A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness

Abstract Introduction People who experience social disadvantage including homelessness suffer from numerous ill health effects when compared to the general public. Use of patient‐reported outcome measures (PROMs) and patient‐reported experience measures (PREMs) enables collection of information from...

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Main Authors: Erin E. Donald, Kara Whitlock, Tracy Dansereau, Daniel J. Sands, David Small, Kelli I. Stajduhar
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.13489
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author Erin E. Donald
Kara Whitlock
Tracy Dansereau
Daniel J. Sands
David Small
Kelli I. Stajduhar
author_facet Erin E. Donald
Kara Whitlock
Tracy Dansereau
Daniel J. Sands
David Small
Kelli I. Stajduhar
author_sort Erin E. Donald
collection DOAJ
description Abstract Introduction People who experience social disadvantage including homelessness suffer from numerous ill health effects when compared to the general public. Use of patient‐reported outcome measures (PROMs) and patient‐reported experience measures (PREMs) enables collection of information from the point of view of the person receiving care. Involvement in research and health care decision‐making, a process that can be facilitated by the use of PROMs and PREMs, is one way to promote equity in care. Methods This article reports on a codevelopment and consultation study investigating the use of PROMs and PREMs with people who experience homelessness and chronic illness. Data were analysed according to interpretative phenomenological analysis. Results Committee members with lived experience identified three themes for the role of PROMs and PREMs in health care measurement: trust and relationship‐building; health and quality of life; and equity, alongside specific recommendations for the design and administration of PROMs and PREMs. The codevelopment process is reported to demonstrate the meaningful investment in time, infrastructure and relationship‐building required for successful partnership between researchers and people with lived experience of homelessness. Conclusion PROMs and PREMs can be meaningful measurement tools for people who experience social disadvantage, but can be alienating or reproduce inequity if they fail to capture complexity or rely on hidden assumptions of key concepts. Patient or Public Contribution This study was conducted in active partnership between researchers and people with experience of homelessness and chronic illness, including priority setting for study design, data construction, analysis and coauthorship on this article.
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spelling doaj.art-3a40372442624d308e5bd3325ff841182022-12-22T04:34:49ZengWileyHealth Expectations1369-65131369-76252022-10-012552264227410.1111/hex.13489A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illnessErin E. Donald0Kara Whitlock1Tracy DansereauDaniel J. SandsDavid SmallKelli I. Stajduhar2Institute on Aging and Lifelong Health University of Victoria Victoria British Columbia CanadaInstitute on Aging and Lifelong Health University of Victoria Victoria British Columbia CanadaInstitute on Aging and Lifelong Health University of Victoria Victoria British Columbia CanadaAbstract Introduction People who experience social disadvantage including homelessness suffer from numerous ill health effects when compared to the general public. Use of patient‐reported outcome measures (PROMs) and patient‐reported experience measures (PREMs) enables collection of information from the point of view of the person receiving care. Involvement in research and health care decision‐making, a process that can be facilitated by the use of PROMs and PREMs, is one way to promote equity in care. Methods This article reports on a codevelopment and consultation study investigating the use of PROMs and PREMs with people who experience homelessness and chronic illness. Data were analysed according to interpretative phenomenological analysis. Results Committee members with lived experience identified three themes for the role of PROMs and PREMs in health care measurement: trust and relationship‐building; health and quality of life; and equity, alongside specific recommendations for the design and administration of PROMs and PREMs. The codevelopment process is reported to demonstrate the meaningful investment in time, infrastructure and relationship‐building required for successful partnership between researchers and people with lived experience of homelessness. Conclusion PROMs and PREMs can be meaningful measurement tools for people who experience social disadvantage, but can be alienating or reproduce inequity if they fail to capture complexity or rely on hidden assumptions of key concepts. Patient or Public Contribution This study was conducted in active partnership between researchers and people with experience of homelessness and chronic illness, including priority setting for study design, data construction, analysis and coauthorship on this article.https://doi.org/10.1111/hex.13489health equityhomelesshomelessnesspatient‐oriented researchpatient‐reported outcomessubstance use
spellingShingle Erin E. Donald
Kara Whitlock
Tracy Dansereau
Daniel J. Sands
David Small
Kelli I. Stajduhar
A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
Health Expectations
health equity
homeless
homelessness
patient‐oriented research
patient‐reported outcomes
substance use
title A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
title_full A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
title_fullStr A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
title_full_unstemmed A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
title_short A codevelopment process to advance methods for the use of patient‐reported outcome measures and patient‐reported experience measures with people who are homeless and experience chronic illness
title_sort codevelopment process to advance methods for the use of patient reported outcome measures and patient reported experience measures with people who are homeless and experience chronic illness
topic health equity
homeless
homelessness
patient‐oriented research
patient‐reported outcomes
substance use
url https://doi.org/10.1111/hex.13489
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