MYMOP - Measure Yourself Medical Outcome Profile: Difference between revisions

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== Introduction ==
== Introduction ==
The Measure Yourself Medical Outcome Profile (MYMOP) tool is a generic patient specific outcome tool to assess general health which was originally created in 1996, since then several editions have been produced including the MYMOP2 (which is pictured below)<ref>Mirza S, Salisbury C, Hopper C, Foster N, Montgomery A. [https://link.springer.com/article/10.1186/1745-6215-14-S1-O50 Comparing sensitivity to change of two patient-reported outcome measures in a randomised trial of patients referred for physiotherapy services]. Trials. 2013 Nov 1;14(S1):O50.</ref><ref name=":3">Polus BI, Kimpton AJ, Walsh MJ. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071331/ Use of the measure your medical outcome profile (MYMOP2) and W-BQ12 (Well-Being) outcomes measures to evaluate chiropractic treatment: an observational study]. Chiropractic & manual therapies. 2011 Dec;19(1):7.</ref>. It can be used for musculo-skeletal or respiratory conditions and gives an individualized approach and measure regarding the symptoms and activities that are effected by the symptoms<ref>Paterson C, Langan CE, McKaig GA, Anderson PM, Maclaine GD, Rose LB, Walker SJ, Campbell MJ. [https://link.springer.com/article/10.1023/A:1008930521566 Assessing patient outcomes in acute exacerbations of chronic bronchitis: the measure your medical outcome profile (MYMOP), medical outcomes study 6-item general health survey (MOS-6A) and EuroQol (EQ-5D).] Quality of Life Research. 2000 May 1;9(5):521-7.</ref>.   
MYMOP® is a problem specific and individualised measure, which is brief and simple to use.   was originally created in 1996.<ref>Mirza S, Salisbury C, Hopper C, Foster N, Montgomery A. [https://link.springer.com/article/10.1186/1745-6215-14-S1-O50 Comparing sensitivity to change of two patient-reported outcome measures in a randomised trial of patients referred for physiotherapy services]. Trials. 2013 Nov 1;14(S1):O50.</ref><ref name=":3">Polus BI, Kimpton AJ, Walsh MJ. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071331/ Use of the measure your medical outcome profile (MYMOP2) and W-BQ12 (Well-Being) outcomes measures to evaluate chiropractic treatment: an observational study]. Chiropractic & manual therapies. 2011 Dec;19(1):7.</ref> MYMOP®' measures capture what patients consider are the two most important symptoms associated with a specific problem and an activity of daily living that is affected by these symptoms.  MYMOP® also captures general wellbeing and is therefore applicable to all people who present with symptoms, whether physical, emotional or social.  MYMOP® asks a person about medication use related to their problem and whether they want to cut this down.<ref>Paterson C, Langan CE, McKaig GA, Anderson PM, Maclaine GD, Rose LB, Walker SJ, Campbell MJ. [https://link.springer.com/article/10.1023/A:1008930521566 Assessing patient outcomes in acute exacerbations of chronic bronchitis: the measure your medical outcome profile (MYMOP), medical outcomes study 6-item general health survey (MOS-6A) and EuroQol (EQ-5D).] Quality of Life Research. 2000 May 1;9(5):521-7.</ref>.   
 
{{#ev:youtube|IS4pblMO5RI|300}}<ref>getwelluk. What is MYMOP? Available from: http://www.youtube.com/watch?v=IS4pblMO5RI [last accessed 15/1/2023]</ref>
 
The second version of the MYMOP also asks the patient about analgesia including the doses which in the first version was not included. 
 
[[File:MYMOP2-questionnaire initial.png|left|thumb|604x604px|MYMOP2 Initial questionnaire ]]
[[File:MYMOP2 follow up.jpg|none|thumb|578x578px|[http://www.bris.ac.uk/media-library/sites/primaryhealthcare/migrated/documents/followupform.pdf MYMOP2 Follow up]]]
 
