{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:27:28Z","timestamp":1791242848610,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Currently, there are no agreed quality standards for post\u2010stroke aphasia services. Therefore, it is unknown if care reflects best practices or meets the expectations of people living with aphasia. We aimed to (1) shortlist, (2) operationalise\u00a0and (3) prioritise best practice recommendations for post\u2010stroke aphasia care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three phases of research were conducted. In Phase 1, recommendations with strong evidence and\/or known to be important to people with lived experience of aphasia were identified. People with lived experience and health professionals rated the importance of each recommendation through\u00a0a two\u2010round e\u2010Delphi exercise. Recommendations were then ranked for importance and feasibility and analysed using a graph theory\u2013based voting system. In Phase 2,\u00a0shortlisted recommendations from Phase 1 were converted into quality indicators for appraisal and voting in consensus meetings. In Phase 3,\u00a0priorities for implementation were established by people with lived experience and health professionals following discussion and anonymous voting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>In Phase 1, 23 best practice recommendations were identified and rated by people with lived experience (<jats:italic>n<\/jats:italic>\u2009=\u200926) and health professionals (<jats:italic>n<\/jats:italic>\u2009=\u200981). Ten recommendations were shortlisted. In Phase 2,\u00a0people with lived experience (<jats:italic>n<\/jats:italic>\u2009=\u20094) and health professionals (<jats:italic>n<\/jats:italic>\u2009=\u200917) reached a consensus on 11 quality indicators, relating to\u00a0assessment (<jats:italic>n<\/jats:italic>\u2009=\u20092), information provision (<jats:italic>n<\/jats:italic>\u2009=\u20093),\u00a0communication partner training (<jats:italic>n<\/jats:italic>\u2009=\u20093),\u00a0goal setting (<jats:italic>n<\/jats:italic>\u2009=\u20091),\u00a0person and family\u2010centred care (<jats:italic>n<\/jats:italic>\u2009=\u20091)\u00a0and provision of treatment (<jats:italic>n<\/jats:italic>\u2009=\u20091). In Phase 3,\u00a0people with lived experience (<jats:italic>n<\/jats:italic>\u2009=\u20095) and health professionals (<jats:italic>n<\/jats:italic>\u2009=\u20097) identified three implementation priorities: assessment of aphasia,\u00a0provision of aphasia\u2010friendly information\u00a0and provision of therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Our 11 quality indicators and 3 implementation priorities are the first step to enabling systematic, efficient\u00a0and person\u2010centred measurement and quality improvement in post\u2010stroke aphasia services. Quality indicators will be embedded in routine data collection systems, and strategies will be developed to address implementation priorities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient and Public Contribution<\/jats:title><jats:p>Protocol development was informed by our previous research, which explored\u00a0the perspectives of 23 people living with aphasia about best practice aphasia services. Individuals with lived experience of aphasia participated as expert panel members in our three consensus meetings. We\u00a0received support from consumer advisory networks associated with the Centre for Research Excellence in Aphasia Rehabilitation and Recovery and the Queensland Aphasia Research Centre.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.14173","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T05:29:17Z","timestamp":1725341357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Establishing Quality Indicators and Implementation Priorities for Post\u2010Stroke Aphasia Services Through End\u2010User Involvement"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-2447","authenticated-orcid":false,"given":"Kirstine","family":"Shrubsole","sequence":"first","affiliation":[{"name":"Queensland Aphasia Research Centre The University of Queensland Brisbane Australia"},{"name":"Surgical Treatment and Rehabilitation Service (STARS) Education and Research 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