Implementation Science frameworks can guide efforts for integration and evaluation of patient-reported outcome measures in clinical care.
Frameworks Used for Patient-Reported Outcome Implementation for Patient Care
Stover and colleagues (2020) compared four case studies of implementation of patient-reported outcome or experience measures in routine clinical care settings. Barriers were consistent across sites whereas enablers were context-specific. Implementation strategies and evaluation were also compared. The four studies include:
- Ahmed and colleagues (2020) utilized the Theoretical Domains Framework (TDF) Consolidated Framework for Implementation (CFIR) to implement patient-reported outcome measures for clinical care and quality improvement in pain clinics.
- Manalili and colleagues (2020) utilized the Knowledge to Action Cycle and Consolidated Framework for Implementation Research (CFIR) to implement patient-reported experience measures for quality improvement in primary care.
- Roberts and colleagues (2020) utilized the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) as a framework for implementation in oncology clinics.
- Van Oers and colleagues (2020) utilized the Consolidated Framework for Implementation (CFIR) retrospectively evaluate implementation of patient-reported outcome measures in pediatric and adult clinics.
Custom Selection and Implementation Framework
In the Netherlands, van der Wees and colleagues (2019) developed a framework and tools using user-centered design specifically for the selection and implementation of patient-reported outcome measures in clinical settings. It includes 4 phases:
- Goal setting
- Selecting patient-reported outcomes and measures
- Developing and testing of quality indicators
- Implementing and evaluating the patient-reported outcome measures and indicators