Patient Reported Outcome Measures (PROMs): Difference between revisions
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== Introduction == | == Introduction == | ||
Patient reported outcome measures (PROMs) are a fundamental tool in the today’s physiotherapy practice. In a guidance document by The United States Department of Health<ref>US Food and Drug Administration. Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims, Guidance for Industry. Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-reported-outcome-measures-use-medical-product-development-support-labeling-claims. (Accessed 19 April 2022). </ref> and Human Services about the use of PROMs, they are defined as reports of a patient’s health condition that come straight from the patient himself, and that do not consider any interpretation of the patient’s response by a health professional. PROMs are tipically in the form of questionnaires (in paper or electronic form) that include the instructions and can be carried out autonomously by the patient. As stated by the Chartered Society of Physiotherapy<ref>Chatered Society of Physiotherapy (CSP). Outcome and experience measures. Available from: https://www.csp.org.uk/professional-clinical/research-evaluation/outcome-experience-measures (Accessed 20 April 2022).</ref>, outcomes are progressively turning into the currency of the modern healthcare concept, therefore PROMs are essential to demonstrate the value and the success of the practice of physiotherapy. | |||
== | == Categories of PROMs == | ||
There are two main categories: generic PROMs, that measure the wellbeing of all types of people, regardless of their disease and condition-specific PROMs, that focus on a particular disease and target the relevant concerns for a population<ref name=":0">Kyte DG, Calvert M, van der Wees PJ, ten Hove R, Tolan S, Hill JC. An introduction to patient-reported outcome measures (PROMs) in physiotherapy. Physiotherapy. 2015;101(2):119-125. </ref>. Two significative examples are the EQ-5D for generic PROMs, that evaluates a person’s sate of health, and the Shoulder Pain and Disability Index (SPADI) for condition-specific PROMs, that assesses shoulder stiffness and pain of unspecified origin<ref name=":0" />. | |||
= | Furthermore, there is a third category of PROMs, less used in practice, but that lately have been gaining attention both in research and practice. This category includes individualised instruments such as the Patient Generated Index (PGI), Patient Specific Function Scale (PSFS) or the Measure Yourself Medical Outcome Profile (MYMOP). These measures assess patient's definition of health related quality of life. Their aim is to overcome the general pre-definition of the outcomes usually being measured by health professionals. As the other PROMs, they are particularly useful for goal setting and progress monitoring<ref name=":0" />. | ||
== Resources | == How to use PROMs == | ||
PROMs are principally used in three different areas of physiotherapy<ref name=":0" />: | |||
* in research, mostly as secondary outcomes in clinical trials | |||
* in service evaluation for health care policy maker | |||
* in routine clinical practice to guide the care process | |||
Moreover, the benefits of using PROMs in routine practice were identified as the support of decision-making, patient-centred care, improvement of clinical reasoning process, establishing treatment objectives, monitoring treatment results, and stimulating evidence-based practice. | |||
widespread adoption of PROMs in physiotherapy clinical practice has been recently encouraged in some countries to gather data for quality of physiotherapy service evaluation and for improvement purposes. For example, in the Netherlands a national programme was established to stimulate the use of condition-specific PROMs (low back pain, neck pain, hip and knee problems, and shoulder complaints) in primary care (Meerhoff et al. 2017). | |||
== Resources == | |||
*bulleted list | *bulleted list | ||
*x | *x | ||
Revision as of 19:21, 24 April 2022
Original Editor - User Name
Top Contributors - Stefano Berrone
Introduction[edit | edit source]
Patient reported outcome measures (PROMs) are a fundamental tool in the today’s physiotherapy practice. In a guidance document by The United States Department of Health[1] and Human Services about the use of PROMs, they are defined as reports of a patient’s health condition that come straight from the patient himself, and that do not consider any interpretation of the patient’s response by a health professional. PROMs are tipically in the form of questionnaires (in paper or electronic form) that include the instructions and can be carried out autonomously by the patient. As stated by the Chartered Society of Physiotherapy[2], outcomes are progressively turning into the currency of the modern healthcare concept, therefore PROMs are essential to demonstrate the value and the success of the practice of physiotherapy.
Categories of PROMs[edit | edit source]
There are two main categories: generic PROMs, that measure the wellbeing of all types of people, regardless of their disease and condition-specific PROMs, that focus on a particular disease and target the relevant concerns for a population[3]. Two significative examples are the EQ-5D for generic PROMs, that evaluates a person’s sate of health, and the Shoulder Pain and Disability Index (SPADI) for condition-specific PROMs, that assesses shoulder stiffness and pain of unspecified origin[3].
Furthermore, there is a third category of PROMs, less used in practice, but that lately have been gaining attention both in research and practice. This category includes individualised instruments such as the Patient Generated Index (PGI), Patient Specific Function Scale (PSFS) or the Measure Yourself Medical Outcome Profile (MYMOP). These measures assess patient's definition of health related quality of life. Their aim is to overcome the general pre-definition of the outcomes usually being measured by health professionals. As the other PROMs, they are particularly useful for goal setting and progress monitoring[3].
How to use PROMs[edit | edit source]
PROMs are principally used in three different areas of physiotherapy[3]:
- in research, mostly as secondary outcomes in clinical trials
- in service evaluation for health care policy maker
- in routine clinical practice to guide the care process
Moreover, the benefits of using PROMs in routine practice were identified as the support of decision-making, patient-centred care, improvement of clinical reasoning process, establishing treatment objectives, monitoring treatment results, and stimulating evidence-based practice.
widespread adoption of PROMs in physiotherapy clinical practice has been recently encouraged in some countries to gather data for quality of physiotherapy service evaluation and for improvement purposes. For example, in the Netherlands a national programme was established to stimulate the use of condition-specific PROMs (low back pain, neck pain, hip and knee problems, and shoulder complaints) in primary care (Meerhoff et al. 2017).
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ US Food and Drug Administration. Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims, Guidance for Industry. Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-reported-outcome-measures-use-medical-product-development-support-labeling-claims. (Accessed 19 April 2022).
- ↑ Chatered Society of Physiotherapy (CSP). Outcome and experience measures. Available from: https://www.csp.org.uk/professional-clinical/research-evaluation/outcome-experience-measures (Accessed 20 April 2022).
- ↑ 3.0 3.1 3.2 3.3 Kyte DG, Calvert M, van der Wees PJ, ten Hove R, Tolan S, Hill JC. An introduction to patient-reported outcome measures (PROMs) in physiotherapy. Physiotherapy. 2015;101(2):119-125.
