Perry Alison, Morris Meg, Unsworth Carolyn, Duckett Stephen, Skeat Jemma, Dodd Karen, Taylor Nicholas, Reilly Karen
School of Human Communication Sciences, Faculty of Health Sciences, La Trobe University, Melbourne, Victoria, Australia.
Int J Qual Health Care. 2004 Aug;16(4):285-91. doi: 10.1093/intqhc/mzh059.
The aim of this study was to develop a valid and reliable measure of therapy outcome for three allied health professions in Australia: speech pathology, occupational therapy, and physiotherapy. The Australian Therapy Outcome Measures (AusTOMs) enable measurement of the differences in client profiles and patterns of services provision across health care settings. In this paper we describe phase 1 of the study: the development and preliminary validation of the AusTOMs.
The UK TOMs, developed by Enderby, were scrutinized by the research team. A pilot core scale was developed, based on the structure of the TOM. Focus groups of expert clinicians for each profession, across the state of Victoria in Australia, analysed and refined the scales further. A mail-out survey was then sent to therapists across Australia to assess both face and content validity of the AusTOMs.
A new tool, the AusTOM, was developed and tailored to the needs of each profession, with input from specialist clinicians and allied health researchers. The face and content validity of the new scales were assessed, and good consensus was obtained for the wording and content validity of the scales. The discriminative validity, concurrent validity, and reliability of the tool are now being evaluated.
We have produced an outcome measure in the Australian context for speech pathology, physiotherapy, and occupational therapy. There are six speech pathology scales, nine physiotherapy scales, and 11 occupational therapy scales in the AusTOMs. A clinician chooses the relevant scale(s) for the client (based on the goals of therapy) and makes a rating across all domains for each scale. Further papers will report on the reliability, validity, and clinical usefulness of the AusTOMs.
本研究旨在为澳大利亚的三个健康相关专业——言语病理学、职业疗法和物理疗法，开发一种有效且可靠的治疗结果测量方法。澳大利亚治疗结果测量工具（AusTOMs）能够测量不同医疗环境下客户概况和服务提供模式的差异。在本文中，我们描述了该研究的第一阶段：AusTOMs的开发和初步验证。
研究团队仔细审查了由恩德比开发的英国治疗结果测量工具（TOMs）。基于TOMs的结构开发了一个试点核心量表。来自澳大利亚维多利亚州各专业的专家临床医生焦点小组对量表进行了进一步分析和完善。随后向澳大利亚各地的治疗师发送了邮寄调查问卷，以评估AusTOMs的表面效度和内容效度。
在专科临床医生和健康相关研究人员的参与下，开发了一种新工具AusTOM，并根据每个专业的需求进行了调整。对新量表的表面效度和内容效度进行了评估，在量表的措辞和内容效度方面达成了良好的共识。目前正在评估该工具的区分效度、同时效度和信度。
我们已经在澳大利亚背景下为言语病理学、物理疗法和职业疗法制定了一种结果测量方法。AusTOMs中有六个言语病理量表、九个物理治疗量表和十一个职业治疗量表。临床医生根据客户的情况（基于治疗目标）选择相关量表，并对每个量表的所有领域进行评分。后续论文将报告AusTOMs的信度、效度和临床实用性。
