ArticleBMJ open2014
Functionality and feedback: a protocol for a realist synthesis of the collation, interpretation and utilisation of PROMs data to improve patient care.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- A systematic review of randomised controlled trials evaluating the use of patient-reported outcome measures (PROMs).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Patient-reported outcome use in oncology: a systematic review of the impact on patient-clinician communication.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Pooled it
- Implementing Patient-Reported Outcomes to Improve the Quality of Care for Weight of Patients with Schizophrenia.The journal of behavioral health services & research · 2019Trial
- Trial
- Neurosurgical nurses' perspectives of patient-reported outcomes: a qualitative study.BMC nursing · 2025Article
- Perspectives of Patients and Professionals on Implementing a Computer Adaptive Vision-Related Quality of Life Outcome (CAT-EyeQ) in Clinical Practice.Translational vision science & technology · 2024Article
- Supporting stroke survivors to meet their personal rehabilitation needs in community-based arm rehabilitation: development of initial programme theories to explore what may work for whom, how and under what circumstances.Frontiers in neurology · 2023Article
- Optimizing Computer Adaptive Test Performance: A Hybrid Simulation Study to Customize the Administration Rules of the CAT-EyeQ in Macular Edema Patients.Translational vision science & technology · 2022Article
- Using co-production to implement patient reported outcome measures in third sector organisations: a mixed methods study.Journal of patient-reported outcomes · 2022Article
- The in-practice prevention programme: an example of flexible commissioning from Yorkshire and the Humber.British dental journal · 2022Article
- Realist Review of Care Models That Include Primary Care for Adult Childhood Cancer Survivors.JNCI cancer spectrum · 2022Review
- Article
- The uptake and use of a minimum data set (MDS) for older people living and dying in care homes: a realist review.BMC geriatrics · 2022Article
- Barriers and Facilitators to the International Implementation of Standardized Outcome Measures in Clinical Cleft Practice.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022Article
- Implementation of thyroid-related patient-reported outcomes in routine clinical practice.Frontiers in endocrinology · 2022Review
- Using feedback tools to enhance the quality and experience of care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol.Systematic reviews · 2021Article
- Uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England: a realist review protocol.BMJ open · 2020Article
- User experiences on implementation of patient reported outcome measures (PROMs)in a Haematological outpatient clinic.Journal of patient-reported outcomes · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
introductionThe feedback and public reporting of PROMs data aims to improve the quality of care provided to patients. Existing systematic reviews have found it difficult to draw overall conclusions about the effectiveness of PROMs feedback. We aim to execute a realist synthesis of the evidence to understand by what means and in what circumstances the feedback of PROMs data leads to the intended service improvements. METHODS AND ANALYSIS: Realist synthesis involves (stage 1) identifying the ideas, assumptions or 'programme theories' which explain how PROMs feedback is supposed to work and in what circumstances and then (stage 2) reviewing the evidence to determine the extent to which these expectations are met in practice. For stage 1, six provisional 'functions' of PROMs feedback have been identified to structure our review (screening, monitoring, patient involvement, demand management, quality improvement and patient choice). For each function, we will identify the different programme theories that underlie these different goals and develop a logical map of the respective implementation processes. In stage 2, we will identify studies that will provide empirical tests of each component of the programme theories to evaluate the circumstances in which the potential obstacles can be overcome and whether and how the unintended consequences of PROMs feedback arise. We will synthesise this evidence to (1) identify the implementation processes which support or constrain the successful collation, interpretation and utilisation of PROMs data; (2) identify the implementation processes through which the unintended consequences of PROMs data arise and those where they can be avoided. ETHICS AND DISSEMINATION: The study will not require NHS ethics approval. We have secured ethical approval for the study from the University of Leeds (LTSSP-019). We will disseminate the findings of the review through a briefing paper and dissemination event for National Health Service stakeholders, conferences and peer reviewed publications.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.