Development and Validation of the Keele Musculoskeletal Patient Reported Outcome Measure (MSK-PROM).
OBJECTIVE
To develop and validate a patient report outcome measure (PROM) for clinical practice that can monitor health status of patients with a range of musculoskeletal (MSK) disorders.


METHODS
Constructs for inclusion in the MSK-PROM were identified from a consensus process involving patients with musculoskeletal conditions, clinicians, purchasers of healthcare services, and primary care researchers. Psychometric properties of the brief tool, including face and construct validity, repeatability and responsiveness were assessed in a sample of patients with musculoskeletal pain consulting physiotherapy services in the United Kingdom (n=425).


RESULTS
The consensus process identified 10 prioritised domains for monitoring musculoskeletal health status: pain intensity, quality of life, physical capacity, interference with social/leisure activities, emotional well-being, severity of most difficult thing, activities and roles, understanding independence, and overall impact. As the EuroQol (EQ-5D-5L) is a widely adopted PROMs tool and covers the first four domains listed, to reduce patient burden to a minimum the MSK-PROM was designed to capture the remaining six prioritised domains which are not measured by the EQ-5D-5L. The tool demonstrated excellent reliability, construct validity, responsiveness and acceptability to patients and clinicians for use in clinical practice.


CONCLUSIONS
We have validated a brief patient reported outcome measure (MSK-PROM) for use in clinical practice to measure musculoskeletal health status and monitor outcomes over time using domains that are meaningful to patients and sensitive to change. Further work will establish whether the MSK-PROM is useful in other musculoskeletal healthcare settings.
Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, Staffordshire, United Kingdom.
Jonathan C
JC
Hill
Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, Staffordshire, United Kingdom.
Elaine
E
Thomas
Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, Staffordshire, United Kingdom.
Susan
S
Hill
Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, Staffordshire, United Kingdom.
Nadine E
NE
Foster
Institute of Primary Care and Health Sciences, Keele University, Stoke-on-Trent, Staffordshire, United Kingdom.
Danielle A
DA
van der Windt
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000503:physiopathology*; D059352:Musculoskeletal Pain / Q000503:physiopathology; D063868:Patient Outcome Assessment; D011594:Psychometrics / Q000379:methods*; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult