Q: After doing the exercises and passing the proficiency exam #1, are there additional outcome measures you suggest to evaluate efficacy?
A: There are three proficiency exams for the client to pass throughout the program to ensure progress has been made in every phase.
Additionally,
· You can take post treatment measurements and photos to compare with the original ones throughout and during treatment to show progress in the areas that were disordered.
· You have the Home Observation foroms
· QTT measurements, interlabial gap if appropriate, philtrum measurement (if it was short)
· Myo Lip Meter Measurements.
· The client can redo the Epworth Sleepiness Scale if they previously had any sleep concerns.
· The Written Exam is also a good indicator since the client is describing their progress as well as any areas still needing remediation. The Written Exam can be altered as needed to be suitable for a particular client’s age and areas to be considered by them.

