RCSLT members devised a list of criteria to identify an existing outcome measurement tool to enable comparable, valid and reliable data to be gathered from across the profession. Over 60 outcome measures, frameworks and systems commonly used by speech and language therapists (SLTs) were appraised against this set of criteria. Therapy Outcome Measures for Rehabilitation Professionals 3rd Edition (TOMs, Enderby and John, 2015) was selected as the ‘best fit’.

TOMs scales address four dimensions of an individual in line with the International Classification of Functioning, Disability and Health (WHO, 2007).

·       Impairment – the severity of the presenting difficulty/condition

·       Activity – the impact of the difficulty on the individual’s level of independence

·       Participation – impact on levels of social engagement and autonomy

·       Wellbeing – impact on mental and emotional wellbeing

In 2015, the RCSLT Council approved the development of a proof of concept online tool to support collection of TOMs data.

Proof of concept pilot

The RCSLT Online Outcome Tool (ROOT) is a stand-alone system that has been developed to collect and collate outcomes data. Clinicians can use the tool to record and monitor outcomes for individual service users and access reports that show change over time in association with SLT interventions.

Users of the tool can input TOMs data for service users directly into the ROOT via a web-based application, or upload data that has been extracted from databases within existing electronic systems. The ROOT collects data about the individual’s age, gender and diagnoses and TOMs ratings at different points in time.

The ROOT aggregates data recorded by an SLT service and generates reports. These can be used by service managers to evaluate the outcomes delivered and support them with monitoring outcomes for specific clinical groups and evidencing the impact of SLT. Filters can be applied to the reports to drill down to specific clinical groups at the required level for data analysis and reporting.

Adult and paediatric SLT services across the UK are currently piloting the use of the ROOT, and the software is being developed in response to their feedback.

Project evaluation

An independent evaluation of the proof of concept pilot has been undertaken with services that are piloting ROOT (November 2016). Feedback from the pilot sites has indicated that ROOT, particularly the aggregated data reports, offers the potential to add value to SLT services, but further time is required to embed the use of ROOT into services to allow further testing. It was suggested that the reports generated by ROOT offer the potential:

·       to identify gaps in service and impact of resources

·       to evaluate service delivery models and specific therapeutic approaches

·       to benchmark against other services (offering the opportunity to compare and improve services, and inform commissioners)

Following consideration of the findings and recommendations of the independent evaluation, the RCSLT Board of Trustees approved an extension of the pilot for a further six months (December 2016). This will provide an opportunity for the SLT services engaged with the pilot to gain more experience of using the ROOT to collect data and generate and test the reports. During this time, the following key areas will be explored:

·       Further development of ROOT

·       Method of data collection - Direct data entry / export method

·       Aggregated data reports and their uses

·       Development of resources e.g. to support use of the ROOT, information governance

Phase 2: Framing TOMs as part of other resources available

In parallel to the proof of concept pilot, the outcomes project steering group has recommended the initiation of ‘phase 2’ of the project. This phase of the project will include scoping the use of other sources of data and the available resources, outcome measures and frameworks that can be used alongside TOMs to evidence the impact of SLT services.

References

Enderby, P. and John, A. (2015) Therapy Outcomes Measures for Rehabilitation Professionals, Third edition, J&R Press Ltd.

Further information

Information about the RCSLT’s journey with outcome measurement is available on the RCSLT webpages https://www.rcslt.org/members/outcomes/RCSLT_outcomes_project and by contacting RCSLT Outcomes Project Officer kathryn.moyse@rcslt.org.

The 2nd Workshop for the Urban Slums Project team in India

Last month, Prof. Luc de Witte and Prof Mark Hawley joined project partners in Bangalore, India for a 2nd workshop as part of our international project “a mobile diagnostic and screening toolkit for urban slums settings”.

18 participants from our local partners attended the workshop, held in Bangalore Baptist Hospital, Bangalore. This included technology experts, health professionals and community health workers with experience working in urban slums.

The workshop aimed at reaching a consensus between the team and project partners on the design of the mobile toolkit.  Many exciting discussions were undertaken covering a range of topics from key consideration in the design of the toolkit, the toolkit content, to the tests and technology that will be included.

At the end of the workshop, the team agreed on the next phase of the project which will include designing and evaluating a basic prototype of the toolkit.

For more information about the project, please visit the link below:

http://www.catch.org.uk/current-project/urban-slums-settings/

Written by Sarah Abdi (Centre for Assistive Technology and Connected Healthcare) Email: s.q.abdi@sheffield.ac.uk

Sheffield Occupational Therapy Clinical Academic (SOTCA) network meeting

A meeting of the Sheffield Occupational Therapy Clinical Academic (SOTCA) network was held on 26^th January 2017. The network was started by Laura Di Bona and aims to provide peer support, form collaborations and consider service developments.

Occupational therapists based in Sheffield Health and Social Care NHS Foundation Trust, Sheffield Teaching Hospitals NHS Trust, Sheffield Children’s Hospital, Rotherham Housing Services, University of Sheffield, and Sheffield Hallam University attended. All were interested in or to pursue research, and ways to combine research with clinical practice. There was a great variety of clinical and research experience in the room with people at different stages of their careers. Some had done research MSc modules, some MSCs, some were studying for PhDs, and some had submitted applications to the NIHR clinical academic pathway doctoral fellowship programme. Sam Armitage (Occupational Therapist, Sheffield Children’s Hospital), Laura Di Bona (University of Sheffield & Sheffield Health and Care NHS Foundation Trust) and Professor Gail Mountain (Professor, University of Bradford) all gave informal presentations about their research journeys. It seemed that carving out a clinical academic career required resilience, commitment and flexibility, and that there wasn’t one clear, established ‘pathway’ to follow, the presenters had all created and responded to opportunities.  Everyone  agreed to meet again, perhaps with presentations  - possibly related to Occupational Therapy and assistive technology research, or the MSc in Clinical Research – to be confirmed.  

Any occupational therapists, or occupational therapy students interested in doing  research, service evaluation/development are welcome! You can come for general interest and/or use the group for support, for example project ideas, funding applications, conference or publication submissions...

The next meeting is planned for  Thursday 27^th April 5-7pm at the Assessment and Rehab Centre  (ARC) in Nether Edge although this will be confirmed nearer the time.

SOTCA has a new website at: http://www.catch.org.uk/current-project/sotca/ . If you are interested, please log on to it and register your details with our new Mailchimp account so you can be sure to hear about future work of the group. Also, please follow us on twitter 

Written by Becky Field