PMID- 27033783
OWN - NLM
STAT- MEDLINE
DCOM- 20171010
LR  - 20171010
IS  - 1873-1465 (Electronic)
IS  - 0031-9406 (Linking)
VI  - 103
IP  - 1
DP  - 2017 Mar
TI  - Patient reported outcome measures (PROMs) for goalsetting and outcome measurement 
      in primary care physiotherapy, an explorative field study.
PG  - 66-72
LID - S0031-9406(16)00003-1 [pii]
LID - 10.1016/j.physio.2016.01.001 [doi]
AB  - OBJECTIVES: Routine use of patient reported outcome measures (PROMs) may provide 
      an effective way of monitoring patient valued outcomes. In this study we explored 
      (1) the current use of PROMs; (2) to what extent the goals correspond with the 
      selected PROMs; (3) the health outcomes based on PROMs. DESIGN: Observational 
      clinical cohort study. SETTING: Dutch primary care physiotherapy practices 
      (n=43). PARTICIPANTS: Patients (n=299) with neck pain or low back pain. MAIN 
      OUTCOME MEASURES: The number of PROMs used per patient were calculated. The 
      International Classification of Functioning, Disability and Health was used to 
      map the patients' goals and the percentages of PROMS selected that match the 
      domains of the goals were calculated. Health outcomes were assessed using two 
      approaches for estimating the minimal clinically important difference (MCID). 
      RESULTS: Repeated measurements with the Visual Analogue Scale, the Patient 
      Specific Complaints questionnaire, the Quebec Back Pain Disability Scale, or the 
      Neck Disability Index were completed by more than 60% of the patients. The PROMs 
      used matched in 46% of the cases with goals for pain improvement, and in 43% with 
      goals set at activity/participation level. The mean differences between baseline 
      and follow up scores for all PROMs were statistically significant. Improvements 
      of patients based on MCID varied from 57% to 90%. CONCLUSIONS: PROMs were used in 
      the majority of the patients, showed improved health outcomes and fitted 
      moderately with goals. The results of this study can be used for future research 
      assessing the routine use of outcome measurements with PROMs.
CI  - Copyright (c) 2016 Chartered Society of Physiotherapy. Published by Elsevier Ltd. 
      All rights reserved.
FAU - van Dulmen, Simone A
AU  - van Dulmen SA
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, IQ 
      healthcare, Nijmegen, The Netherlands. Electronic address: 
      simone.vandulmen@radboudumc.nl.
FAU - van der Wees, Philip J
AU  - van der Wees PJ
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, IQ 
      healthcare, Nijmegen, The Netherlands.
FAU - Bart Staal, J
AU  - Bart Staal J
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, IQ 
      healthcare, Nijmegen, The Netherlands; School for Physical Therapy, University of 
      Applied Sciences Nijmegen, The Netherlands.
FAU - Braspenning, J C C
AU  - Braspenning JC
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, IQ 
      healthcare, Nijmegen, The Netherlands.
FAU - Nijhuis-van der Sanden, Maria W G
AU  - Nijhuis-van der Sanden MW
AD  - Radboud University Medical Center, Radboud Institute for Health Sciences, IQ 
      healthcare, Nijmegen, The Netherlands.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20160108
PL  - England
TA  - Physiotherapy
JT  - Physiotherapy
JID - 0401223
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Low Back Pain/*rehabilitation
MH  - Male
MH  - Middle Aged
MH  - Neck Pain/*rehabilitation
MH  - Netherlands
MH  - Pain Measurement
MH  - *Patient Care Planning
MH  - *Patient Reported Outcome Measures
MH  - *Physical Therapy Modalities
MH  - *Primary Health Care
MH  - Quality of Life
OTO - NOTNLM
OT  - Goalsetting
OT  - International classification of functioning (ICF)
OT  - Outcome measurement
OT  - Patient reported outcome measures, PROMs
OT  - Physiotherapy
EDAT- 2016/04/02 06:00
MHDA- 2017/10/11 06:00
CRDT- 2016/04/02 06:00
PHST- 2015/03/16 00:00 [received]
PHST- 2016/01/05 00:00 [accepted]
PHST- 2016/04/02 06:00 [pubmed]
PHST- 2017/10/11 06:00 [medline]
PHST- 2016/04/02 06:00 [entrez]
AID - S0031-9406(16)00003-1 [pii]
AID - 10.1016/j.physio.2016.01.001 [doi]
PST - ppublish
SO  - Physiotherapy. 2017 Mar;103(1):66-72. doi: 10.1016/j.physio.2016.01.001. Epub 
      2016 Jan 8.