The views of people with joint hypermobility syndrome on its impact, management and the use of patient‐reported outcome measures. A thematic analysis of open‐ended questionnaire responses

2019 ◽  
Vol 17 (2) ◽  
pp. 183-193 ◽  
Author(s):  
Shea Palmer ◽  
Keely Bridgeman ◽  
Isabelle Di Pierro ◽  
Rosanna Jones ◽  
Caitlin Phillips ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Thematic Analysis ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Joint Hypermobility ◽  
Hypermobility Syndrome ◽  
Joint Hypermobility Syndrome ◽  
Patient Reported

scholarly journals Integrating Patient Reported Outcome Measures (PROMs) into routine nurse-led primary care for patients with multimorbidity: a feasibility and acceptability study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ian Porter ◽  
Antoinette Davey ◽  
Jaheeda Gangannagaripalli ◽  
Jonathan Evans ◽  
Charlotte Bramwell ◽  
...  
Keyword(s):  
Primary Care ◽  
Outcome Measures ◽  
Thematic Analysis ◽  
Qualitative Interviews ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Convenience Sample ◽  
Patient Reported ◽  
Primary Care Practices ◽  
High Degree

Abstract Background The use of Patient Reported Outcome Measures (PROMS) in clinical practice has the potential to promote patient-centred care and improve patients’ quality of life. Individualized PROMs may be particularly helpful in identifying, prioritizing and monitoring health problems of patients with multimorbidity. We aimed to develop an intervention centred around PROMs feedback as part of Primary Care annual reviews for patients with multimorbidity and evaluate its feasibility and acceptability. Methods We developed a nurse-oriented intervention including (a) training of nurses on PROMs; (b) administration to patients with multimorbidity of individualized and standardized PROMS; and (c) feedback to both patients and nurses of PROMs scores and interpretation guidance. We then tailored the intervention to patients with two or more highly prevalent conditions (asthma, COPD, diabetes, heart failure, depression, and hip/knee osteoarthritis) and designed a non-controlled feasibility and acceptability evaluation in a convenience sample of primary care practices (5). PROMs were administered and scores fed back immediately ahead of scheduled annual reviews with nurses. Patients and nurses rated the acceptability of the intervention using with a brief survey including optional free comments. Thematic analysis of qualitative interviews with a sample of participating patients (10) and nurses (4) and of survey free comments was conducted for further in-depth evaluation of acceptability. Feasibility was estimated based on rates of participation and completion. Results Out of 68 recruited patients (mean age 70; 47% female), 68 completed the PROMs (100%), received feedback (100%) and confirmed nurse awareness of their scores (100%). Most patients (83%) “agreed”/”strongly agreed” that the PROMs feedback had been useful, a view supported by nurses in 89% of reviews. Thematic analysis of rich qualitative data on PROMS administration, feedback and role in annual reviews indicated that both patients and nurses perceived the intervention as acceptable and promising, emphasizing its comprehensiveness and patient-centredness. Conclusions We have developed and tested an intervention focusing on routine PROM assessment of patients with multimorbidity in Primary Care. Preliminary findings support its feasibility and a high degree of acceptability from both patients and nurses. The next step is to conduct a full-scale trial for evaluating the effectiveness of the proposed intervention.

scholarly journals Development and Validation of a Set of Patient Reported Outcome Measures to Assess Effectiveness of Asthma Prophylaxis

2021 ◽  
Author(s):  
Yalini Guruparan ◽  
Thiyahiny Sunil Navaratinaraja ◽  
Gowry Selvaratnam ◽  
Nalika Gunawardena ◽  
Shalini Sri Ranganat
Keyword(s):  
Factor Analysis ◽  
Asthma Control ◽  
Outcome Measures ◽  
Thematic Analysis ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Forced Expiratory Volume ◽  
Alpha Coefficient ◽  
Item Reduction ◽  
Patient Reported

