title: Patient reported outcome measures (PROMs) for goalsetting and outcome measurement in primary care physiotherapy, an explorative field study.
abstract: OBJECTIVE
  Routine use of patient reported outcome measures (PROMs) may provide an effective way of monitoring patient valued outcomes. In this study we explored (1) the current use of PROMs; (2) to what extent the goals correspond with the selected PROMs; (3) the health outcomes based on PROMs.
  
  
  METHODS
  Observational clinical cohort study.
  
  
  METHODS
  Dutch primary care physiotherapy practices (n=43).
  
  
  METHODS
  Patients (n=299) with neck pain or low back pain.
  
  
  METHODS
  The number of PROMs used per patient were calculated. The International Classification of Functioning, Disability and Health was used to map the patients' goals and the percentages of PROMS selected that match the domains of the goals were calculated. Health outcomes were assessed using two approaches for estimating the minimal clinically important difference (MCID).
  
  
  RESULTS
  Repeated measurements with the Visual Analogue Scale, the Patient Specific Complaints questionnaire, the Quebec Back Pain Disability Scale, or the Neck Disability Index were completed by more than 60% of the patients. The PROMs used matched in 46% of the cases with goals for pain improvement, and in 43% with goals set at activity/participation level. The mean differences between baseline and follow up scores for all PROMs were statistically significant. Improvements of patients based on MCID varied from 57% to 90%.
  
  
  CONCLUSIONS
  PROMs were used in the majority of the patients, showed improved health outcomes and fitted moderately with goals. The results of this study can be used for future research assessing the routine use of outcome measurements with PROMs.
authors.affiliation: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands. Electronic address: simone.vandulmen@radboudumc.nl.
authors.forename: Simone A
authors.initials: SA
authors.lastname: van Dulmen
authors.affiliation: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: van der Wees
authors.affiliation: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands; School for Physical Therapy, University of Applied Sciences Nijmegen, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Bart Staal
authors.affiliation: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
authors.forename: J C C
authors.initials: JC
authors.lastname: Braspenning
authors.affiliation: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.
authors.forename: Maria W G
authors.initials: MW
authors.lastname: Nijhuis-van der Sanden
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000534:rehabilitation*; D009426:Netherlands; D010147:Pain Measurement; D010347:Patient Care Planning; D000071066:Patient Reported Outcome Measures; D026741:Physical Therapy Modalities; D011320:Primary Health Care; D011788:Quality of Life
keywords: Goalsetting; International classification of functioning (ICF); Outcome measurement; Patient reported outcome measures, PROMs; Physiotherapy