Impact of an Enhanced Patient Reported Outcome Measurement (PROM) Strategy on PROM Completion Rates

Study Overview
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Brief Summary
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in clinical practice has been curbed by issues related to the variability in use of these tools for decision-making, and universally poor completion rates over time. Patients may not see the relevance of responding to questions about their health, and the results may not be reviewed by the clinician or presented and visualized with the patient. The questions may seem impersonal (e.g. too general and not directly assessing their individual goals, motivations, aspirations), irrelevant (e.g., asking about symptoms of depression when a person is seeking musculoskeletal specialty care) and insensitive (e.g., asking about sensitive subjects at the outset thereby disengaging the individual), and redundant or awkward (e.g., presenting questions that seem very similar or administered in strange orders). Finally, PROMs may also confer some burden (e.g., long PROM questionnaires often used for research may be unnecessarily burdensome for patient care), and provide logistical challenges (e.g., difficulties in administering the tools at the right time points), adding to a poor patient experience.

Detailed Description
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The investigator sought to assess the impact of an enhanced and more personalized PROM strategy to overcome these barriers by providing i) a primer ahead of PROMs administration, ii) simple 3-part survey capturing capability, comfort, and calm, iii) a short distress and misconception survey, iv) goal setting question, v) summary sheet of PRO scores, and vi) a commitment intervention. Patients will subsequently be requested to complete the CollaboRATE survey, JSPPE survey, and questions about their experience in relation to the new format of surveys (only if they were in the intervention group) before receiving a text message reminder around 6-weeks followed by a set of deprioritization questions and the 3-part capability, comfort, and calm survey.

Official Title
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Impact of an Enhanced Patient Reported Outcome Measurement (PROM) Strategy on PROM Completion Rates, Decision Support, and Patient Experience: A Hybrid Effectiveness-Implementation Study

Conditions
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PROM

Intervention / Treatment
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* Other: Usual PROMs and new PROMs strategy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All new patients English and Spanish speakers Exclusion criteria: Cognitive deficiency precluding PROM completion Language other than English or Spanish

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 89 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Patients randomized to intervention receive both usual Patient reported outcome measure (PROM) and new PROMs strategy (on the technology platform for English speakers and on REDCap/Qualtrix for Spanish Speakers) done after rooming. | Other: Usual PROMs and new PROMs strategy<br>* Patients randomized to intervention receive both usual PROMs and new PROMs strategy<br>|
| No Intervention: Control group<br>Patients go through the registration process which includes PROMs completion using Ipads. Enrolled in the room at the end of the visit. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of 3-survey patient-reported outcome measure at 6-week follow-up via Text | We will assess the completion of 3-survey patient-reported outcome measure at 6-week follow-up via Text. | through study completion, an average of 6 weeks | 
| Completion of answered text | We will assess the completion response rate. | through study completion, an average of 6 weeks | 
| Completion of deprioritization options 1 or 2 at 6-week follow-up via text or email | 1 = I got what I needed 2 = I didn't receive anything useful 3 = I'm still receiving care | through study completion, an average of 6 weeks | 
| Jefferson Scale of Patient's Perceptions of Physician Empathy | The Jefferson Scale of Patient's Perceptions of Physician Empathy includes five 7-point scale questions and higher scores indicated greater perceived clinician empathy. | through study completion, an average of 6 weeks |