The ICF, Relationship-Centred Care and Research Outcome Measurement: Carol Frattali's Impact on Aphasia Research Outcome measurement was a major focus of Carol Frattali's work. This article describes three aphasia research initiatives that have followed from her early publications. The first is the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) to aphasia. The Living with Aphasia: A ... Article
Article  |   June 01, 2015
The ICF, Relationship-Centred Care and Research Outcome Measurement: Carol Frattali's Impact on Aphasia Research
Author Affiliations & Notes
  • Linda Worrall
    School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland Australia
  • Sarah Wallace
    School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland Australia
  • Financial Disclosure: Linda Worrall is a professor at The University of Queensland, Brisbane. Sarah Wallace is a PhD student at The University of Queensland, Brisbane.
    Financial Disclosure: Linda Worrall is a professor at The University of Queensland, Brisbane. Sarah Wallace is a PhD student at The University of Queensland, Brisbane.×
  • Nonfinancial Disclosure: Linda Worrall has previously published in the subject area. Sarah Wallace has previously published in the subject area.
    Nonfinancial Disclosure: Linda Worrall has previously published in the subject area. Sarah Wallace has previously published in the subject area.×
Article Information
Research Issues, Methods & Evidence-Based Practice / Language Disorders / Aphasia / Articles
Article   |   June 01, 2015
The ICF, Relationship-Centred Care and Research Outcome Measurement: Carol Frattali's Impact on Aphasia Research
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, June 2015, Vol. 25, 107-113. doi:10.1044/nnsld25.3.107
History: Received March 29, 2015 , Revised May 13, 2015 , Accepted May 13, 2015
SIG 2 Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, June 2015, Vol. 25, 107-113. doi:10.1044/nnsld25.3.107
History: Received March 29, 2015; Revised May 13, 2015; Accepted May 13, 2015

Outcome measurement was a major focus of Carol Frattali's work. This article describes three aphasia research initiatives that have followed from her early publications. The first is the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) to aphasia. The Living with Aphasia: A Framework for Outcome Measurement (A-FROM) is a reinterpretation of the ICF specifically as it applies to aphasia. The Assessment for Living with Aphasia (ALA) is an assessment that is derived from the A-FROM. The second initiative is the program of research that has described aphasia and aphasia rehabilitation from the patient perspective. Using qualitative methodologies, this research has highlighted the need for relationship-centred care in aphasia services. Finally, a current project is described that seeks to gain international consensus on a core outcome set for aphasia treatment research. This will help researchers combine data in effectiveness studies. To achieve the best outcomes for people with aphasia, there is a need to realize Carol Frattali's vision and ensure the continued use of unifying frameworks, relationship-centered practice, consumer-focused research, and consistent outcome measurement practices.

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