Integrating Patient Reported Outcome Measures (PROMs) into routine nurse-led primary care for patients with multimorbidity: a feasibility and acceptability study

Abstract Background The use of Patient Reported Outcome Measures (PROMS) in clinical practice has the potential to promote patient-centred care and improve patients’ quality life. Individualized PROMs may be particularly helpful identifying, prioritizing monitoring health problems patients with multimorbidity. We aimed develop an intervention centred around feedback as part Primary Care annual reviews for multimorbidity evaluate its feasibility acceptability. Methods developed a nurse-oriented including (a) training nurses on PROMs; (b) administration individualized standardized PROMS; (c) both scores interpretation guidance. then tailored two or more highly prevalent conditions (asthma, COPD, diabetes, heart failure, depression, hip/knee osteoarthritis) designed non-controlled acceptability evaluation convenience sample primary practices (5). were administered fed back immediately ahead scheduled nurses. Patients rated using brief survey optional free comments. Thematic analysis qualitative interviews participating (10) (4) comments was conducted further in-depth Feasibility estimated based rates participation completion. Results Out 68 recruited (mean age 70; 47% female), completed (100%), received (100%) confirmed nurse awareness their (100%). Most (83%) “agreed”/”strongly agreed” that had been useful, view supported by 89% reviews. rich data PROMS administration, role indicated perceived acceptable promising, emphasizing comprehensiveness patient-centredness. Conclusions have tested focusing routine PROM assessment Care. Preliminary findings support high degree from next step is conduct full-scale trial evaluating effectiveness proposed intervention.