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Selecting patient-reported outcome measures: "what" and "for whom"
Jason B Liu1,2,3, Nan E Rothrock4, Maria O Edelen1,3
1Patient-Reported Outcomes, Value, and Experience (PROVE) Center, Brigham and Women's Hospital, Boston, MA 02115, United States.
Choosing the right patient-reported outcome measures (PROMs) can be challenging. This framework categorizes PROMs to help healthcare leaders select the best tools for patient-centered care.
Area of Science:
- Health Services Research
- Psychometrics
- Patient-Reported Outcomes
Background:
- Patient-reported outcome measures (PROMs) are increasingly vital in healthcare.
- The proliferation of PROMs and psychometric advancements create selection challenges.
Purpose of the Study:
- To present a framework for categorizing PROMs.
- To aid healthcare leaders and policymakers in selecting appropriate PROMs.
Main Methods:
- Categorization of PROMs based on measurement scope (condition-specific vs. universal) and target (domain-specific vs. global).
- Development of four distinct PROM categories with clinical examples.
Main Results:
- PROMs are classified into four types: condition-specific/domain-specific, condition-specific/global, universal/global, and universal/domain-specific.
- The framework offers a structured approach to PROM selection.
Conclusions:
- This categorization empowers informed decision-making for PROM implementation.
- Effective PROM selection is crucial for advancing high-quality, patient-centered care.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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