ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019
Interpretation and use of patient-reported outcome measures through a philosophical lens.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The argument-based approach to validity: theory, assumptions, evidence, and consequences.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Response shifting: a qualitative meta-synthesis on response shift.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Review
- "Numbers call for action, personalized narratives provide support and recognition": a qualitative assessment of cancer patients' perspectives on patient-reported outcome measures (PROMs) feedback with narratives.Journal of cancer survivorship : research and practice · 2026Article
- Article
- Distinct Constructs Underlie Patient-Reported and Performance-Rated Outcomes after Stroke.Annals of neurology · 2025Article
- Commentary: Without Values, Complexity is Reduced to Mathematics.Journal of evaluation in clinical practice · 2025Article
- Time is now to consider how we evaluate person-centred care-the role of patient-reported outcomes.Frontiers in health services · 2025Article
- A codevelopment process to advance methods for the use of patient-reported outcome measures and patient-reported experience measures with people who are homeless and experience chronic illness.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- A philosophical perspective on the development and application of patient-reported outcomes measures (PROMs).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Response shift in results of patient-reported outcome measures: a commentary to The Response Shift-in Sync Working Group initiative.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- 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
- Validity arguments for patient-reported outcomes: justifying the intended interpretation and use of data.Journal of patient-reported outcomes · 2021Article
- Review
- Translation method is validity evidence for construct equivalence: analysis of secondary data routinely collected during translations of the Health Literacy Questionnaire (HLQ).BMC medical research methodology · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAs patient-reported outcome measures (PROMs) increasingly become key outcome indicators in health care, there has been growing concern about the potential negative consequences that could result when interpretations are being made to inform clinical and policy decisions. Therefore, we explored theoretical issues, assumptions, and consequences of using PROMs from a philosophical point of view.
methodsOur analysis of the literature was informed by Gadamerian hermeneutics, which emphasizes the dialectical processes that occur during interpretation, to provide insights as to how different users interpret and use standardized questions about health and quality of life.
resultsWe structured our consideration according to three tenets of using PROMs: (1) the use of PROMs involves the interpretation of contextual elements; (2) interpretation of PROMs is an ongoing dialectical interaction; and (3) the use of PROMs involves openness and reflexivity. These findings suggest that hermeneutics provides a useful approach to examining the complexities of measuring patient-reported outcomes by attending to the perspectives of different users (e.g., patients, clinicians, administrators, and policy-makers) at the micro-, meso-, and macro-levels and the broader socio-historical and economic situation.
conclusionBecause PROMs can have different meanings and are used for different purposes, we propose that hermeneutics be used as a lens to ask reflexive questions about the problems of measurement and open a pluralistic dialogue with respect to the way we use PROMs and the interpretations we make of the findings that derive from our studies.
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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.