PROM-ED: Development and Testing of a Patient-Reported Outcome Measure for Emergency Department Patients Who Are Discharged Home
| Autor: | M. Bianca Seaton, Andreas Laupacis, Dorcas E. Beaton, Michael J. Schull, Denise Linton, Stéphanie Malherbe, Alies Maybee, John D. Cullen, Taucha Inrig, Samuel Vaillancourt, Katie N. Dainty |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Prom Young Adult 03 medical and health sciences 0302 clinical medicine Symptom relief Surveys and Questionnaires medicine Humans Patient Reported Outcome Measures 030212 general & internal medicine Reliability (statistics) Aged Aged 80 and over Measure (data warehouse) business.industry Debriefing Reproducibility of Results Cognition Emergency department Middle Aged Patient Discharge 3. Good health Treatment Outcome Emergency Medicine Physical therapy Female Patient-reported outcome Emergency Service Hospital Factor Analysis Statistical business 030217 neurology & neurosurgery |
| Zdroj: | Annals of Emergency Medicine. 76:219-229 |
| ISSN: | 0196-0644 |
| Popis: | Study objective Common outcomes of care valued by emergency department (ED) patients who are not hospitalized have been characterized, but no measurement instrument has been developed to date. We developed and validated a patient-reported outcome measure for use with adult ED patients who are discharged home (PROM-ED). Methods In previous research, 4 main outcomes of importance to ED patients were defined: symptom relief, understanding, reassurance, and having a plan. We developed a bank of potential questions (phase 1) that were first tested for suitability through cognitive debriefing with patients (phase 2). Revised questions were then tested quantitatively with a large panel of participants who had recently received ED care (phase 3). Informed by these results, a panel of experts used a modified Delphi process to make decisions on item reduction. The resulting instrument (PROM-ED 1.0) was then evaluated for its measurement properties (structural validity, hypothesis testing, and reliability). Results Sixty-seven questions divided among 4 scales (1 for each outcome domain) were assembled. In accordance with cognitive debriefing with 8 patients (phase 2), 15 questions were modified and 13 removed. Testing of these questions with 444 participants (phase 3) identified problematic floor or ceiling effects (n=10), excessive correlations between items (n=11), and low item-total correlations (n=7). The expert panel (22 participants, phase 4) made decisions using this information on the exclusion of items, resulting in 22 questions across 4 scales that together constitute the PROM-ED 1.0. Testing provided good evidence of validity and test-retest reliability (n=200). Conclusion The PROM-ED enables the measurement of patient-centered outcomes of importance to patients receiving care in the ED who are not hospitalized. These data could have important applications in research and care improvement. |
| Databáze: | OpenAIRE |
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