Does Multidimensional Health Assessment Using PROMIS Scales Enhance Clinical Decision-making for Patients with Orthopedic Problems? A Case Series.
Background and Purpose: Patient Reported Outcomes Measurement Information System (PROMIS) scales efficiently assess patient problems in multiple generic health domains. The purpose of this study was to describe how scores on 4 PROMIS scales--physical function (PF), pain interference (PI), fatigue, a...
| Published in: | Orthopedic Physical Therapy Practice Vol. 30; no. 4; pp. 528 - 537 |
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| Main Authors: | , , , , |
| Format: | case study pictorial research tables/charts Journal Article |
| Published: |
Orthopaedic Section, APTA, Inc.
2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132427139&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132427139 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15320871 YTT jtl: Orthopedic Physical Therapy Practice issn: 15320871 maglogo: N pubinfo: dt: 2018 vid: 30 iid: 4 pid: 38232 pub: Orthopaedic Section, APTA, Inc. place: La Crosse, Wisconsin artinfo: ui: 132427139 132427139 132427139 132427139 ppf: 528 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Does Multidimensional Health Assessment Using PROMIS Scales Enhance Clinical Decision-making for Patients with Orthopedic Problems? A Case Series. aug: au: Jacobson, Ryan Philbrook, Li-Zandre Dan Kang Cuddeford, Tyler Houck, Jeff affil: George Fox University, Newberg, OR sug: subj: Decision Making, Clinical Musculoskeletal Diseases Multidimensional Scaling Low Back Pain Rehabilitation Human Female Young Adult Adult Middle Age Oregon Orthopedic Care Scales Descriptive Statistics Pearson's Correlation Coefficient Hypothesis Qualitative Studies Adult: 19-44 years Middle Aged: 45-64 years Female ab: Background and Purpose: Patient Reported Outcomes Measurement Information System (PROMIS) scales efficiently assess patient problems in multiple generic health domains. The purpose of this study was to describe how scores on 4 PROMIS scales--physical function (PF), pain interference (PI), fatigue, and self-efficacy (SE)-- were used to determine treatment in a group of patients with orthopedic problems. Methods: Patients (n=45) with musculoskeletal pain were administered the PROMIS scales at initial evaluation. Scores were coded for severity to determine a key health domain (PF/PI, fatigue, or SE) that became the priority for treatment. Three case descriptions are presented. Findings: High proportions of PROMIS scores (45-65%) were "mild" or "severe." Only 35.6% of patients fit the PF/PI key health domain, with 35.6% categorized SE and 28.9% fatigue. Cases illustrate a distinct treatment approach for each key health domain. Clinical Relevance: Generic health domains captured by PROMIS provide a new framework for clinical decision-making and patient engagement. The generic health domains provide a quick efficient method to target specific areas of health. Conclusion: Two-thirds of patients with orthopedic diagnoses presented with problems outside of the typical PF/PI domain captured by current patient-reported outcomes. Combining the PF and PI domains was supported by strong convergent validity. Case examples illustrate how identifying key health domains influences patient interactions and clinical decision-making. pubtype: Periodical doctype: case study pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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