Considerations to Support Use of Patient-Reported Outcomes Measurement Information System Pediatric Measures in Ambulatory Clinics - 22/02/21
Abstract |
Objective |
To identify challenges to the use of Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric measures in the ambulatory pediatric setting and possible solutions to these challenges.
Study design |
Eighteen semistructured telephone interviews of health system leaders, measurement implementers, and ambulatory pediatric clinicians were conducted. Five coders used applied thematic analysis to iteratively identify and refine themes in interview data.
Results |
Most interviewees had roles in leadership or the implementation of patient-centered outcomes; 39% were clinicians. Some had experience using PROMIS clinically (44%) and 6% were considering this use. Analyses yielded 6 themes: (1) selection of PROMIS measures, (2) method of administration, (3) use of PROMIS Parent Proxy measures, (4) privacy and confidentiality of PROMIS responses, (5) interpretation of PROMIS scores, and (6) using PROMIS scores clinically. Within the themes, interviewees illuminated specific unique considerations for using PROMIS with children, including care transitions and privacy.
Conclusions |
Real-world challenges continue to hamper PROMIS use. Ongoing efforts to disseminate information about the integration of PROMIS measures in clinical care is critical to impacting the health of children.
Le texte complet de cet article est disponible en PDF.Keywords : patient-reported outcomes, clinical use, implementation, administration, confidentiality, scoring, outpatient, patient-centered care, family-centered care
Abbreviations : CAT, EHR, PRO, PROMIS
Plan
| Supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under the Infrastructure and Opportunities Award (U19 AR069519 [to E.C. (PI)]). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The study sponsor had no role in the study's design, data collection, analysis or interpretation, nor writing or deciding to submit this manuscript for publication. The authors declare no conflicts of interest. |
Vol 230
P. 198 - mars 2021 Retour au numéro
Article précédent
- Adverse Childhood Experiences and School Readiness Among Preschool-Aged Children
- Dylan B. Jackson, Alexander Testa, Michael G. Vaughn
- Linking Parent Confidence and Hospitalization through Mobile Health: A Multisite Pilot Study
- Ryan J. Coller, Carlos F. Lerner, Jay G. Berry, Thomas S. Klitzner, Carolyn Allshouse, Gemma Warner, Carrie L. Nacht, Lindsey R. Thompson, Jens Eickhoff, Mary L. Ehlenbach, Andrea J. Bonilla, Melanie Venegas, Brigid M. Garrity, Elizabeth Casto, Terah Bowe, Paul J. Chung
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?