Studies investigating the views of professionals (n=16)
| Reference | Location, setting and focus | Study design | Participants | PROMs feedback | Study aims |
|---|---|---|---|---|---|
| Bendtsen et al46 | Sweden, hospital setting, COPD | Focus 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 al8 | Australia, public mental health service | Focus 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 Doran54 | Canada, hospital setting, acute care | Informal semistructured interviews | Nurses (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 al43 | UK, primary care, depression | Semistructured interviews | GPs (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 al42 | UK, nursing home and hospice, palliative care | Action research including interviews | Nurses (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 al47 | US, hospice setting, palliative care | Interviews | Nurses (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 al41 | UK, palliative care | Semistructured interviews | Professionals (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 al48 | UK, hospital, nursing home and primary care setting, palliative care | Semistructured Interviews | Staff (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 al49 | Sweden, hospital setting, oncology | Semistructured interviews | Oncologists (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 Poole50 | UK, primary care, postnatal depression | Semistructured interviews | Health 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 al9 | Australia, mental health setting | Focus 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 al44 | UK, primary care, depression | Focus 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 Freeman53 | UK, hospice setting, palliative care | Focus 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 Tavabie45 | UK, primary care, depression | Semistructured interviews and focus groups | GPs (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 al51 | UK, counselling service, psychological therapy | Focus 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?’ |
| Wressle52 | Sweden, day treatment programme, rheumatoid arthritis | Interviews | Psychotherapists (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.