Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals
Abstract Background Implementation of patient-reported measures (PRMs) is an integral element for patient-centered models; however, there is still hardly any quantitative evidence regarding its impact in routine care settings. The objective of this study was to codesign two concise tools that allow...
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BMC
2025-02-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | https://doi.org/10.1186/s12955-025-02333-7 |
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| author | Clara Amat-Fernandez Yolanda Pardo Montse Ferrer Guillermo Bosch Catalina Lizano-Barrantes Renata Briseño-Diaz Maria Vernet-Tomas Lluís Fumadó Marc Beisani Dolores Redondo-Pachón Anna Bach-Pascual Olatz Garin Hospital de Mar Patient-Reported Measures Group |
| author_facet | Clara Amat-Fernandez Yolanda Pardo Montse Ferrer Guillermo Bosch Catalina Lizano-Barrantes Renata Briseño-Diaz Maria Vernet-Tomas Lluís Fumadó Marc Beisani Dolores Redondo-Pachón Anna Bach-Pascual Olatz Garin Hospital de Mar Patient-Reported Measures Group |
| author_sort | Clara Amat-Fernandez |
| collection | DOAJ |
| description | Abstract Background Implementation of patient-reported measures (PRMs) is an integral element for patient-centered models; however, there is still hardly any quantitative evidence regarding its impact in routine care settings. The objective of this study was to codesign two concise tools that allow for a standardized and longitudinal assessment of the implementation of PRMs in routine care in terms of acceptability and perceived value from the perspective of both patients and healthcare professionals. Methods A list of constructs and items to be presented, separately, to patients and healthcare professionals was created from evidence gathered through a narrative literature review. Focus groups, composed of either patients or healthcare professionals from different chronic conditions, were conducted for the co-design of independent assessments. Once agreement was reached, the content validity was examined in separate consensus meetings. Results A total of 10 patients and 10 healthcare professionals participated in the focus groups. After 7 focus groups, the PRMs Implementation Assessment Tool for patients (PRMIAT-P) was developed with 33 items in 9 constructs, and the tool for healthcare professionals (PRMIAT-HP) had 33 items in 16 constructs. Content validity was confirmed for both tools. Conclusions The perspective of patients and healthcare professionals regarding the implementation of PRMs in routine care can be evaluated quantitively with the PRMIAT tools. These tools are understandable, concise and comprehensive, and can be used in multiple settings and for different chronic conditions. They have been codesigned as a standard set to facilitate both longitudinal assessments and performing benchmarking among different initiatives. |
| format | Article |
| id | doaj-art-6b5b71845e114d3f8ba996d77a9017d3 |
| institution | OA Journals |
| issn | 1477-7525 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj-art-6b5b71845e114d3f8ba996d77a9017d32025-08-20T02:15:02ZengBMCHealth and Quality of Life Outcomes1477-75252025-02-0123111210.1186/s12955-025-02333-7Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionalsClara Amat-Fernandez0Yolanda Pardo1Montse Ferrer2Guillermo Bosch3Catalina Lizano-Barrantes4Renata Briseño-Diaz5Maria Vernet-Tomas6Lluís Fumadó7Marc Beisani8Dolores Redondo-Pachón9Anna Bach-Pascual10Olatz Garin11Hospital de Mar Patient-Reported Measures GroupUniversitat Pompeu FabraHealth Services Research Group, Hospital del Mar Research InstituteUniversitat Pompeu FabraTeaching Unit of Preventive Medicine and Public Health, Hospital del Mar-ASPB-UPFHealth Services Research Group, Hospital del Mar Research InstituteUniversitat Pompeu FabraBreast Diseases Unit, Hospital del MarUrology Department, Hospital del MarGastrointestinal and Bariatric Surgery Unit, Hospital del MarNephrology Department, Hospital del MarNephrology Department, Hospital del MarUniversitat Pompeu FabraAbstract Background Implementation of patient-reported measures (PRMs) is an integral element for patient-centered models; however, there is still hardly any quantitative evidence regarding its impact in routine care settings. The objective of this study was to codesign two concise tools that allow for a standardized and longitudinal assessment of the implementation of PRMs in routine care in terms of acceptability and perceived value from the perspective of both patients and healthcare professionals. Methods A list of constructs and items to be presented, separately, to patients and healthcare professionals was created from evidence gathered through a narrative literature review. Focus groups, composed of either patients or healthcare professionals from different chronic conditions, were conducted for the co-design of independent assessments. Once agreement was reached, the content validity was examined in separate consensus meetings. Results A total of 10 patients and 10 healthcare professionals participated in the focus groups. After 7 focus groups, the PRMs Implementation Assessment Tool for patients (PRMIAT-P) was developed with 33 items in 9 constructs, and the tool for healthcare professionals (PRMIAT-HP) had 33 items in 16 constructs. Content validity was confirmed for both tools. Conclusions The perspective of patients and healthcare professionals regarding the implementation of PRMs in routine care can be evaluated quantitively with the PRMIAT tools. These tools are understandable, concise and comprehensive, and can be used in multiple settings and for different chronic conditions. They have been codesigned as a standard set to facilitate both longitudinal assessments and performing benchmarking among different initiatives.https://doi.org/10.1186/s12955-025-02333-7Implementation scienceHealth services researchPatient-reported outcome measuresPatient-reported experience measuresPatient centered careHealth care evaluation mechanisms |
| spellingShingle | Clara Amat-Fernandez Yolanda Pardo Montse Ferrer Guillermo Bosch Catalina Lizano-Barrantes Renata Briseño-Diaz Maria Vernet-Tomas Lluís Fumadó Marc Beisani Dolores Redondo-Pachón Anna Bach-Pascual Olatz Garin Hospital de Mar Patient-Reported Measures Group Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals Health and Quality of Life Outcomes Implementation science Health services research Patient-reported outcome measures Patient-reported experience measures Patient centered care Health care evaluation mechanisms |
| title | Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals |
| title_full | Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals |
| title_fullStr | Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals |
| title_full_unstemmed | Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals |
| title_short | Evaluating the implementation of PROMs and PREMs in routine clinical care: co-design of tools from the perspective of patients and healthcare professionals |
| title_sort | evaluating the implementation of proms and prems in routine clinical care co design of tools from the perspective of patients and healthcare professionals |
| topic | Implementation science Health services research Patient-reported outcome measures Patient-reported experience measures Patient centered care Health care evaluation mechanisms |
| url | https://doi.org/10.1186/s12955-025-02333-7 |
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