Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study

<strong>Objective</strong>: This pilot qualitative study explores consumers' and clinicians' perspectives about the relevance and utility of patient reported outcome measures (PROMs) in an Australian inpatient rehabilitation unit. <strong>Methods</strong>: Two focus...

Full description

Saved in:
Bibliographic Details
Main Authors: Rehana Di Rico, Louisa Ng, Jacquelin Capell
Format: Article
Language:English
Published: The Beryl Institute 2024-11-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol11/iss3/5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841554086387777536
author Rehana Di Rico
Louisa Ng
Jacquelin Capell
author_facet Rehana Di Rico
Louisa Ng
Jacquelin Capell
author_sort Rehana Di Rico
collection DOAJ
description <strong>Objective</strong>: This pilot qualitative study explores consumers' and clinicians' perspectives about the relevance and utility of patient reported outcome measures (PROMs) in an Australian inpatient rehabilitation unit. <strong>Methods</strong>: Two focus groups, were recruited via convenience sampling, comprising English speaking rehabilitation clinicians (n = 5) and consumers (n = 6) who had recent experience of inpatient musculoskeletal rehabilitation in a large, privately funded, rehabilitation hospital in Melbourne Australia, in 2020. The focus groups were conducted via videoconference, moderated by two experienced rehabilitation clinician-researchers, following semi-structured interview guides. Focus group recordings were professionally transcribed for coding and thematic analysis by two researchers, with consensus reached about final themes. <strong>Results</strong>: Rehabilitation clinicians and consumers identified potential utility in measuring PROs at the patient level to improve patient-centred care and team coordination, and at the system level through quality improvement, benchmarking and research. Benefits were viewed as contingent on a clearly articulated rationale for measurement, careful selection of PRO instruments and specific application in target populations, with doubts expressed over their specific utility in musculoskeletal rehabilitation. Risks associated with PROMs were also identified, including procedural burden, emotional distress, psychological safety, incomplete forms and opportunity-cost. Clinicians and consumers expressed concern over the validity, reliability and representativeness of PROM data. <strong>Conclusions</strong>: While the potential benefits of PROMs were recognised, numerous risks and logistical challenges were also identified. The current lack of confidence from both clinicians and consumers in the inherent value of PROM data and its ability to improve patient care or quality standards will likely impede successful incorporation into routine rehabilitation care.
format Article
id doaj-art-1ae49db5b71a4f7e878ff0678acf5ba0
institution Kabale University
issn 2372-0247
language English
publishDate 2024-11-01
publisher The Beryl Institute
record_format Article
series Patient Experience Journal
spelling doaj-art-1ae49db5b71a4f7e878ff0678acf5ba02025-01-08T20:21:43ZengThe Beryl InstitutePatient Experience Journal2372-02472024-11-0111310.35680/2372-0247.1851Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot StudyRehana Di RicoLouisa NgJacquelin Capell<strong>Objective</strong>: This pilot qualitative study explores consumers' and clinicians' perspectives about the relevance and utility of patient reported outcome measures (PROMs) in an Australian inpatient rehabilitation unit. <strong>Methods</strong>: Two focus groups, were recruited via convenience sampling, comprising English speaking rehabilitation clinicians (n = 5) and consumers (n = 6) who had recent experience of inpatient musculoskeletal rehabilitation in a large, privately funded, rehabilitation hospital in Melbourne Australia, in 2020. The focus groups were conducted via videoconference, moderated by two experienced rehabilitation clinician-researchers, following semi-structured interview guides. Focus group recordings were professionally transcribed for coding and thematic analysis by two researchers, with consensus reached about final themes. <strong>Results</strong>: Rehabilitation clinicians and consumers identified potential utility in measuring PROs at the patient level to improve patient-centred care and team coordination, and at the system level through quality improvement, benchmarking and research. Benefits were viewed as contingent on a clearly articulated rationale for measurement, careful selection of PRO instruments and specific application in target populations, with doubts expressed over their specific utility in musculoskeletal rehabilitation. Risks associated with PROMs were also identified, including procedural burden, emotional distress, psychological safety, incomplete forms and opportunity-cost. Clinicians and consumers expressed concern over the validity, reliability and representativeness of PROM data. <strong>Conclusions</strong>: While the potential benefits of PROMs were recognised, numerous risks and logistical challenges were also identified. The current lack of confidence from both clinicians and consumers in the inherent value of PROM data and its ability to improve patient care or quality standards will likely impede successful incorporation into routine rehabilitation care.https://pxjournal.org/journal/vol11/iss3/5perceptionspatient reported outcomespatient reported outcome measurespatient-centred carepatient engagementcommunicationrehabilitationinpatientqualitative studyaustralia
spellingShingle Rehana Di Rico
Louisa Ng
Jacquelin Capell
Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
Patient Experience Journal
perceptions
patient reported outcomes
patient reported outcome measures
patient-centred care
patient engagement
communication
rehabilitation
inpatient
qualitative study
australia
title Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
title_full Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
title_fullStr Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
title_full_unstemmed Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
title_short Exploring Consumer and Clinician Attitudes towards Patient Reported Outcome Measures (PROMs) in an Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study
title_sort exploring consumer and clinician attitudes towards patient reported outcome measures proms in an australian inpatient musculoskeletal rehabilitation unit a qualitative pilot study
topic perceptions
patient reported outcomes
patient reported outcome measures
patient-centred care
patient engagement
communication
rehabilitation
inpatient
qualitative study
australia
url https://pxjournal.org/journal/vol11/iss3/5
work_keys_str_mv AT rehanadirico exploringconsumerandclinicianattitudestowardspatientreportedoutcomemeasurespromsinanaustralianinpatientmusculoskeletalrehabilitationunitaqualitativepilotstudy
AT louisang exploringconsumerandclinicianattitudestowardspatientreportedoutcomemeasurespromsinanaustralianinpatientmusculoskeletalrehabilitationunitaqualitativepilotstudy
AT jacquelincapell exploringconsumerandclinicianattitudestowardspatientreportedoutcomemeasurespromsinanaustralianinpatientmusculoskeletalrehabilitationunitaqualitativepilotstudy