Table 1

Studies investigating the views of professionals (n=16)

ReferenceLocation, setting and focusStudy designParticipantsPROMs feedbackStudy aims
Bendtsen et al46Sweden, hospital setting, COPDFocus groups (n=2)Physicians (n=9)Patients completed SF-36 on a touch screen computer and feedback was provided during the consultation‘To examine the thoughts and attitudes among physicians concerning the value of an HRQoL measurement in addition to the traditional clinical and laboratory data used’
Callaly et al8Australia, public mental health serviceFocus groups (n=13) and interviews (n=7)Nurses (n=64), allied health professionals (n=12) and medical staff (n=7)Patients completed BASIS-32 on a computer generating immediate feedback for professionals. Aggregated data reported publically‘This paper explores the attitudes of mental health workers in one public health service towards the implementation and use of routine measurement’
Cranley and Doran54Canada, hospital setting, acute careInformal semistructured interviewsNurses (n=29)Continuous assessment and feedback of information on functional status, symptoms, therapeutic self-care, falls and pressure ulcers‘To provide initial insight from rational and phenomenological theoretical perspectives into how nurses integrate baseline and follow-up outcomes assessment into practice to inform their clinical decision making’
Dorwick et al43UK, primary care, depressionSemistructured interviewsGPs (n=34)Patients completed PHQ-9, HAS or BDI and feedback was provided immediately to GPs‘To gain an understanding of doctors’ and patients’ views of the introduction of severity questionnaires for depression and their implementation in practice’
Dunckley et al42UK, nursing home and hospice, palliative careAction research including interviewsNurses (n=8), doctor (n=1) and Healthcare assistants (n=6)Unclear details on feedback. POS collected from patients and clinicians‘To further understand the barriers to outcome measure implementation and to identify and facilitate methods of overcoming these hurdles’
Eischens et al47US, hospice setting, palliative careInterviewsNurses (n=8)Patients completed McGill and HQLI, and feedback was provided immediately to nurses‘The purpose of this study was to assess whether hospice nurses found QOL evaluations useful in designing and adjusting their patients care plans’
Hughes et al41UK, palliative careSemistructured interviewsProfessionals (n=22)Patients and staff completed POS, and feedback was provided to staff‘The objective of this study was to elicit professional views and experiences of using outcome measures’
Hughes et al48UK, hospital, nursing home and primary care setting, palliative careSemistructured InterviewsStaff (n=13 of which 12 were nurses)Patients and staff completed POS, and feedback was provided immediately to staff‘The study aimed to describe the implementation of a palliative care outcome measure in non-specialist palliative care setting and to understand the implementation of the setting’
Kettis-Lindblad et al49Sweden, hospital setting, oncologySemistructured interviewsOncologists (n=6)Patients completed SEIQoL-DW and disease-related SEIQoL on touch-screen computer, and feedback was provided during the consultation‘This study explored patients’ and oncologists’ perceptions of using a computer-administered, individualised QOL instrument to support an oncologic consultation’
Mason and Poole50UK, primary care, postnatal depressionSemistructured interviewsHealth visitors and nurses (n=19)Patients completed EPDS and feedback was provided immediately to GPs‘To address beliefs behind attitudes using a qualitative methodology to access the perceptions of healthcare professionals towards screening using the EPDS’
Meehan et al9Australia, mental health settingFocus groups (n=34)Mental health staff (n=324)Patients completed Mental Health Inventory on a computer generating patient level feedback or summary reports for comparisons (clinician reported measures also collected)‘The aim of this study was to explore clinician reactions to (i) the introduction of routine outcome measures and (ii) the utility of outcomes data in clinical practice’
Mitchell et al44UK, primary care, depressionFocus groups (n=4)Multidisciplinary teams including GPs, nurses, doctors in training, mental health workers and managers (n=38)Patients with new-onset depression completed PHQ-9 and feedback was provided immediately to professionals‘To explore primary care practitioner perspectives on the clinical utility of the NICE guideline and the impact of the QOF on diagnosis and management of depression in routine practice’
Slater and Freeman53UK, hospice setting, palliative careFocus group (n=1)Nurses (n=4), allied health professional (n=1) support staff (n=3)Patients and staff completed POS, and feedback was provided to staff‘The aim of the study was to evaluate the implementation of POS for use in the day hospice setting to improve patient care’
Tavabie and Tavabie45UK, primary care, depressionSemistructured interviews and focus groupsGPs (n=20)Patients completed PHQ-9 on a computer generating immediate feedback for professionals‘To identify effects of using mental health questionnaire on views of GPs managing depression, and how this might influence patient care’
Unsworth et al51UK, counselling service, psychological therapyFocus groups (n=2)Therapists (n=9)Patients completed CORE-Net on computer generating immediate feedback for professionals‘The purpose of this study was to answer the research question: How do National Health Service (NHS) therapists and clients perceive and experience CORE-Net?’
Wressle52Sweden, day treatment programme, rheumatoid arthritisInterviewsPsychotherapists (n=2), occupational therapists (n=2), physician (n=1), social worker (n=1) and assistant nurse (n=1)Patients completed the COPM and feedback was provided to interdisciplinary team members‘The aim of this study was to investigate whether the structured method focused on client involvement, the COPM, could work as a tool for a rehabilitation team in a day treatment programme for clients with rheumatoid arthritis’
  • COPD, chronic obstructive pulmonary disease; COPM, Canadian Occupational Performance Measure; EPDS, Edinburgh Postnatal Depression Scale; HQLI, Hospice Quality of Life Index; POS, Pallitative care Outcome Scale; PROMS, patient-reported outcome measures; SEIQoL-DW, Schedule for the Evaluation of the Individual Quality of Life- Direct Weighting.