Patient-Identified Barriers and Facilitators to Pre-Visit Patient-Reported Outcomes Measures Completion in Patients With Hip and Knee Pain
| Autor: | Tiffany C. Liu, Karl M. Koenig, Eric Schryver, Kevin J. Bozic, Chelsi West Ohueri |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Knee arthritis medicine.medical_specialty medicine.medical_treatment Decision Making Pain Pilot Projects Prom Medicare Osteoarthritis Hip Arthroplasty 03 medical and health sciences 0302 clinical medicine Physicians Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine In patient Patient Reported Outcome Measures 030212 general & internal medicine Aged Aged 80 and over 030222 orthopedics Insurance Health Forgetting business.industry Data Collection Patient Preference Middle Aged Osteoarthritis Knee medicine.disease United States Preference Knee pain Family medicine Female Patient Participation Thematic analysis medicine.symptom business |
| Zdroj: | The Journal of Arthroplasty. 33:643-649.e1 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2017.10.022 |
| Popis: | Background Although patient-reported outcomes measures (PROMs) provide valuable health information and aid medical decision making for patients with hip and knee arthritis, survey completion rates remain low. The purpose of this study is to elucidate patient preferences regarding location of completion, delivery method, and barriers or facilitators to pre-visit completion. Methods Patients with hip and/or knee pain who were asked to complete pre-visit PROMs at 2 urban arthroplasty clinics were recruited. In-person, semi-structured, audio-recorded interviews were conducted, transcribed, and coded for thematic analysis. Codes were developed using a data-driven approach. Results We analyzed 51 interviews. The mean age was 57 years, 57% were women, and 45% had private or Medicare insurance. Prevalent themes regarding location preferences were convenience and communication preferences. Thirty-four patients stated a preference for completing pre-visit PROMs at home, 19 for in-office completion, and 10 stated no preference. Prevalent themes around delivery methods included technology access and familiarity. Of the 43 patients asked to select their preferred pre-visit PROM delivery method (phone call, email, text message, or postal mail), 31 (72%) preferred email or text messaging. Barriers to completing pre-visit PROMs were technological issues, recognizing the message was healthcare-related, and being too busy or forgetting. Twenty patients identified no barriers. Conclusion Electronic PROM collection is favored by many patients, but alternative methods for patients without access to or familiarity with technology remain important. Clear recognition that the message is from a physician's office and physician communication of the utility of PROMs in clinical decision making may increase pre-visit completion. |
| Databáze: | OpenAIRE |
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