[Implementation of the "Reha-Toolbox": Longitudinal Routine Collection of Patient-Reported Outcome Measures (PROM) in
Christoph Paul Klapproth1,2, Claudia Hartmann1, Alexander Obbarius1,2,3
1Medizinische Klinik mit Schwerpunkt Psychosomatik, Center for Patient-Centered Outcomes Research (CPCOR), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Abstract:
In the German Pension Fund (DRV), patient-reported outcome measures (PROMs) are a key indicator of the success of rehabilitation measures. The "Reha Toolbox" provides a modular instrument for cardiology, orthopaedics, and psychosomatic medicine that enables cross-sectoral and international comparisons. For routine implementation, acceptability among rehabilitants is crucial. The aim of this study was, therefore, to examine acceptability and to identify factors associated with participation in the PROM assessments.PROMs were collected at four time points: upon receipt of the rehabilitation approval (T0), at admission (T1), at discharge (T2), and 6 months after discharge (T3). Response rates were analysed descriptively. The dataset was divided into responders and non-responders at T2 and T3, respectively. Univariate differences between responders and non-responders were assessed using appropriate parametric and non-parametric tests; independent predictors of participation were examined using multivariate logistic regression and odds ratios (ORs).Of the 4,110 rehabilitants invited to participate in the study, 198 (4.8%) participated at T0. Participation at T1 was 599 (100%), at T2 332 (55.4%), and at T3 160 (26.7%). Belonging to the psychosomatic indication group was associated with a lower likelihood of belonging to the T2 responder group (OR=0.55; p<0.01), whereas receiving a pension (OR=3.45; p<0.05) and expecting higher weekly working hours after rehabilitation (OR=1.16; p<0.05) were associated with a higher likelihood. For T3, parenthood (OR=1.70; p<0.05), higher weekly working hours (OR=1.32; p<0.05), and receiving a pension (OR=3.65; p<0.05) were positively associated with participation, whereas improvements in independence (OR=0.95; p<0.05) and working physically (OR=0.87; p<0.05) were negatively associated.Response rates, as an indicator of acceptability, varied depending on the assessment time point. Particularly low response rates were observed among rehabilitants in psychosomatic medicine, those with physically demanding jobs, and those employed full time.