Abstract Background: Several asthma patient reported outcome measures (PROMs) have been developed in developed countries. Since social and cultural differences may indirectly influence the PROM therefore, this study has been carried out in Northern Sri Lanka to develop an Asthma Control PROM (AC-PROM) Tamil in the local context. Methods: The AC-PROM Tamil was developed in 3 steps: item generation, item reduction and psychometric evaluation as guided by the USA Food and Drug Administration. Items were generated through thematic analysis from six focus group discussions among patients with asthma. Items were generated in Tamil and English Languages. A clinician and a clinical pharmacologist refined the items to suit the cultural context. Items were converted to an interviewer administered questionnaire in Tamil in the format of 5–point Likert scale. Item reduction was done by two rounds of online Delphi surveys among 10 experts and an exploratory factor analysis among 200 patients with asthma. Thus developed AC-PROM Tamil was assessed by experts for face and content validity. Criterion validity was evaluated against the forced expiratory volume in one second of 187 patients with asthma. Cut-off value for PROM to assess the asthma control was determined by receiver operating characteristic curve. Reliability was verified by Cronbach’s alpha coefficient. Results: From thematic analysis of FGD 10 items were generated and these items were refined and subjected to item reduction. During Delphi survey out of 10 items, one was removed. In exploratory factor analysis another one item was removed and remaining 8 items were categorised under 2 factors. Cronbach’s alpha coefficient for AC-PROM Tamil was 0.904, which indicated good reliability. Clarity and relevance of the content of the items were confirmed by the experts. Criterion validity was demonstrated significant correlation between AC-PROM Tamil and forced expiratory volume in one second (r = 0.66, p = 0.001). Cut-off value of AC-PROM Tamil to detect asthma control was 28.5 with sensitivity (79%) and specificity (71%). The AC-PROM Tamil has moderate accuracy (AUC =0.796; 95% CI: 0.73-0.86). Response rate of the AC-PROM Tamil was 100% with no missing data and time taken to complete the PROM was 3-4 minutes. Conclusion: The AC-PROM Tamil is a simple, reasonably accurate, reliable, objective and valid tool to assess effectiveness of asthma control in Tamil speaking patients during clinical practice and researches.

Impact of Depression on Patient-Reported Outcome Measures After Lumbar Spine Decompression

Spine ◽  
2018 ◽  
Vol 43 (6) ◽  
pp. 434-439 ◽  
Author(s):  
Robert K. Merrill ◽  
Lukas P. Zebala ◽  
Colleen Peters ◽  
Sheeraz A. Qureshi ◽  
Steven J. McAnany
Keyword(s):  
Lumbar Spine ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported

Preoperative Opioid Use in Patients Undergoing Common Hand Surgeries

Hand ◽  
2021 ◽  
pp. 155894472097412
Author(s):  
Ali Aneizi ◽  
Dominique Gelmann ◽  
Dominic J. Ventimiglia ◽  
Patrick M. J. Sajak ◽  
Vidushan Nadarajah ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Hand Surgery ◽  
Patient Characteristics ◽  
Patient Reported Outcome Measures ◽  
Pain Scale ◽  
Patient Reported Outcome ◽  
Measurement Information ◽  
Opioid Use ◽  
Patient Reported ◽  
Opioid Users

Background: The objectives of this study were to determine the baseline patient characteristics associated with preoperative opioid use and to establish whether preoperative opioid use is associated with baseline patient-reported outcome measures in patients undergoing common hand surgeries. Methods: Patients undergoing common hand surgeries from 2015 to 2018 were retrospectively reviewed from a prospective orthopedic registry at a single academic institution. Medical records were reviewed to determine whether patients were opioid users versus nonusers. On enrollment in the registry, patients completed 6 Patient-Reported Outcomes Measurement Information System (PROMIS) domains (Physical Function, Pain Interference, Fatigue, Social Satisfaction, Anxiety, and Depression), the Brief Michigan Hand Questionnaire (BMHQ), a surgical expectations questionnaire, and Numeric Pain Scale (NPS). Statistical analysis included multivariable regression to determine whether preoperative opioid use was associated with patient characteristics and preoperative scores on patient-reported outcome measures. Results: After controlling for covariates, an analysis of 353 patients (opioid users, n = 122; nonusers, n = 231) showed that preoperative opioid use was associated with higher American Society of Anesthesiologists class (odds ratio [OR], 2.88), current smoking (OR, 1.91), and lower body mass index (OR, 0.95). Preoperative opioid use was also associated with significantly worse baseline PROMIS scores across 6 domains, lower BMHQ scores, and NPS hand scores. Conclusions: Preoperative opioid use is common in hand surgery patients with a rate of 35%. Preoperative opioid use is associated with multiple baseline patient characteristics and is predictive of worse baseline scores on patient-reported outcome measures. Future studies should determine whether such associations persist in the postoperative setting between opioid users and nonusers.

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