Patient-reported outcome measure or PROM is the buzzword today. Like other areas, it is set to rise in the field of physiotherapy as well. Experts say that it provides unique patient-centered data.
It captures the impact of the disease and its treatment on the life of the patient. Thus, it is quite useful for clinical research and audit. There have been several developments in the field recently.
When rightly selected and effectively used, it can throw light on several important aspects of clinical research and treatment methodology. It is usually collected as the secondary outcome.
Though it is not a routine practice to use PROM in physiotherapy, the trend is increasing year after year.
There was a study carried out to understand the effect of PROM in physiotherapy treatment. A group of patients suffering from paresis after stroke was taken for the research. Generic PROM was measured to measure their independence in the daily routine and condition-specific improvement in the quality of life after physiotherapy sessions.
The primary and secondary outcomes were collected and measured using an objective physical test. Typically functional upper limb recovery was evaluated.
Patient-oriented trial outcomes and objective outcomes both are being commonly used nowadays to capture information about various aspects of recovery.
It becomes popular as quality improvement agenda
PROM in physiotherapy hasn’t been established as a routine practice, but it is certainly one of the quality improvement agendas today. Hence, more and more physiotherapy service providers are being asked to use it as the evidence of the quality of their services.
Also, PROM is being used to do a wide monitoring by commissioners in countries such as the USA or UK. They made it a contract requirement for health insurers of the private sector. Thus, it becomes mandatory.
In modern times, society started using a combined approach. They advocate collection of PROM (generic and patient-reported measure). Authorities have been working in the professional network to collect routine PROM collection related to various conditions that need physiotherapy care.
In some countries, special health teams have been established to provide assistance for PROM in the rapidly changing environment.
How to find out appropriate PROM?
Before deciding appropriate PROM, you should be ready with the answers to the following questions:
- What do you want to measure by PROM?
- Is there any rationale for assistance? If yes, then what is it?
- What is the level of measurement for group or individual PROM?
- What are the established (and recommended) PROMs being used by others?
The right selection of tool will help in establishing the right PROM and getting appropriate results. Nowadays, renowned physiotherapy clinics put extra attention to the selection of the appropriate tool.
A generic PROM is more appropriate when different patient groups that took part in clinical trials are measured for the degree of relief in the pain after physiotherapy treatment. Since it becomes part and partial of modern treatment, in established physiotherapy clinics in thane; you have PROM the essential part of physiotherapy treatment.