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{{#ev:youtube|IS4pblMO5RI|300}}<ref>getwelluk. What is MYMOP? Available from: http://www.youtube.com/watch?v=IS4pblMO5RI [last accessed 15/1/2023]</ref>
== Description ==
== Description ==
The MYMOP tool is completed in the initial consultation. One or two symptoms are listed which are effected by the patient's condition such as "right leg weakness", this is then rated by the patient on a scale 0-6 taking into consideration their symptoms over the last week. This rating scale should be done by the patient and not influenced by the practitioner.<ref name=":2">Hermann K, Kraus K, Herrmann K, Joos S. [https://hqlo.biomedcentral.com/articles/10.1186/s12955-014-0112-5 A brief patient-reported outcome instrument for primary care: German translation and validation of the Measure Yourself Medical Outcome Profile (MYMOP)]. Health and quality of life outcomes. 2014 Dec;12(1):112.</ref>
The MYMOP tool is completed in the initial consultation. One or two symptoms are listed which are effected by the patient's condition such as "right leg weakness", this is then rated by the patient on a scale 0-6 taking into consideration their symptoms over the last week. This rating scale should be done by the patient and not influenced by the practitioner.<ref name=":2">Hermann K, Kraus K, Herrmann K, Joos S. [https://hqlo.biomedcentral.com/articles/10.1186/s12955-014-0112-5 A brief patient-reported outcome instrument for primary care: German translation and validation of the Measure Yourself Medical Outcome Profile (MYMOP)]. Health and quality of life outcomes. 2014 Dec;12(1):112.</ref>
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The patient would then choose an activity that has been effected by the symptom, and again rate the activity on a scale of 0-6 over the last week. The patient can also rate their well-being on the same scale however it is not essential for the data analysis.  
The patient would then choose an activity that has been effected by the symptom, and again rate the activity on a scale of 0-6 over the last week. The patient can also rate their well-being on the same scale however it is not essential for the data analysis.  


On the initial MYMOP2 it also asks for medication usage and the patient's opinion on taking medication.
A minimum clinically important change in score after intervention should be between '''0.5-1.0''': any change greater than '''1.0''' can be considered clinically significant.<ref name=":3" />{{#ev:youtube|w8d0w38n-eI|300}}<ref>getwelluk. How Do I Use MYMOP? Available from: http://www.youtube.com/watch?v=w8d0w38n-eI [last accessed 15/1/2023]</ref>  
 
On follow up a similar MYMOP2 is completed with the same 0-6 scale but giving the option to add a third symptom and less detail regarding medication. The follow up MYMOP2 can be done mid-way through treatment as well as on discharge to give a measure of progress for both patient and practitioner.   
 
A minimum clinically important change in score after intervention should be between '''0.5-1.0''': any change greater than '''1.0''' can be considered clinically significant.<ref name=":3" />
 
See [http://www.bris.ac.uk/media-library/sites/primaryhealthcare/migrated/documents/adminandscoring.pdf MYMOP2 scoring] for how to score the initial and follow up MYMOP2. 
 
 
{{#ev:youtube|w8d0w38n-eI|300}}<ref>getwelluk. How Do I Use MYMOP? Available from: http://www.youtube.com/watch?v=w8d0w38n-eI [last accessed 15/1/2023]</ref>  


== Advantages ==
== Advantages ==
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== Evidence ==
== Evidence ==
The MYMOP2 has been shown to be validated and highly sensitive/responsive outcome measure. <ref name=":3" /><ref name=":2" />
This tool has been a licenced product since November 2020 and has now been accredited  by NHS England for use in personalised care service and has been developed into a digital tool.  


== Resources  ==
== Resources  ==
* [https://www.meaningfulmeasures.co.uk/mymop Meaningful Measures website]
* [https://www.meaningfulmeasures.co.uk/mymop MYMOP® Meaningful Measures website]
* [http://www.bris.ac.uk/media-library/sites/primaryhealthcare/migrated/documents/followupform.pdf MYMOP2 Follow up Form]
* [http://www.bris.ac.uk/primaryhealthcare/resources/mymop/general-information/ MYMOP Publications]


== Related Articles ==
== Related Articles ==

Latest revision as of 13:57, 11 March 2024

Original Editor - Abbey Wright

Top Contributors - Abbey Wright, Oyemi Sillo and Kim Jackson  

Introduction[edit | edit source]

MYMOP® is a problem specific and individualised measure, which is brief and simple to use.   was originally created in 1996.[1][2] MYMOP®' measures capture what patients consider are the two most important symptoms associated with a specific problem and an activity of daily living that is affected by these symptoms.  MYMOP® also captures general wellbeing and is therefore applicable to all people who present with symptoms, whether physical, emotional or social.  MYMOP® asks a person about medication use related to their problem and whether they want to cut this down.[3].

