Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings

• DOI: 10.1007/s11136-020-02564-9
• Publication Date: 2020-07-10T15:03:51Z
• Authors: Angela M. Stover; Lotte Haverman; Hedy A. van Oers; Joanne Greenhalgh; Caroline M. Potter; ; Sara Ahmed; Joanne Greenhalgh; Elizabeth Gibbons; Lotte Haverman; Kimberly Manalili; Caroline Potter; Natasha Roberts; Maria Santana; Angela M. Stover; Hedy van Oers
• Keywords: Prom; Patient-reported outcome; Implementation research

Patient-reported outcome and experience measures (PROMs/PREMs) are well established in research for many health conditions, but barriers persist implementing them routine care. Implementation science (IS) offers a potential way forward, its application has been limited PROMs/PREMs.We compare similarities differences widely used IS frameworks their applicability PROMs/PREMs through case studies. Three studies implemented PROMs: (1) pain clinics Canada; (2) oncology Australia; (3) pediatric/adult chronic conditions the Netherlands. The fourth study is planning PREMs implementation Canadian primary care clinics. We on barriers, enablers, strategies, evaluation.Case to systematize develop strategies clinics, evaluate effectiveness. Across studies, consistent PROM/PREM were technology, uncertainty about how or why use PROMs/PREMs, competing demands from clinical workflows. Enabling factors context specific. support changed during pre-implementation, implementation, post-implementation stages. Evaluation approaches inconsistent across thus, we present example evaluation metrics specific PROMs/PREMs.Multilevel necessary given complexity. In cross-study comparisons, patient populations settings, enablers specific, suggesting need tailored based clinic resources. Theoretically guided needed clarify how, why, what circumstances principles lead successful integration sustainability.