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Focus Group Discussion as a Tool to Assess Patient-Based Outcomes, Practical Tips for Conducting Focus Group

Balaji Zacharia1, Puneeth Katapadi Pai2, Manu Paul3

  • 1Department of Orthopedics, Government Medical College, Kozhikode, Kerala, India.

Journal of Patient Experience
|August 9, 2021
PubMed
Summary

Patient-reported outcomes are often biased by surgeon-centered tools. Focus group discussions (FGDs) offer a simple, cost-effective method for assessing patient satisfaction after interventions like total knee arthroplasty (TKA).

Keywords:
focus group discussionpatient-reported outcomesqualitative research methodstotal knee arthroplasty

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Area of Science:

  • Orthopedics
  • Health Services Research
  • Patient-Reported Outcomes

Background:

  • Patient-reported outcomes (PROs) are influenced by diverse patient factors.
  • Existing outcome measurement tools often exhibit surgeon bias.
  • Assessing patient satisfaction requires patient-centered methodologies.

Purpose of the Study:

  • To identify limitations of current patient satisfaction outcome measures.
  • To explore the methodology and application of Focus Group Discussions (FGDs) for outcome assessment.
  • To demonstrate FGD application using total knee arthroplasty (TKA) patient outcomes.

Main Methods:

  • A Focus Group Discussion (FGD) methodology was detailed.
  • Planning, advantages, disadvantages, and practicalities of FGDs were explained.
  • A published study on TKA patient-based outcomes served as a practical example.

Main Results:

  • Common patient satisfaction tools are frequently surgeon-centered.
  • FGDs provide a simple, cost-effective approach to outcome assessment.
  • FGDs require minimal participants and can be conducted efficiently.

Conclusions:

  • FGDs are a valuable tool for evaluating patient-based outcomes, particularly in total knee arthroplasty (TKA).
  • This method overcomes the limitations of surgeon-biased assessment tools.
  • FGDs offer a patient-centered perspective for intervention outcomes.