[4]

Description[edit | edit source]

The MYMOP tool is completed in the initial consultation. One or two symptoms are listed which are effected by the patient's condition such as "right leg weakness", this is then rated by the patient on a scale 0-6 taking into consideration their symptoms over the last week. This rating scale should be done by the patient and not influenced by the practitioner.[5]

  • 0 being: "as good as it can be"
  • 6 being: "as bad as it could be".

The patient would then choose an activity that has been effected by the symptom, and again rate the activity on a scale of 0-6 over the last week. The patient can also rate their well-being on the same scale however it is not essential for the data analysis.

A minimum clinically important change in score after intervention should be between 0.5-1.0: any change greater than 1.0 can be considered clinically significant.[2]

[6]

Advantages[edit | edit source]

  • Patient centered[5]
  • The MYMOP has been shown to be effective at measuring clinical effectiveness associated with acupuncture treatments which are typically difficult to prove clinical improvement. [7]
  • Simple to administer[7]
  • Sensitive to clinical change[7][8]
  • Can be used in acute or persistent conditions[2]
  • Improves patient-practitioner communication[8]

Disadvantages[edit | edit source]

The initial version was criticized due to it not including information regarding medication used for the condition, this has been added in the second version of the MYMOP2 (which is pictured above).[9] It does require some therapist involvement on the initial questionnaire so is not suitable for postal use.

It also requires patients to list the "most severe" problems so in patients with multiple issues it can be difficult for them to identify the most severe problem.

Evidence[edit | edit source]

This tool has been a licenced product since November 2020 and has now been accredited  by NHS England for use in personalised care service and has been developed into a digital tool.  

Resources[edit | edit source]

Related Articles[edit | edit source]

Further patient specific measures include:

References[edit | edit source]

  1. Mirza S, Salisbury C, Hopper C, Foster N, Montgomery A. Comparing sensitivity to change of two patient-reported outcome measures in a randomised trial of patients referred for physiotherapy services. Trials. 2013 Nov 1;14(S1):O50.
  2. 2.0 2.1 2.2 Polus BI, Kimpton AJ, Walsh MJ. Use of the measure your medical outcome profile (MYMOP2) and W-BQ12 (Well-Being) outcomes measures to evaluate chiropractic treatment: an observational study. Chiropractic & manual therapies. 2011 Dec;19(1):7.
  3. Paterson C, Langan CE, McKaig GA, Anderson PM, Maclaine GD, Rose LB, Walker SJ, Campbell MJ. Assessing patient outcomes in acute exacerbations of chronic bronchitis: the measure your medical outcome profile (MYMOP), medical outcomes study 6-item general health survey (MOS-6A) and EuroQol (EQ-5D). Quality of Life Research. 2000 May 1;9(5):521-7.
  4. getwelluk. What is MYMOP? Available from: http://www.youtube.com/watch?v=IS4pblMO5RI [last accessed 15/1/2023]
  5. 5.0 5.1 Hermann K, Kraus K, Herrmann K, Joos S. A brief patient-reported outcome instrument for primary care: German translation and validation of the Measure Yourself Medical Outcome Profile (MYMOP). Health and quality of life outcomes. 2014 Dec;12(1):112.
  6. getwelluk. How Do I Use MYMOP? Available from: http://www.youtube.com/watch?v=w8d0w38n-eI [last accessed 15/1/2023]
  7. 7.0 7.1 7.2 Hull SK, Page CP, Skinner BD, Linville JC, Coeytaux RR. Exploring outcomes associated with acupuncture. Journal of Alternative & Complementary Medicine. 2006 Apr 1;12(3):247-54.
  8. 8.0 8.1 Paterson C. Measuring outcomes in primary care: a patient generated measure, MYMOP, compared with the SF-36 health survey. Bmj. 1996 Apr 20;312(7037):1016-20.
  9. Paterson C, Britten N. In pursuit of patient-centred outcomes: a qualitative evaluation of the ‘Measure Yourself Medical Outcome Profile’. Journal of health services research & policy. 2000 Jan;5(1):27-36.