Abstract
Objectives
To (1) develop a systems-level quality improvement tool targeting communicative access
to information and decision-making for stroke patients with language disorders; and
(2) evaluate the resulting tool—the Communicative Access Measures for Stroke (CAMS).
Design
Survey development and evaluation was in line with accepted guidelines and included
item generation and reduction, survey formatting and composition, pretesting, pilot
testing, and reliability assessment.
Setting
Development and evaluation were carried out in hospital and community agency settings.
Participants
The project used a convenience sample of 31 participants for the survey development,
and 63 participants for the CAMS reliability study (broken down into 6 administrators/managers,
32 frontline staff, 25 participants with aphasia). Eligible participants invited to
the reliability study included individuals from 45 community-based organizations in
Ontario as well as 4400 individuals from communities of practice.
Interventions
Not applicable.
Main Outcome Measures
Data were analyzed using kappa statistics and intraclass correlations for each item
score on all surveys.
Results
A tool, the CAMS, comprising 3 surveys, was developed for health facilities from the
perspectives of (1) administrators/policymakers, (2) staff/frontline health care providers,
and (3) patients with aphasia (using a communicatively accessible version). Reliability
for items on the CAMS-Administrator and CAMS-Staff surveys was moderate to high (kappa/intraclass
correlation coefficients [ICCs], .54–1.00). As expected, reliability was lower for
the CAMS-Patient survey, with most items having ICCs between 0.4 and 0.6.
Conclusions
These findings suggest that CAMS may provide useful quality improvement information
for health care facilities with an interest in improving care for patients with stroke
and aphasia.
Keywords
List of abbreviations:
CAMS (Communicative Access Measures for Stroke), ICC (intraclass correlation coefficient)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 20, 2017
Footnotes
This project has been funded by grants from the Ontario Ministry of Health and Long-Term Care (grant nos. F'08-768, OSN1109-000139), administered and supported by the Ontario Stroke Network. The views expressed do not necessarily reflect those of the ministry or the Ontario Stroke Network. This funder had no involvement in the study design, data collection, analysis and interpretation, nor in the writing of the report and decision to submit the article for publication.
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
