Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol

Smith, Alexander; Hewitt, J.; Quinn, T. J.; Robling, M.

doi:10.1186/s13643-021-01682-w

Journal article 61 views 14 downloads

Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol

Alexander Smith

, J. Hewitt, T. J. Quinn, M. Robling

Systematic Reviews, Volume: 10, Issue: 1

Swansea University Author: Alexander Smith

PDF | Version of Record

© The Author(s). 2021 This article is licensed under a Creative Commons Attribution 4.0 International License.
Download (585.38KB)

Check full text

DOI (Published version): 10.1186/s13643-021-01682-w

Abstract

BackgroundThere is growing interest in the use of routine patient-reported outcome measures (PROMs) to influence the care of individual patients with stroke. However, there are significant gaps in our understanding as to how PROMs influence post-stroke patient care and clinical practice. This is due...

Full description

Published in:	Systematic Reviews
ISSN:	2046-4053
Published:	Springer Science and Business Media LLC 2021
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa67742
Tags:	Add Tag No Tags, Be the first to tag this record!

first_indexed	2024-10-21T15:45:58Z
last_indexed	2024-10-21T15:45:58Z
id	cronfa67742
recordtype	SURis
fullrecord	<?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>67742</id><entry>2024-09-19</entry><title>Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol</title><swanseaauthors><author><sid>a7a45e9adb57476de1eb1ae5613d2098</sid><ORCID>0000-0001-9656-6751</ORCID><firstname>Alexander</firstname><surname>Smith</surname><name>Alexander Smith</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-09-19</date><deptcode>HSOC</deptcode><abstract>BackgroundThere is growing interest in the use of routine patient-reported outcome measures (PROMs) to influence the care of individual patients with stroke. However, there are significant gaps in our understanding as to how PROMs influence post-stroke patient care and clinical practice. This is due to factors including the number of purported uses for PROMs and that PROMs are complex interventions, which attempt to stimulate varied actions or behaviours. Therefore, the objective of this realist synthesis is to offer theory-based explanations as to how PROMs influence post-stroke clinical practice and patient care.MethodsThis is a protocol for a realist synthesis, which involves three distinct phases: theory building (phase 1), theory testing and refinement (phase 2) and synthesis (phase 3). Phase 1 will develop initial rough programme theories (IRPTs), through literature searches (from January 2000 onwards) of MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library and the grey literature. Only secondary sources will be included that contribute to the development of IRPTs. Only two IRPTs, prioritised by the stakeholder group, will be taken forward to be tested and refined during phase 2. Further novel searches will be employed in phase 2, utilising the same criteria as phase 1; however, phase 2 searches will not utilise grey literature searches, and only primary research studies that contribute to the refinement of programme theories under investigation will be included. Two independent reviewers will screen and select all returned results. The reviewers will code and annotate relevant sources, resulting in ‘fragments’ to be extracted and graded based on the richness of their contribution to explanation and causal insight. Further, these fragments will be organised into ‘Context-Mechanism-Outcome’ configurations. Phase 3 of the review will involve the synthesis of context-mechanism-outcome configurations to form middle-range theory-based explanations and developed logic models for stakeholders to understand how PROMs in post-stroke clinical practice and patient care work for whom, how and under what circumstances.DiscussionThe resulting realist synthesis will provide guidance on the implementation of PROMs within routine post-stroke clinical practice and patient care and act as a touchstone for further testing and refinement of PROMs programmes.</abstract><type>Journal Article</type><journal>Systematic Reviews</journal><volume>10</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2046-4053</issnElectronic><keywords>Stroke; Systematic review; Patient-reported outcome measure; PROM; Realist synthesis; Patient care; Feedback</keywords><publishedDay>28</publishedDay><publishedMonth>4</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-04-28</publishedDate><doi>10.1186/s13643-021-01682-w</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>The review is funded as part of AS’ PhD fellowship (SA PGF 18\100029).</funders><projectreference/><lastEdited>2024-10-21T16:47:23.1482115</lastEdited><Created>2024-09-19T15:18:42.1772809</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Therapies</level></path><authors><author><firstname>Alexander</firstname><surname>Smith</surname><orcid>0000-0001-9656-6751</orcid><order>1</order></author><author><firstname>J.</firstname><surname>Hewitt</surname><order>2</order></author><author><firstname>T. J.</firstname><surname>Quinn</surname><order>3</order></author><author><firstname>M.</firstname><surname>Robling</surname><order>4</order></author></authors><documents><document><filename>67742__32668__da8d351ed2ec40acb18e21e09689a131.pdf</filename><originalFilename>67742.VoR.pdf</originalFilename><uploaded>2024-10-21T16:46:27.4017072</uploaded><type>Output</type><contentLength>599432</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s). 2021 This article is licensed under a Creative Commons Attribution 4.0 International License.