Implementing Patient-Reported Outcome Measures in Outpatient Rehabilitation Settings: A Systematic Review of Facilitators and Barriers Using the Consolidated Framework for Implementation Research.
This systematic review examines the facilitators and barriers to the use of patient-reported outcome measures (PROMs) in outpatient rehabilitation settings and provides strategies to improve care to maximize patient outcomes. Eleven databases were systematically searched from November 2018 to May 20...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 101; no. 10; pp. 1796 - 1813 |
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| Autores principales: | , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
W B Saunders
Oct2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146013058&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146013058 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Oct2020 vid: 101 iid: 10 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 146013058 146013058 146013058 10.1016/j.apmr.2020.04.007 146013058 ppf: 1796 ppct: 17 formats: tig: atl: Implementing Patient-Reported Outcome Measures in Outpatient Rehabilitation Settings: A Systematic Review of Facilitators and Barriers Using the Consolidated Framework for Implementation Research. aug: au: Briggs, Matthew S. Rethman, Katherine Kozak Crookes, Justin Cheek, Fern Pottkotter, Kristy McGrath, Shana DeWitt, John Harmon-Matthews, Lindsay E. Quatman-Yates, Catherine C. affil: Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Jameson Crane Sports Medicine Institute, Columbus, Ohio sug: subj: Patient-Reported Outcomes Utilization Outpatient Service Rehabilitation Centers Implementation Science Health Services Accessibility Quality Improvement Human Systematic Review Occupational Therapy Physical Therapy Speech-Language Pathology Athletic Training CINAHL Database Cochrane Library Embase Psycinfo SportDiscus PubMed Professional Knowledge Professional Competence Support, Psychosocial ab: This systematic review examines the facilitators and barriers to the use of patient-reported outcome measures (PROMs) in outpatient rehabilitation settings and provides strategies to improve care to maximize patient outcomes. Eleven databases were systematically searched from November 2018 to May 2019. Two reviewers independently assessed articles based on the following inclusion criteria: English text, evaluate barriers and facilitators, include PROMs, and occur in an outpatient rehabilitation setting (physical therapy, occupational therapy, speech language pathology, or athletic training). Of the 10,164 articles initially screened, 15 articles were included in this study. Data were extracted from the selected articles by 2 independent reviewers and put into an extraction template and into the Consolidated Framework for Implementation Research (CFIR) model. The Appraisal Tool for Cross-Sectional Studies (AXIS) was conducted on each study to assess study design, risk of bias, and reporting quality of the eligible studies. Ten studies were identified as high quality, according to the AXIS. Based on the CFIR model, the top barriers identified focused on clinician training and time in the implementation process, lack of recognized value and knowledge at the individual level, lack of access and support in the inner setting, and inability of patients to complete PROMs in the intervention process. Facilitators were identified as education in the implementation process, support and availability of PROMs in the inner setting, and recognized value at the individual level. More barriers than facilitators have been identified, which is consistent with PROM underuse. Clinicians and administrators should find opportunities to overcome the barriers identified and leverage the facilitators to improve routine PROM use and maximize patient outcomes. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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