Related Experiment Video
Updated: Apr 23, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Integrating key interest-holder perspectives on the use of patient-reported experience measures for medications: a
Jacob Crawshaw1, Rasha El-Kotob1, Lauren Cadel2
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Background:
Integrating patient-reported experience measures (PREMs) into medication management could strengthen patient-centred care. However, few tools capture patients' experiences with medications (PREM-Rx) in primary care, including community pharmacy. This study examined factors impacting the implementation of PREM-Rx from key interest-holders' perspectives.
Methods:
We conducted a three-phase sequential mixed methods study in Ontario, Canada. Phase 1 involved semi-structured interviews with key interest-holders, including persons with lived experience (PWLE) of medication use (n = 21), medication prescribers (n = 20), and health system decision-makers (n = 9). Phase 2 comprised a cross-sectional survey of PWLE (n = 197) and prescribers/decision-makers (n = 200). In Phase 3, we used a triangulation protocol to integrate qualitative and quantitative findings using the Theoretical Domains Framework (TDF).
Results:
Integration identified convergence across seven TDF domains: Knowledge, Skills, Beliefs about capabilities, Beliefs about consequences, Behavioural regulation, Goals, and Environmental context and resources, with additional alignment in PREM-Rx delivery preferences. Key interest-holders agreed that PREM-Rx could promote safer medication use, but identified gaps in awareness, confidence, and system-level supports. PWLE prioritized shared decision-making and medication safety during conversations about medications, while prescribers emphasized potential workflow and resource constraints of implementing PREM-Rx without additional supports alongside. Delivery preferences of PREM-Rx included short completion time, accessible formats, and flexible delivery, with most PWLE preferring primary care and most prescribers favoring community pharmacy.
Conclusions:
PREM-Rx are promising tools for eliciting medication-related experiences in routine care. Implementation efforts should focus on building user confidence, integrating PREM-Rx into existing workflows, and tailoring delivery to patient and prescribers needs to inform targeted implementation strategies.
Related Concept Videos
Guidelines for Writing Outcome
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...
Patient-centered Care
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions
Drug Dosing: Geriatric Patients
Measurement of Bioavailability: Pharmacodynamic Methods
Methods of Documentation II: POMR

