Client and service factors associated with changes in health-related quality of life following community rehabilitation

Snowdon, David A.; McGill, Scott; Altmann, Christie; Brooks, Kathryn; Everard, Tori; Fevre, Kate Le; Andrew, Nadine E.

doi:10.1080/09638288.2022.2037747

Cited by 4 publications

(4 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The purpose for using the EQ-5D-5L also appeared to affect its acceptability. In our study, the EQ-5D-5L was implemented for the primary purpose of quality improvement; to identify areas for improvement in service delivery [ 20 ]. Using PROMs to measure service performance has previously been identified as a concern for clinicians [ 12 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

“…Peninsula Health is a publicly funded healthcare organisation in Melbourne, Australia that services over 300,000 people [ 19 ]. In 2019, Peninsula Health implemented the routine collection of the EQ-5D-5L at two of its multidisciplinary community healthcare services [ 20 ]. The EQ-5D-5L was implemented to provide a measure of service performance and to inform initiatives aimed at improving the quality of healthcare delivery (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…The EQ-5D-5L was implemented to provide a measure of service performance and to inform initiatives aimed at improving the quality of healthcare delivery (i.e. quality improvement) [ 20 ]. Clinicians were also encouraged to use EQ-5D-5L responses to inform their clinical decision making with individual clients (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…The EQ-5D-5L is a generic measure of HRQoL with potential to be routinely administered in healthcare services to support value-based healthcare [ 20 – 23 ]. It provides an indication of health status across five health domains (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and a visual analogue scale (VAS) rating of overall health between 0 and 100 where 0 indicates worst possible health and 100 indicates best possible health [ 24 , 25 ].…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Acceptability of the routine use and collection of a generic patient reported outcome measure from the perspective of healthcare staff: a qualitative study

Snowdon

Srikanth

Beare

et al. 2023

J Patient Rep Outcomes

Self Cite

View full text Add to dashboard Cite

Background Patient-reported outcome measures (PROMs) provide a measure of self-perceived health status or health-related quality of life. They have been used to support provider-patient decisions, healthcare delivery, and value-based healthcare models. A barrier to routine collection of PROMs is the perception that PROMs lack clinical utility. As such, it is important to establish clinicians’ acceptability of the PROM prior to large-scale implementation. This study explored the acceptability of the routine use and collection of a generic PROM in healthcare services from the perspective of healthcare staff. Methods Individual semi-structured interviews were completed from September 2020 to March 2021 with 26 staff from two multi-disciplinary community healthcare services in Melbourne, Australia. Interviews explored their experiences of using the EQ-5D-5L in their routine care. Interviews were recorded and transcribed verbatim. Data were analysed according to a framework approach, using inductive and deductive techniques. Results Participants discussed the acceptability of the EQ-5D-5L with reference to four themes: practicalities of use; holistic nature; influence on client care; and influence on health service. Participants found the EQ-5D-5L quick and easy to administer, and appreciated that it measured multiple domains of health that were relevant to their clients’ care. They believed the EQ-5D-5L helped to identify client problems, and inform service delivery. They also reported features that were less acceptable, including a lack of item specificity to some healthcare disciplines. Participants reported the challenge of managing conflict between their assessment of the client’s health and the client’s perspective of their own health, leading some to question whether the client could provide an accurate reflection of their own health. Conclusions The EQ-5D-5L has several features that healthcare staff viewed as acceptable for routine collection and use in healthcare. Training on the validity of the patient reported perspective and broadening the scope of PROMs collection beyond the EQ-5D-5L should be considered to facilitate large-scale implementation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Acceptability of the routine use and collection of a generic patient reported outcome measure from the perspective of healthcare staff: a qualitative study

Snowdon

Srikanth

Beare

et al. 2023

J Patient Rep Outcomes

Self Cite

View full text Add to dashboard Cite

show abstract

Using a multi-stakeholder co-design process to develop a health service organisation-wide patient reported outcome measure collection system

Naude,

Andrew,

Srikanth

et al. 2023

Qual Life Res

View full text Add to dashboard Cite

Healthcare consumer acceptability of routine use of the EQ-5D-5L in clinical care: a cross-sectional survey

Snowdon,

Collyer,

Marsh

et al. 2024

Qual Life Res

View full text Add to dashboard Cite

Purpose Patient reported outcome measures, such as the EQ-5D-5L, provide a measure of self-perceived health status or health-related quality of life. Understanding the consumer acceptability of a patient reported outcome measure can help to decide about its implementation across a healthcare organisation and possibly increase the likelihood of its use in clinical care. This study established the acceptability of the EQ-5D-5L from the perspective of clients receiving healthcare, and determined if acceptability varied by client sub-types. Methods A cross-sectional survey explored clients’ experience of the EQ-5D-5L. Eligible clients were aged ≥ 18 years and completed the EQ-5D-5L on admission and discharge to one of two multi-disciplinary community health services. Likert scale items explored acceptability, and open-ended questions determined if the EQ-5D-5L reflects experience of illness. Associations between acceptability and client characteristics were established using χ2 test. Open-ended questions were analysed using content analysis. Results Most of the 304 clients (mean age 70 years, SD 16) agreed that the EQ-5D-5L: was easy to use/understand (n = 301, 99%) and useful (n = 289, 95%); improved communication with their therapist (n = 275, 90%); and made them feel more in control of their health (n = 276, 91%). Most clients also agreed that they wished to continue using the EQ-5D-5L (n = 285, 93%). Clients aged ≥ 60 years reported lower acceptability. Clients noted that the EQ-5D-5L did not capture experience of illness related to fatigue, balance/falls, cognition, and sleep. Conclusion The EQ-5D-5L is acceptable for use in care but does not capture all aspects of health relevant to clients, and acceptability varies by subgroup.

show abstract

Client and service factors associated with changes in health-related quality of life following community rehabilitation

Cited by 4 publications

References 53 publications

Acceptability of the routine use and collection of a generic patient reported outcome measure from the perspective of healthcare staff: a qualitative study

Acceptability of the routine use and collection of a generic patient reported outcome measure from the perspective of healthcare staff: a qualitative study

Using a multi-stakeholder co-design process to develop a health service organisation-wide patient reported outcome measure collection system

Healthcare consumer acceptability of routine use of the EQ-5D-5L in clinical care: a cross-sectional survey

Contact Info

Product

Resources

About