Evidence map›Paper›PMID 35292028›Full record

ArticleBMC health services research2022

Implementability of collecting patient-reported outcome data in stroke unit care - a qualitative study.

Lisa Lebherz, Elisa Fraune, Götz Thomalla, Marc Frese, Hannes Appelbohm, David Leander Rimmele, Martin Härter, Levente Kriston

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03795948 (Outcome Evaluation by Patient Reported Outcome Measures), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03795948 nacompletednot on this map

Outcome Evaluation by Patient Reported Outcome Measures (PROMs) in Stroke Clinical Practice - EPOS

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2017 to 2019Enrolled975ConditionsStrokeArmsPROMs
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

8 authors.

Lisa LebherzDepartment of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. l.lebherz@uke.de.
Elisa FrauneDepartment of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Götz ThomallaDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Marc FreseOffice for Quality Management and Clinical Process Management, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Hannes AppelbohmDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
David Leander RimmeleDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Martin Härter *Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Levente Kriston *Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcome measures (PROMs) assess patient-relevant effects of medical treatments. We aimed to evaluate the implementation of the International Consortium for Health Outcomes Measurement Standard Set for Stroke (ICHOM-SSS) into routine inpatient care of a stroke unit.

methodsThe ICHOM-SSS was administered in a certified stroke unit during and after inpatient care. Semi-structured interviews with medical staff (n = 5) and patients or their proxies (n = 19) about their experience were audio-recorded and analysed using thematic analyses. Implementation outcomes were chosen in advance and adhered to current standards of implementation science.

resultsPatients perceived the ICHOM-SSS to be relevant and feasible. They reported limited understanding of why the assessment was introduced. The overall acceptance of using PROMs was high. While medical staff, too, perceived the assessment to be appropriate and relevant, their appraisal of feasibility, sustainability, and their acceptance of the implementation were low.

conclusionsFor a sustainable implementation of PROMs in clinical practice, IT resources need to be adapted, medical care needs to be reorganized, and additional clinical resources are required. Future research should investigate benefits of the ICHOM-SSS and a simpler, automated implementation in stroke care.

trial registrationClinicalTrials.gov Identifier: NCT03795948 , retrospectively registered on 8 January 2019.

Indexed as

Patient Reported Outcome MeasuresStrokeHospitalizationHumansQualitative ResearchFeasibilityImplementationPatient-reported outcome measuresQualitative methodsStroke

Identifiers

PMID35292028
PMCPMC8925160

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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.