6. Implementation of PRO assessment in clinical practice
1. Create a shared vision
As a key motivator for change, the first step is to build a shared vision among relevant interest-holders regarding the value and benefit of PROM implementation.
Be aware that not everyone has an understanding of PROMs and their value.
Build personal PROM know-how: solid understanding of PRO assessment and benefits helps you explain clearly and answer questions.
Establish a common understanding of key interest holders regarding concept and possible benefits of PROMs (see Chapter 1 for basic information, Chapter 2 for benefits).
Connect the realities of interest-holders with the potential benefits of PROMs: work together to identify relevant clinical/organizational advantages and develop a clear preliminary understanding of how PROM implementation could work.
Secure early approval of leadership.
Grow the coalition: involve and convince as many interest-holders as possible to increase support and momentum
Prefer face-to-face conversations: allows direct discussion, immediate clarification, and addressing concerns in real time.
Once approved, find one or more coordinators with sufficient time, expertise, and motivation to manage the overall process.
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
