Contextualisation of PRO data (2): Video example

After greeting Louis, his physician

• asks generally about his overall well-being and uses the response to transition to the PRO assessment
• acknowledges completion of the PRO assessment and explains the value of the results
• mentions domains without reported burden to confirm them and offer encouragement
• mentiones reported burden in some domains without specifying and invites his patient to prioritize the most important issue(s) for further discussion

Nausea: For the symptom Louis prioritised as most important, his physician asks detailed questions about

• how it feels
• possible causes/triggers
• self-management strategies already tried

He listens attentively (eye contact), confirms understanding (repeated nodding, "yes", "okay"), gives appropriate feedback (e.g. on eating most preferred food), and suggests further self-management and clinical interventions.

Fatigue: For the other symptom Louis prioritised as most important, his physician

• introduces the new topic after finishing the previous one
• ensures shared understanding by paraphrasing Louis’ explanation
• empathises the challenge but importance of his suggested self-management intervention (physical activity)

Sleep disturbances/emotional burden: In addition to Louis’ prioritized symptoms, his physician addresses other burdensome symptoms highlighted in the PRO data. He

• normalizes them in the context of Louis’ current disease and treatment stage
• offers encouragement by highlighting the prospect of improvement
• links reported symptoms to each other (sleep disturbance with emotional burden)
• explains why a suggested intervention may benefit not only Louis himself

Louis' physician closes the consultation after

• asking about any additional important issues not covered in the PROMs
• reassuring him of ongoing support
• clarifying that Louis can reach out if further questions or problems arise
• summarising the clinical interventions to be initiated