Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions
Abstract Background Patient-reported outcome measures (PROMs) play an important role in promoting and supporting patient and family-centered care. Implementing interventions like PROMs in routine clinical care require key stakeholders to change their behavior. The aim of this study was to utilize th...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-08-01
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| Series: | Journal of Patient-Reported Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41687-022-00494-3 |
| _version_ | 1811340254376886272 |
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| author | Sumedh Bele Sarah Rabi Muning Zhang Elizabeth Oddone Paolucci David W. Johnson Hude Quan Maria J. Santana |
| author_facet | Sumedh Bele Sarah Rabi Muning Zhang Elizabeth Oddone Paolucci David W. Johnson Hude Quan Maria J. Santana |
| author_sort | Sumedh Bele |
| collection | DOAJ |
| description | Abstract Background Patient-reported outcome measures (PROMs) play an important role in promoting and supporting patient and family-centered care. Implementing interventions like PROMs in routine clinical care require key stakeholders to change their behavior. The aim of this study was to utilize the Theoretical Domains Framework (TDF) to identify barriers and enablers to the implementation of PROMs in pediatric outpatient asthma clinics from healthcare providers’ perspective. Methods This TDF-guided qualitative descriptive study is part of a larger multi-phase project to develop the KidsPRO program, an electronic platform to administer, collect, and use PROMs in pediatrics. Semi-structured qualitative interviews were conducted with 17 participants, which included pediatricians, nurses, allied health professionals and administrative staff from outpatient asthma clinics. All the interviews were transcribed, deductively coded, inductively grouped in themes, and categorized into barriers and enablers. Results We identified 33 themes within 14 TDF domains, which were further categorized and tabulated into 16 barriers and 17 enablers to implementing PROMs in asthma clinics. Barriers to behavioral change were attributed to personal, clinical, non-clinical, and other system-level factors; they ranged from limited awareness of PROMs to language barriers and patient’s complex family background. Enablers ranged from a personal commitment to providing patient and family-centered care to administering PROMs electronically. Conclusion This implementation of science-based systematic inquiry captured the complexity of PROMs implementation in pediatric outpatient clinical care for asthma. Considering the consistency in barriers and enablers to implementing PROMs across patient populations and care settings, many findings of this study will be directly applicable to other pediatric healthcare settings. |
| first_indexed | 2024-04-13T18:39:15Z |
| format | Article |
| id | doaj.art-cf32c413c83a4072985ad06b1fa25931 |
| institution | Directory Open Access Journal |
| issn | 2509-8020 |
| language | English |
| last_indexed | 2024-04-13T18:39:15Z |
| publishDate | 2022-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Patient-Reported Outcomes |
| spelling | doaj.art-cf32c413c83a4072985ad06b1fa259312022-12-22T02:34:47ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202022-08-016111510.1186/s41687-022-00494-3Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptionsSumedh Bele0Sarah Rabi1Muning Zhang2Elizabeth Oddone Paolucci3David W. Johnson4Hude Quan5Maria J. Santana6Department of Pediatrics, Cumming School of Medicine, University of CalgaryBachelor of Sciences Program, Queen’s UniversityBachelor of Health Sciences Program, Cumming School of Medicine, University of CalgaryDepartment of Community Health Sciences, Cumming School of Medicine, University of CalgaryDepartment of Pediatrics, Cumming School of Medicine, University of CalgaryDepartment of Community Health Sciences, Cumming School of Medicine, University of CalgaryDepartment of Pediatrics, Cumming School of Medicine, University of CalgaryAbstract Background Patient-reported outcome measures (PROMs) play an important role in promoting and supporting patient and family-centered care. Implementing interventions like PROMs in routine clinical care require key stakeholders to change their behavior. The aim of this study was to utilize the Theoretical Domains Framework (TDF) to identify barriers and enablers to the implementation of PROMs in pediatric outpatient asthma clinics from healthcare providers’ perspective. Methods This TDF-guided qualitative descriptive study is part of a larger multi-phase project to develop the KidsPRO program, an electronic platform to administer, collect, and use PROMs in pediatrics. Semi-structured qualitative interviews were conducted with 17 participants, which included pediatricians, nurses, allied health professionals and administrative staff from outpatient asthma clinics. All the interviews were transcribed, deductively coded, inductively grouped in themes, and categorized into barriers and enablers. Results We identified 33 themes within 14 TDF domains, which were further categorized and tabulated into 16 barriers and 17 enablers to implementing PROMs in asthma clinics. Barriers to behavioral change were attributed to personal, clinical, non-clinical, and other system-level factors; they ranged from limited awareness of PROMs to language barriers and patient’s complex family background. Enablers ranged from a personal commitment to providing patient and family-centered care to administering PROMs electronically. Conclusion This implementation of science-based systematic inquiry captured the complexity of PROMs implementation in pediatric outpatient clinical care for asthma. Considering the consistency in barriers and enablers to implementing PROMs across patient populations and care settings, many findings of this study will be directly applicable to other pediatric healthcare settings.https://doi.org/10.1186/s41687-022-00494-3Patient-reported outcome measures (PROMs)AsthmaPediatricsTheoretical domains frameworkQualitative study |
| spellingShingle | Sumedh Bele Sarah Rabi Muning Zhang Elizabeth Oddone Paolucci David W. Johnson Hude Quan Maria J. Santana Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions Journal of Patient-Reported Outcomes Patient-reported outcome measures (PROMs) Asthma Pediatrics Theoretical domains framework Qualitative study |
| title | Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions |
| title_full | Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions |
| title_fullStr | Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions |
| title_full_unstemmed | Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions |
| title_short | Patient-reported outcome measures in pediatric asthma care: using theoretical domains framework to explore healthcare providers’ perceptions |
| title_sort | patient reported outcome measures in pediatric asthma care using theoretical domains framework to explore healthcare providers perceptions |
| topic | Patient-reported outcome measures (PROMs) Asthma Pediatrics Theoretical domains framework Qualitative study |
| url | https://doi.org/10.1186/s41687-022-00494-3 |
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