Feasibility of implementing a codesigned patient reported outcome measures (PROMs) collection system for older adults in acute and sub-acute hospital settings.
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| Title: | Feasibility of implementing a codesigned patient reported outcome measures (PROMs) collection system for older adults in acute and sub-acute hospital settings. |
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| Authors: | Snowdon, David A. (AUTHOR), Marsh, Lucy (AUTHOR), Srikanth, Velandai (AUTHOR), Beare, Richard (AUTHOR), Barnden, Rebecca (AUTHOR), Parker, Emily (AUTHOR), Andrew, Nadine E. (AUTHOR) |
| Source: | Quality of Life Research. Jun2025, Vol. 34 Issue 6, p1809-1822. 14p. |
| Subjects: | Patient reported outcome measures, Older people, Informed consent (Medical law), Text messages, Feasibility studies, Hospital wards, Mixed methods research |
| Abstract: | Purpose: To test the feasibility of a co-designed PROMs collection system for hospitalised older adults. Methods: A mixed-methods feasibility study was conducted sequentially across one acute and one sub-acute ward, over a 12-week period. Patients aged ≥ 60 years who discharged from hospital were eligible. The EQ-5D-5L with added items on fatigue and cognition was administered on discharge and at 3–6 months post-discharge. Administration was by either a research assistant or volunteer using a variety of modes (tablet computer, phone, SMS). Feasibility was evaluated using a feasibility framework to capture demand, implementation, practicality, and acceptability. Descriptive statistics were applied. Interviews were conducted with volunteers and analysed using deductive content analysis. Results: Completion rates indicated high demand (discharge = 84%, n = 110/131; follow-up = 81%, n = 90/110). At discharge, most completed PROMs on the tablet (57%) and 9% were administered by a volunteer. Most required assistance using the tablet (67%) and the average time to administer PROMs was longest for the tablet (17.9 min, SD = 3.3), followed by phone (8.8 min, SD = 4.4) and SMS (1.3 min, SD = 0.5). Fewer participants reported acceptability with using the tablet (61%) compared to SMS (100%). At follow-up, most completed PROMs on the phone (82%) and the average time to administer PROMs was less than discharge (4.9 vs. 13.4 min). Volunteers reported administering PROMs to unwell patients was challenging. Conclusion: A co-designed PROMs collection system demonstrated feasibility in hospitalised older adults with phone and SMS having greatest acceptability. Administration of PROMs by volunteers was not feasible. Trial registration: ACTRN12623000576628. Registered 25 May 2023. Plain English summary: Patient-reported outcome measures (PROMs) are essential health surveys that reflect individuals' perceptions of their health. Collecting PROMs across large healthcare organisations can be challenging due to the required time and resources. However, these measures provide valuable insights for promoting value-based care. Adequate response rates are crucial for informing healthcare decisions. In collaboration with clinicians and consumers at a large healthcare organisation, we co-designed a system for collecting PROMs that addressed consumer needs. The system incorporated volunteers and research assistants for administration, offered multiple completion modes (tablet, SMS, phone), and allowed for completion at various time points (discharge from hospital and 3–6 months later). In our study, we tested the system with older patients on hospital wards, achieving over 80% response rates, indicating its acceptability. However, we identified areas for improvement, such as administering PROMs after hospital discharge and favouring phone/SMS over tablets for completion. Notably, only a small number of PROMs were administered by volunteers, suggesting this approach may not be ideal for older patients. These findings will guide enhancements to our collection system, ensuring it better meets the needs of older adults. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Purpose: To test the feasibility of a co-designed PROMs collection system for hospitalised older adults. Methods: A mixed-methods feasibility study was conducted sequentially across one acute and one sub-acute ward, over a 12-week period. Patients aged ≥ 60 years who discharged from hospital were eligible. The EQ-5D-5L with added items on fatigue and cognition was administered on discharge and at 3–6 months post-discharge. Administration was by either a research assistant or volunteer using a variety of modes (tablet computer, phone, SMS). Feasibility was evaluated using a feasibility framework to capture demand, implementation, practicality, and acceptability. Descriptive statistics were applied. Interviews were conducted with volunteers and analysed using deductive content analysis. Results: Completion rates indicated high demand (discharge = 84%, n = 110/131; follow-up = 81%, n = 90/110). At discharge, most completed PROMs on the tablet (57%) and 9% were administered by a volunteer. Most required assistance using the tablet (67%) and the average time to administer PROMs was longest for the tablet (17.9 min, SD = 3.3), followed by phone (8.8 min, SD = 4.4) and SMS (1.3 min, SD = 0.5). Fewer participants reported acceptability with using the tablet (61%) compared to SMS (100%). At follow-up, most completed PROMs on the phone (82%) and the average time to administer PROMs was less than discharge (4.9 vs. 13.4 min). Volunteers reported administering PROMs to unwell patients was challenging. Conclusion: A co-designed PROMs collection system demonstrated feasibility in hospitalised older adults with phone and SMS having greatest acceptability. Administration of PROMs by volunteers was not feasible. Trial registration: ACTRN12623000576628. Registered 25 May 2023. Plain English summary: Patient-reported outcome measures (PROMs) are essential health surveys that reflect individuals' perceptions of their health. Collecting PROMs across large healthcare organisations can be challenging due to the required time and resources. However, these measures provide valuable insights for promoting value-based care. Adequate response rates are crucial for informing healthcare decisions. In collaboration with clinicians and consumers at a large healthcare organisation, we co-designed a system for collecting PROMs that addressed consumer needs. The system incorporated volunteers and research assistants for administration, offered multiple completion modes (tablet, SMS, phone), and allowed for completion at various time points (discharge from hospital and 3–6 months later). In our study, we tested the system with older patients on hospital wards, achieving over 80% response rates, indicating its acceptability. However, we identified areas for improvement, such as administering PROMs after hospital discharge and favouring phone/SMS over tablets for completion. Notably, only a small number of PROMs were administered by volunteers, suggesting this approach may not be ideal for older patients. These findings will guide enhancements to our collection system, ensuring it better meets the needs of older adults. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09629343 |
| DOI: | 10.1007/s11136-025-03931-0 |
