
@article{ref1,
title="Patient-reported outcome measures (PROMs) to support adherence to falls prevention clinic recommendations: a qualitative study",
journal="Patient preference and adherence",
year="2020",
author="Tai, Daria and Li, Eric and Liu-Ambrose, Teresa and Bansback, Nick and Sadatsafavi, Mohsen and Davis, Jennifer C.",
volume="14",
number="",
pages="2105-2121",
abstract="PURPOSE: We examined how patient-reported outcome measures (PROMs) support patients' adherence to fall prevention recommendations in a novel primary care setting - the Falls Prevention Clinic.   Patients and Methods: Using a patient-oriented qualitative study design, we recruited patient partners to our study team to assist in developing focus group prompts. A trained facilitator conducted five semi-structured interviews with a total of 21 Falls Prevention Clinic participants. A trained facilitator prompted participants about: their views on the EuroQol 5 domain - 5 level (EQ-5D-5L) PROM, their preferences for PROM administration and feedback, the presentation of PROM questionnaire data, the use of comparative data and the EQ-5D-5L in improving adherence to recommendations, and other information they would need to improve adherence. Participants' responses were coded according to three stages of qualitative analysis: open, axial and selective coding using an iterative and comparative approach.   Results: &quot;Opportunity&quot; and &quot;Development&quot; emerged as higher-level themes for the participants' perspectives on how the EQ-5D-5L may be helpful for their appointments. &quot;Frequency&quot; described how often the participants believed the EQ-5D-5L should be administered and feedback provided. &quot;Challenges&quot;, &quot;Benefits&quot;, &quot;Patients' Understanding&quot;, &quot;Relevance of Data&quot;, and &quot;Usefulness of Data&quot; provided insight on how PROMs data presentation was viewed by patients. &quot;Performance&quot;, &quot;Resources&quot;, &quot;Knowledge&quot;, &quot;Role in Behaviour Change&quot; highlighted the participants' ideas for the role of the EQ-5D-5L and additional information in supporting their adherence to falls prevention recommendations. Participants emphasized that patients would value further support information to facilitate their adherence.   Conclusion: This patient-oriented qualitative study, among individuals at high risk of future falls, sheds light on the importance of timely, understandable feedback, integrated with other clinical feedback in supporting adherence.<p /> <p>Language: en</p>",
language="en",
issn="1177-889X",
doi="10.2147/PPA.S269202",
url="http://dx.doi.org/10.2147/PPA.S269202"
}