Exploring patients' experience using PROMs within routine post-discharge follow-up assessment after stroke: a mixed...

Area of Science:

• Neurology
• Health Services Research
• Patient Outcomes

Background:

• Patient Reported Outcomes Measures (PROMs) are increasingly used in stroke care.
• Implementation of PROMs in routine stroke care is still developing.
• This study explores patient experiences with PROMs in ischemic stroke follow-up.

Purpose of the Study:

• To evaluate the patient experience with Patient Reported Outcomes Measures (PROMs) in routine post-discharge stroke care.
• To assess the perceived value of PROMs during consultations for ischemic stroke patients.
• To understand how PROMs impact patient insight and healthcare provider understanding.

Main Methods:

• Prospective mixed methods study involving ischemic stroke patients.
• Patients completed evaluation questionnaires on PROMs and consultations.
• In-depth telephone interviews were conducted with a subset of patients.

Main Results:

• Most patients (82.2-96.6%) found PROMs feasible and relevant.
• Half of patients (49.2-51.6%) found PROMs useful for consultation; 87.3-96.8% reported positive consultation experiences.
• PROMs provided insight for 51.6% of patients and were seen as useful for healthcare providers by nearly 75%.

Conclusions:

• Completing PROMs is feasible for stroke patients post-discharge, offering significant added value.
• Discussing PROM results with patients is recommended to maximize their value and improve future completion rates.
• PROMs enhance patient self-insight and provide healthcare providers with a broader understanding of patient-related problems.