Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings.
Using an implementation science approach to implement and evaluate patient-reported outcome measures (PROM) initiatives in routine care settings.
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DOI：
10.1007/s11136-020-02564-9
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
ISOQOL PROMs/PREMs in Clinical Practice Implementation Science Work Group
中科院分区：
文献类型：
--
作者：
Stover AM;Haverman L;van Oers HA;Greenhalgh J;Potter CM;ISOQOL PROMs/PREMs in Clinical Practice Implementation Science Work Group
Patient-reported outcome and experience measures (PROMs/PREMs) are well established in research for many health conditions, but barriers persist for implementing them in routine care. Implementation science (IS) offers a potential way forward, but its application has been limited for PROMs/PREMs. We compare similarities and differences for widely used IS frameworks and their applicability for implementing PROMs/PREMs through case studies. Three case studies implemented PROMs: (1) pain clinics in Canada; (2) oncology clinics in Australia; and (3) pediatric/adult clinics for chronic conditions in the Netherlands. The fourth case study is planning PREMs implementation in Canadian primary care clinics. We compare case studies on barriers, enablers, implementation strategies, and evaluation. Case studies used IS frameworks to systematize barriers, to develop implementation strategies for clinics, and to evaluate implementation effectiveness. Across case studies, consistent PROM/PREM implementation barriers were technology, uncertainty about how or why to use PROMs/PREMs, and competing demands from established clinical workflows. Enabling factors in clinics were context specific. Implementation support strategies changed during pre-implementation, implementation, and post-implementation stages. Evaluation approaches were inconsistent across case studies, and thus, we present example evaluation metrics specific to PROMs/PREMs. Multilevel IS frameworks are necessary for PROM/PREM implementation given the complexity. In cross-study comparisons, barriers to PROM/PREM implementation were consistent across patient populations and care settings, but enablers were context specific, suggesting the need for tailored implementation strategies based on clinic resources. Theoretically guided studies are needed to clarify how, why, and in what circumstances IS principles lead to successful PROM/PREM integration and sustainability. The online version of this article (10.1007/s11136-020-02564-9) contains supplementary material, which is available to users.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.2
作者：
Harvey, Gill;Kitson, Alison
通讯作者：
Kitson, Alison
影响因子：
2.3
作者：
Borrelli B
通讯作者：
Borrelli B
影响因子：
5.2
作者：
Fernandez, Maria E.;ten Hoor, Gill A.;Kok, Gerjo
通讯作者：
Kok, Gerjo