Implementation of PRO assessment in clinical practice
3. Check setting-specific conditions
After goals and scope are set, analyse the local setting in detail to identify contextual factors that will potentially support or hinder PROM use.
- Patient-related factors: e.g. group-specific needs, ability/burden to complete PROMs
- HCP-related factors: e.g. knowledge, attitudes, readiness to use PROMs/PRO data, familarity with different assessment modes
- Current practice: e.g. documentation gaps, existing workflows that could embed PRO data collection, view and discussion
- Spatial aspects: e.g. locations where PRO data can be collected and/or viewed/discussed
- Resources: avaliable vs additional investments (e.g. staff time, funding, equipment) to enable/support PRO assessment
- Organisational context: policies, guidelines, legal requirements (e.g. privacy, data protection)
Hallo
The depth of this assessment depends on available resources. At minimum, conduct face-to-face or group discussions with interest-holders who know the setting well (e.g., HCPs).
- (protocolled) participant observation to analyse clinical workflows
- analysis of clinical documentation to identify assessment and documentation gaps
- anonymous survey (e.g. of staff) e.g. to minimise socially desireble response behavior
- structured interviews/discussions (e.g. with decision makers, HCPs → face to face or in groups) e.g. to enable in-depth assessment and consensus building
Antunes, Harding, Higginson, & EUROIMPACT, 2014; E. Basch et al., 2012; Ethan Basch, Rogak, & Dueck, 2016; Nordhausen et al., 2022; Skivington et al., 2021; Snyder et al., 2012; Wintner et al., 2016; ISOQOL, 2015