Clinical trial NCT06078137: Impact of an Enhanced Patient Reported Outcome Measurement (PROM) Strategy on PROM Completion Rates
Official title: Impact of an Enhanced Patient Reported Outcome Measurement (PROM) Strategy on PROM Completion Rates, Decision Support, and Patient Experience: A Hybrid Effectiveness-Implementation Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: PROM
Lead sponsor: University of Texas at Austin
Sponsor class: OTHER
First posted: 2023-10-11
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Maximum age (years): 89
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: BASIC_SCIENCE

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

All new patients English and Spanish speakers

Exclusion criteria:

Cognitive deficiency precluding PROM completion Language other than English or Spanish

Primary outcomes:
measure: Completion of 3-survey patient-reported outcome measure at 6-week follow-up via Text
timeFrame: through study completion, an average of 6 weeks
measure: Completion of answered text
timeFrame: through study completion, an average of 6 weeks
measure: Completion of deprioritization options 1 or 2 at 6-week follow-up via text or email
timeFrame: through study completion, an average of 6 weeks
measure: Jefferson Scale of Patient's Perceptions of Physician Empathy
timeFrame: through study completion, an average of 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Austin
country: United States
facility: University of Texas Health Austin
state: Texas
Study officials:
affiliation: Professor of orthopedic surgery at The university of Texas at Austin
name: David Ring, MD
role: PRINCIPAL_INVESTIGATOR
References: