Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study

Abstract Background In the past few decades, particularly in the mental health setting, there has been growing interest in using Patient Reported Outcome Measures (PROMs) to assess the efficacy of the treatments in healthcare systems. Despite recent initiatives for global harmonization, there remain...

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Main Authors: Kalpana Thapa Bajgain, Justino Mendoza, Farwa Naqvi, Fariba Aghajafari, Karen Tang, Jennifer Zwicker, Maria-Jose Santana
Format: Article
Language:English
Published: SpringerOpen 2024-02-01
Series:Journal of Patient-Reported Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s41687-024-00694-z
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author Kalpana Thapa Bajgain
Justino Mendoza
Farwa Naqvi
Fariba Aghajafari
Karen Tang
Jennifer Zwicker
Maria-Jose Santana
author_facet Kalpana Thapa Bajgain
Justino Mendoza
Farwa Naqvi
Fariba Aghajafari
Karen Tang
Jennifer Zwicker
Maria-Jose Santana
author_sort Kalpana Thapa Bajgain
collection DOAJ
description Abstract Background In the past few decades, particularly in the mental health setting, there has been growing interest in using Patient Reported Outcome Measures (PROMs) to assess the efficacy of the treatments in healthcare systems. Despite recent initiatives for global harmonization, there remains a lack of consensus on which PROMs are best practice and appropriate. Engagement of the service users, such as patients and family members/caregivers, is vital at this stage to ensure the selected PROMs are feasible, relevant, and acceptable to them. This study aimed to prioritize PROMs by youth and family/caregiver based on feasibility, relevance, and overall importance to be used in the clinical care of youth living with anxiety and/or depression. Methods Ten validated and widely used PROMs were presented to the patients and family/caregivers. Nominal group techniques were employed to prioritize the PROMs based on feasibility, relevance, and overall importance. Results For patients and families/caregivers, the PROMs, Revised Child Anxiety and Depression Scale (RCAD 25), and The Young Person’s Core (YP-CORE) were the highest priorities. Both felt that RCAD 25 was comprehensive, short, easy, and quick to complete, whereas regarding YP-CORE, patients and family/caregivers thought it was also short and relevant. Due to some specific concerns, the Strength and Difficulties Questionnaire and Child Health Questionnaire were the lowest prioritized by patients and family/caregivers. Conclusion It is of utmost importance that patient’s and family/caregivers’ voices or opinions are considered while selecting and implementing PROMs in mental health settings. Our study provides practical recommendations around measures best suited to achieve this.
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spelling doaj.art-554685bbe2204119a9039e3368e43ea62024-03-05T19:17:28ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202024-02-018111110.1186/s41687-024-00694-zPrioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique studyKalpana Thapa Bajgain0Justino Mendoza1Farwa Naqvi2Fariba Aghajafari3Karen Tang4Jennifer Zwicker5Maria-Jose Santana6Department of Community Health Sciences, University of CalgaryGeneral Psychology, Capella UniversityDepartment of Community Health Sciences, University of CalgaryDepartment of Medicine and Community Health Science, University of CalgaryDepartment of Medicine and Community Health Science, University of CalgarySchool of Public Policy, University of CalgaryDepartment of Community Health Sciences, University of CalgaryAbstract Background In the past few decades, particularly in the mental health setting, there has been growing interest in using Patient Reported Outcome Measures (PROMs) to assess the efficacy of the treatments in healthcare systems. Despite recent initiatives for global harmonization, there remains a lack of consensus on which PROMs are best practice and appropriate. Engagement of the service users, such as patients and family members/caregivers, is vital at this stage to ensure the selected PROMs are feasible, relevant, and acceptable to them. This study aimed to prioritize PROMs by youth and family/caregiver based on feasibility, relevance, and overall importance to be used in the clinical care of youth living with anxiety and/or depression. Methods Ten validated and widely used PROMs were presented to the patients and family/caregivers. Nominal group techniques were employed to prioritize the PROMs based on feasibility, relevance, and overall importance. Results For patients and families/caregivers, the PROMs, Revised Child Anxiety and Depression Scale (RCAD 25), and The Young Person’s Core (YP-CORE) were the highest priorities. Both felt that RCAD 25 was comprehensive, short, easy, and quick to complete, whereas regarding YP-CORE, patients and family/caregivers thought it was also short and relevant. Due to some specific concerns, the Strength and Difficulties Questionnaire and Child Health Questionnaire were the lowest prioritized by patients and family/caregivers. Conclusion It is of utmost importance that patient’s and family/caregivers’ voices or opinions are considered while selecting and implementing PROMs in mental health settings. Our study provides practical recommendations around measures best suited to achieve this.https://doi.org/10.1186/s41687-024-00694-zPatient-reported outcome measuresFeasibilityRelevance prioritizingNominal group techniqueYouthsPatients/caregivers
spellingShingle Kalpana Thapa Bajgain
Justino Mendoza
Farwa Naqvi
Fariba Aghajafari
Karen Tang
Jennifer Zwicker
Maria-Jose Santana
Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
Journal of Patient-Reported Outcomes
Patient-reported outcome measures
Feasibility
Relevance prioritizing
Nominal group technique
Youths
Patients/caregivers
title Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
title_full Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
title_fullStr Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
title_full_unstemmed Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
title_short Prioritizing Patient Reported Outcome Measures (PROMs) to use in the clinical care of youth living with mental health concerns: a nominal group technique study
title_sort prioritizing patient reported outcome measures proms to use in the clinical care of youth living with mental health concerns a nominal group technique study
topic Patient-reported outcome measures
Feasibility
Relevance prioritizing
Nominal group technique
Youths
Patients/caregivers
url https://doi.org/10.1186/s41687-024-00694-z
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