</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling	v2 67742 2024-09-19 Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol a7a45e9adb57476de1eb1ae5613d2098 0000-0001-9656-6751 Alexander Smith Alexander Smith true false 2024-09-19 HSOC BackgroundThere is growing interest in the use of routine patient-reported outcome measures (PROMs) to influence the care of individual patients with stroke. However, there are significant gaps in our understanding as to how PROMs influence post-stroke patient care and clinical practice. This is due to factors including the number of purported uses for PROMs and that PROMs are complex interventions, which attempt to stimulate varied actions or behaviours. Therefore, the objective of this realist synthesis is to offer theory-based explanations as to how PROMs influence post-stroke clinical practice and patient care.MethodsThis is a protocol for a realist synthesis, which involves three distinct phases: theory building (phase 1), theory testing and refinement (phase 2) and synthesis (phase 3). Phase 1 will develop initial rough programme theories (IRPTs), through literature searches (from January 2000 onwards) of MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library and the grey literature. Only secondary sources will be included that contribute to the development of IRPTs. Only two IRPTs, prioritised by the stakeholder group, will be taken forward to be tested and refined during phase 2. Further novel searches will be employed in phase 2, utilising the same criteria as phase 1; however, phase 2 searches will not utilise grey literature searches, and only primary research studies that contribute to the refinement of programme theories under investigation will be included. Two independent reviewers will screen and select all returned results. The reviewers will code and annotate relevant sources, resulting in ‘fragments’ to be extracted and graded based on the richness of their contribution to explanation and causal insight. Further, these fragments will be organised into ‘Context-Mechanism-Outcome’ configurations. Phase 3 of the review will involve the synthesis of context-mechanism-outcome configurations to form middle-range theory-based explanations and developed logic models for stakeholders to understand how PROMs in post-stroke clinical practice and patient care work for whom, how and under what circumstances.DiscussionThe resulting realist synthesis will provide guidance on the implementation of PROMs within routine post-stroke clinical practice and patient care and act as a touchstone for further testing and refinement of PROMs programmes. Journal Article Systematic Reviews 10 1 Springer Science and Business Media LLC 2046-4053 Stroke; Systematic review; Patient-reported outcome measure; PROM; Realist synthesis; Patient care; Feedback 28 4 2021 2021-04-28 10.1186/s13643-021-01682-w COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee The review is funded as part of AS’ PhD fellowship (SA PGF 18\100029). 2024-10-21T16:47:23.1482115 2024-09-19T15:18:42.1772809 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Therapies Alexander Smith 0000-0001-9656-6751 1 J. Hewitt 2 T. J. Quinn 3 M. Robling 4 67742__32668__da8d351ed2ec40acb18e21e09689a131.pdf 67742.VoR.pdf 2024-10-21T16:46:27.4017072 Output 599432 application/pdf Version of Record true © The Author(s). 2021 This article is licensed under a Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
spellingShingle	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol Alexander Smith
title_short	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
title_full	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
title_fullStr	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
title_full_unstemmed	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
title_sort	Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol
author_id_str_mv	a7a45e9adb57476de1eb1ae5613d2098
author_id_fullname_str_mv	a7a45e9adb57476de1eb1ae5613d2098_***_Alexander Smith
author	Alexander Smith
author2	Alexander Smith J. Hewitt T. J. Quinn M. Robling
format	Journal article
container_title	Systematic Reviews
container_volume	10
container_issue	1
publishDate	2021
institution	Swansea University
issn	2046-4053
doi_str_mv	10.1186/s13643-021-01682-w
publisher	Springer Science and Business Media LLC
college_str	Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id	facultyofmedicinehealthandlifesciences
hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	School of Health and Social Care - Therapies{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Therapies
document_store_str	1
active_str	0
description	BackgroundThere is growing interest in the use of routine patient-reported outcome measures (PROMs) to influence the care of individual patients with stroke. However, there are significant gaps in our understanding as to how PROMs influence post-stroke patient care and clinical practice. This is due to factors including the number of purported uses for PROMs and that PROMs are complex interventions, which attempt to stimulate varied actions or behaviours. Therefore, the objective of this realist synthesis is to offer theory-based explanations as to how PROMs influence post-stroke clinical practice and patient care.MethodsThis is a protocol for a realist synthesis, which involves three distinct phases: theory building (phase 1), theory testing and refinement (phase 2) and synthesis (phase 3). Phase 1 will develop initial rough programme theories (IRPTs), through literature searches (from January 2000 onwards) of MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library and the grey literature. Only secondary sources will be included that contribute to the development of IRPTs. Only two IRPTs, prioritised by the stakeholder group, will be taken forward to be tested and refined during phase 2. Further novel searches will be employed in phase 2, utilising the same criteria as phase 1; however, phase 2 searches will not utilise grey literature searches, and only primary research studies that contribute to the refinement of programme theories under investigation will be included. Two independent reviewers will screen and select all returned results. The reviewers will code and annotate relevant sources, resulting in ‘fragments’ to be extracted and graded based on the richness of their contribution to explanation and causal insight. Further, these fragments will be organised into ‘Context-Mechanism-Outcome’ configurations. Phase 3 of the review will involve the synthesis of context-mechanism-outcome configurations to form middle-range theory-based explanations and developed logic models for stakeholders to understand how PROMs in post-stroke clinical practice and patient care work for whom, how and under what circumstances.DiscussionThe resulting realist synthesis will provide guidance on the implementation of PROMs within routine post-stroke clinical practice and patient care and act as a touchstone for further testing and refinement of PROMs programmes.
published_date	2021-04-28T16:47:21Z
_version_	1813539079063601152
score	11.037581

Patient-reported outcome measures (PROMs) use in post-stroke patient care and clinical practice: a realist synthesis protocol

Similar Items