Neurologists’ views on patient reported outcomes in multiple sclerosis care
Background: The value that patient reported outcomes (PROs) can bring to the clinical encounter is increasingly being recognized. Within the field of Multiple Sclerosis (MS), a number of activities have been initiated internationally with the aim of integrating PROs in MS care. Integration of PROs i...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022009252 |
| _version_ | 1811239393418018816 |
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| author | Signe Baattrup Reitzel Marie Lynning Lasse Skovgaard |
| author_facet | Signe Baattrup Reitzel Marie Lynning Lasse Skovgaard |
| author_sort | Signe Baattrup Reitzel |
| collection | DOAJ |
| description | Background: The value that patient reported outcomes (PROs) can bring to the clinical encounter is increasingly being recognized. Within the field of Multiple Sclerosis (MS), a number of activities have been initiated internationally with the aim of integrating PROs in MS care. Integration of PROs in MS care will, among other things, require MS neurologists' acceptance of PROs. This qualitative study aimed to explore MS specialized neurologists’ view on the potentials and barriers for the use of PROs in the clinical setting. Methods: Eight neurologists specialized in MS participated in a series of individual in-depth semi-structured interviews. Interviews were audio-recorded and transcribed. A thematic analysis was conducted using a reflexive thematic approach to identify meaning units and themes emerging from the interviews. The analysis focused on barriers and potentials for PROs that relate to the specific characteristics of MS. Results: Three main themes emerged from the data. “The role of PROs in describing the patient's situation” describes how informants perceived MS as a complex disease, and in this context, PROs can bring forth new or otherwise hidden information, but they may also blur the picture. The theme “The validity of PROs reported by MS patients may be questionable” describes how impairments caused by MS, such as cognitive and physical disabilities, were identified as risk factors that could cause unreliable self-reported outcome measures within this patient group. Finally, the theme “Involving the patient” regards how the clinical conversation was viewed as the most important source of patient reported information, but at the same time PROs carry the potential to enhance shared decision making. Conclusion: This study indicates that, according to MS neurologists, integration of PROs in MS clinical practice, though possibly valuable, is not without challenges. Possible benefits of PROs include the ability to bring forth otherwise hidden information on the patient's health status and the enhancement of shared decision making. Barriers include difficulties in capturing the full situation of the patient via PROs due to the complexity of MS as well as the issue of various MS-related impairments compromising the validity of PROs reported by MS patients. |
| first_indexed | 2024-04-12T12:59:14Z |
| format | Article |
| id | doaj.art-57260b1e50994e888c2141c1ab2446ff |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-12T12:59:14Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-57260b1e50994e888c2141c1ab2446ff2022-12-22T03:32:13ZengElsevierHeliyon2405-84402022-06-0186e09637Neurologists’ views on patient reported outcomes in multiple sclerosis careSigne Baattrup Reitzel0Marie Lynning1Lasse Skovgaard2Corresponding author.; The Danish Multiple Sclerosis Society, Poul Bundgaards Vej 1. st., DK-2500, Valby, DenmarkThe Danish Multiple Sclerosis Society, Poul Bundgaards Vej 1. st., DK-2500, Valby, DenmarkThe Danish Multiple Sclerosis Society, Poul Bundgaards Vej 1. st., DK-2500, Valby, DenmarkBackground: The value that patient reported outcomes (PROs) can bring to the clinical encounter is increasingly being recognized. Within the field of Multiple Sclerosis (MS), a number of activities have been initiated internationally with the aim of integrating PROs in MS care. Integration of PROs in MS care will, among other things, require MS neurologists' acceptance of PROs. This qualitative study aimed to explore MS specialized neurologists’ view on the potentials and barriers for the use of PROs in the clinical setting. Methods: Eight neurologists specialized in MS participated in a series of individual in-depth semi-structured interviews. Interviews were audio-recorded and transcribed. A thematic analysis was conducted using a reflexive thematic approach to identify meaning units and themes emerging from the interviews. The analysis focused on barriers and potentials for PROs that relate to the specific characteristics of MS. Results: Three main themes emerged from the data. “The role of PROs in describing the patient's situation” describes how informants perceived MS as a complex disease, and in this context, PROs can bring forth new or otherwise hidden information, but they may also blur the picture. The theme “The validity of PROs reported by MS patients may be questionable” describes how impairments caused by MS, such as cognitive and physical disabilities, were identified as risk factors that could cause unreliable self-reported outcome measures within this patient group. Finally, the theme “Involving the patient” regards how the clinical conversation was viewed as the most important source of patient reported information, but at the same time PROs carry the potential to enhance shared decision making. Conclusion: This study indicates that, according to MS neurologists, integration of PROs in MS clinical practice, though possibly valuable, is not without challenges. Possible benefits of PROs include the ability to bring forth otherwise hidden information on the patient's health status and the enhancement of shared decision making. Barriers include difficulties in capturing the full situation of the patient via PROs due to the complexity of MS as well as the issue of various MS-related impairments compromising the validity of PROs reported by MS patients.http://www.sciencedirect.com/science/article/pii/S2405844022009252Patient reported outcomesMultiple sclerosisComplex diseasePatient involvement |
| spellingShingle | Signe Baattrup Reitzel Marie Lynning Lasse Skovgaard Neurologists’ views on patient reported outcomes in multiple sclerosis care Heliyon Patient reported outcomes Multiple sclerosis Complex disease Patient involvement |
| title | Neurologists’ views on patient reported outcomes in multiple sclerosis care |
| title_full | Neurologists’ views on patient reported outcomes in multiple sclerosis care |
| title_fullStr | Neurologists’ views on patient reported outcomes in multiple sclerosis care |
| title_full_unstemmed | Neurologists’ views on patient reported outcomes in multiple sclerosis care |
| title_short | Neurologists’ views on patient reported outcomes in multiple sclerosis care |
| title_sort | neurologists views on patient reported outcomes in multiple sclerosis care |
| topic | Patient reported outcomes Multiple sclerosis Complex disease Patient involvement |
| url | http://www.sciencedirect.com/science/article/pii/S2405844022009252 |
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