Evidence map›Paper›PMID 30238083›Full record

ArticleJournal of patient-reported outcomes2017

PRO-based follow-up as a means of self-management support - an interpretive description of the patient perspective.

Caroline Trillingsgaard Mejdahl, Liv Marit Valen Schougaard, Niels Henrik Hjollund, Erik Riiskjær, Sally Thorne, Kirsten Lomborg

Abstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Introducing needs-based epilepsy follow-up: Patient satisfaction compared to standard of care follow-up.Epileptic disorders : international epilepsy journal with videotape · 2026
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  6. Instructors' Views on and Experiences withInternational journal of environmental research and public health · 2025
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  15. Perspective of Health Care Professionals and Cancer Survivors on the Usage of Technology in Consultations.International journal of environmental research and public health · 2024
    Article
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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

6 authors.

Caroline Trillingsgaard Mejdahl1Department of Public Health, Aarhus University, Bartholins Allé 2, DK-8000 Aarhus, Denmark.ORCID 0000-0001-7361-6082
Liv Marit Valen Schougaard3WestChronic, Occupational Medicine, University Research Clinic, Aarhus University, Herning, Gl Landevej 61, DK-7400 Herning, Denmark.
Niels Henrik Hjollund3WestChronic, Occupational Medicine, University Research Clinic, Aarhus University, Herning, Gl Landevej 61, DK-7400 Herning, Denmark.
Erik Riiskjær5DEFACTUM, Social & Health Services and Labour Market, Central Denmark Region, Olof Palmes Allé 15, DK-8200 Aarhus, Denmark.
Sally Thorne6University of British Columbia School of Nursing, 2211 Wesbrook Mall, Vancouver, BC V6T 2B5 Canada.
Kirsten Lomborg2The Research Program in Patient Involvement, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK-8200 Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an increasing focus on the use of patient-reported outcome (PRO) measures to improve the quality and effectiveness of health care. PRO-based follow-up is a new model of service delivery, where the patient's PRO measures are used as the very basis for outpatient follow-up.

objectivesThis study aimed to explore how patients with epilepsy experience the use of PRO-based follow-up in three outpatient clinics in the Central Denmark Region. We also sought to explain how these experiences relate to self-management.

methodsInterpretive description was the methodological approach. We conducted in-depth individual interviews with 29 patients referred to PRO-based follow-up, each of whom had completed at least two PRO questionnaires. Participants were sampled based on purposive and theoretical sampling.

resultsPRO-based follow-up may support patients' self-management by a) increasing awareness of psychosocial problems, b) improving communication, c) increasing understanding of symptoms, d) facilitating change in health behavior and e) strengthening autonomy. Inhibitors for PRO measures as a means of self-management support were identified as a) feelings of rejection and disconnection, b) incomprehension of purpose of PRO-based follow-up, c) PRO measures being too standardized and negative and d) lack of confidence in own ability to assess PRO questionnaires.

conclusionThe findings demonstrate broad variation in the influences of PRO measures on patient's self-management in life with epilepsy. Sense of ownership may explain this variation. We suggest supplementary clinical initiatives in order to enhance the benefits from PRO-based follow-up, particularly on how patients are allocated to this health care service.

Identifiers

PMID30238083
PMCPMC6125260

What OpenQuestion holds

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Registered trials

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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.