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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018

A qualitative study of patients' perceptions of the utility of patient-reported outcome measures of symptoms in primary care clinics.

Tasneem L Talib, Paige DeChant, Jacob Kean, Patrick O Monahan, David A Haggstrom, Madison E Stout, Kurt Kroenke

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02383862 (Incorporating PROMIS Symptom Measures Into Primary Care Practice), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02383862 nacompletednot on this map

Incorporating PROMIS Symptom Measures Into Primary Care Practice

TypeinterventionalSponsorIndiana UniversityRan2015 to 2016Enrolled300ConditionsSleep, Pain, Anxiety, DepressionArmsFeedback Group
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Perceived benefits and limitations of using patient-reported outcome measures in clinical practice with individual patients: a systematic review of qualitative studies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  7. Patients' experiences of responding to a Patient-Reported Outcome Measure for palliative care: a mixed method study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  12. Clinicians' perspectives on the integration of electronic patient-reported outcomes into dermatology clinics: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Tasneem L TalibRegenstrief Institute, 1101 West 10th St, RF 224-1, Indianapolis, IN, 46202, USA. tltalib@regenstrief.org.
Paige DeChantRegenstrief Institute, 1101 West 10th St, RF 224-1, Indianapolis, IN, 46202, USA.
Jacob KeanUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Patrick O MonahanDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA.
David A HaggstromRegenstrief Institute, 1101 West 10th St, RF 224-1, Indianapolis, IN, 46202, USA.
Madison E StoutRegenstrief Institute, 1101 West 10th St, RF 224-1, Indianapolis, IN, 46202, USA.
Kurt KroenkeRegenstrief Institute, 1101 West 10th St, RF 224-1, Indianapolis, IN, 46202, USA.
Regenstrief Institute · USIndiana University School of MedicineUniversity of Utah · US

Funding

Patient-Centered Outcomes Research Institute ME-1403-12043RRD VA IK2 RX000879
6 · The paper itself

Abstract

purposeSleep, pain, anxiety, depression, and low energy/fatigue (SPADE pentad) symptoms are common, but often unrecognized and undertreated in primary care. In an effort to improve symptom outcomes, primary care clinics are integrating patient-reported outcome measures (PROs), such as the Patient-Reported Outcome Measurement Information System (PROMIS), into practice. Whether patients with SPADE symptoms perceive these measures as useful is unknown. The purpose of this qualitative study was to explore patients' perceptions of the utility of symptom-based PROs in primary care.

methodsAs part of a mixed-methods study, 23 patients (age 24-77 years) with one or more SPADE symptoms participated in one-on-one interviews about the use, implementation and visual display of PROMIS. All interviews were audio-recorded, transcribed, and analyzed using thematic analysis.

resultsFive themes emerged: (1) PROs may foster communication about symptoms; (2) data from PROs may prompt clinical actions; (3) the visual display of symptom scores could be useful for patients and providers, though modifications may enhance interpretation; (4) implementation may vary according to patients' perception of PRO features (e.g., length); and (5) PROs may be useful, but only to the extent that they are valued, prioritized, and used.

conclusionsAccording to patients, the use of PROs to measure symptoms in primary care clinics has the potential to be useful. However, patients are reluctant to complete PROs if they perceive that clinicians do not use the measures to improve care. Barriers to implementation in primary care (e.g., duration of visit) should be addressed to enhance the utility of PROs. Clinical trial registration ClinicalTrials.gov ID: NCT02383862.

Indexed as

Patient Reported Outcome MeasuresAdultAgedFemaleHumansMaleMiddle AgedPerceptionPrimary Health CareQualitative ResearchQuality of LifeYoung AdultPatient-reported outcome measuresPrimary careQualitativeSymptoms

Identifiers

PMID30109471
OpenAlexW2885057251

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.