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Evaluating the Use of a PRO Questionnaire in Clinical Practice
Sissel Graakjær Bøgh Pedersen1, Nicole Safavi Andersen1, Ann Bygholm1,2
1Department of Communication & Psychology Aalborg University, Denmark.
Studies in Health Technology and Informatics
|July 2, 2020
Summary
Patient-reported outcome (PRO) questionnaires aim to improve osteoarthritis surgery decisions. However, usability issues and lack of perceived value suggest current PRO tools may not fully involve patients in their treatment.
Area of Science:
- Health Informatics
- Patient-Reported Outcomes
- Surgical Decision Support
Background:
- Aalborg University Hospital utilizes patient-reported outcome (PRO) questionnaires to predict surgical benefit for osteoarthritis patients.
- The integration of PROs aims to enhance treatment quality, transparency, and patient involvement in decision-making.
Purpose of the Study:
- To evaluate the usability and patient experience of a PRO questionnaire in osteoarthritis surgical decision-making.
- To assess whether current PRO implementation effectively involves patients in their treatment process.
Main Methods:
- Observational study of patients completing the PRO questionnaire.
- Qualitative interviews with 7 patients and 1 doctor.
- Analysis of usability issues, including navigation, scale consistency, and question clarity.
Main Results:
- Patients encountered significant usability challenges, including navigation difficulties and inconsistent scale layouts.
- Some questionnaire items were perceived as difficult to interpret by patients.
- Interviewed patients did not report deriving value from completing the questionnaire.
Conclusions:
- Current PRO questionnaire implementation presents usability barriers for osteoarthritis patients.
- The findings suggest that simply completing a questionnaire may be insufficient to foster genuine patient involvement in treatment decisions.
- Further refinement of PRO tools and integration strategies is needed to enhance patient engagement.
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