ArticleBMC family practice2014
Patient reported outcome measures (PROMs) in primary care: an observational pilot study of seven generic instruments.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sexual orientation and symptoms of common mental disorder or low wellbeing: combined meta-analysis of 12 UK population health surveys.BMC psychiatry · 2016Pooled it
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- Psychometric qualities of the patient rated Wrist/Hand evaluation (PRWHE) in dutch primary care patients with wrist complaints.BMC primary care · 2022Observational
- Examining utility and feasibility of implementing patient-reported outcome measures in occupational therapy primary care practice.The British journal of occupational therapy · 2022Article
- The use of patient-reported outcome measures in primary care: applications, benefits and challenges.Journal of patient-reported outcomes · 2021Article
- Patient enablement after a consultation with a general practitioner-Explaining variation between countries, practices and patients.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- The validity and reliability of the patient enablement instrument (PEI) after GP appointments in Finnish health care centres.Journal of patient-reported outcomes · 2020Article
- Adverse events reporting in stage III NSCLC trials investigating surgery and radiotherapy.ERJ open research · 2020Article
- PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version).International journal of environmental research and public health · 2019Article
- Connected Health Services: Framework for an Impact Assessment.Journal of medical Internet research · 2019Article
- Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation.BMC health services research · 2019Article
- Use and Effects of Patient Access to Medical Records in General Practice Through a Personal Health Record in the Netherlands: Protocol for a Mixed-Methods Study.JMIR research protocols · 2018Article
- Coping better with health problems after a visit to the family physician: associations with patients and physicians characteristics.BMC family practice · 2018Article
- One question might be capable of replacing the Shoulder Pain and Disability Index (SPADI) when measuring disability: a prospective cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Raising the profile of pilot and feasibility studies in relation to the development, evaluation and implementation of patient-reported outcome measures.Pilot and feasibility studies · 2018Article
- Patient Enablement After a Single Appointment With a GP: Analysis of Finnish QUALICOPC Data.Journal of primary care & community health · 2017Article
- Article
- A novel method for expediting the development of patient-reported outcome measures and an evaluation of its performance via simulation.BMC medical research methodology · 2015Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient reported outcome measures (PROMs) have been introduced in studies to assess healthcare performance. The development of PROMs for primary care poses specific challenges, including a preference for generic measures that can be used across diseases, including early phases or mild conditions. This pilot study aimed to explore the potential usefulness of seven generic measures for assessing health outcomes in primary care patients.
methodsA total of 300 patients in three general practices were invited to participate in the study, shortly after their visit to the general practitioner. Patients received a written questionnaire, containing seven validated instruments, focused on patient empowerment (PAM-13 or EC-17), quality of life (EQ-5D or SF-12), mental health (GHQ-12), enablement (PEI) and perceived treatment effect (GPE). Furthermore, questions on non-specific symptoms and number of GP contacts were included. After 4 weeks patients received a second, identical, questionnaire. Response and missing items, total scores and dispersion, responsiveness, and associations between instruments and other measures were examined.
resultsA total of 124 patients completed the questionnaire at baseline, of whom 98 completed it both at baseline and 4 weeks later (response rate: 32.7%). The instruments had a full completion rate of 80% or higher. Differences between baseline and follow up were significant for the EQ-5D (p=0.026), SF-12 PCS (p=0.026) and the GPE (p=0.006). A strong correlation (r ≥ 0.6) was found between the SF-12 MCS and GHQ-12, at both baseline measurement and after four weeks. Other observed associations between instruments were moderately strong. No strong correlations were found between instruments and non-specific symptoms or number of GP contacts.
conclusionsThe present study is among the first to explore the use of generic patient-reported outcome measures in primary care. It provides several leads for developing a generic PROM questionnaire in primary care as well as for potential limitations of such instruments.
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