Impact of an Enhanced Patient Reported Outcome Measurement (PROM) Strategy on PROM Completion Rates

NCT ID: NCT06078137

Last Updated: 2025-07-31

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 200 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2025-12-01

Brief Summary

in clinical practice has been curbed by issues related to the variability in use of these tools for decision-making, and universally poor completion rates over time. Patients may not see the relevance of responding to questions about their health, and the results may not be reviewed by the clinician or presented and visualized with the patient. The questions may seem impersonal (e.g. too general and not directly assessing their individual goals, motivations, aspirations), irrelevant (e.g., asking about symptoms of depression when a person is seeking musculoskeletal specialty care) and insensitive (e.g., asking about sensitive subjects at the outset thereby disengaging the individual), and redundant or awkward (e.g., presenting questions that seem very similar or administered in strange orders). Finally, PROMs may also confer some burden (e.g., long PROM questionnaires often used for research may be unnecessarily burdensome for patient care), and provide logistical challenges (e.g., difficulties in administering the tools at the right time points), adding to a poor patient experience.

Detailed Description

The investigator sought to assess the impact of an enhanced and more personalized PROM strategy to overcome these barriers by providing i) a primer ahead of PROMs administration, ii) simple 3-part survey capturing capability, comfort, and calm, iii) a short distress and misconception survey, iv) goal setting question, v) summary sheet of PRO scores, and vi) a commitment intervention. Patients will subsequently be requested to complete the CollaboRATE survey, JSPPE survey, and questions about their experience in relation to the new format of surveys (only if they were in the intervention group) before receiving a text message reminder around 6-weeks followed by a set of deprioritization questions and the 3-part capability, comfort, and calm survey.

Conditions

PROM

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: BASIC_SCIENCE
• Blinding Strategy: SINGLE

Study Groups

Intervention Group

Patients randomized to intervention receive both usual Patient reported outcome measure (PROM) and new PROMs strategy (on the technology platform for English speakers and on REDCap/Qualtrix for Spanish Speakers) done after rooming.

Group Type: EXPERIMENTAL

Usual PROMs and new PROMs strategy

Intervention Type: OTHER

Patients randomized to intervention receive both usual PROMs and new PROMs strategy

Control group

Patients go through the registration process which includes PROMs completion using Ipads. Enrolled in the room at the end of the visit.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Usual PROMs and new PROMs strategy

Patients randomized to intervention receive both usual PROMs and new PROMs strategy

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

All new patients English and Spanish speakers

Exclusion Criteria

Cognitive deficiency precluding PROM completion Language other than English or Spanish

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 89 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Texas at Austin

OTHER

Sponsor Role: lead

Responsible Party

David Ring

Professor of Surgery and Perioperative Care Department

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

David Ring, MD

Role: PRINCIPAL_INVESTIGATOR

Professor of orthopedic surgery at The university of Texas at Austin

Locations

University of Texas Health Austin

Austin, Texas, United States

Countries

United States

Other Identifiers

STUDY00001696

Identifier Type: -

Identifier Source: org_study_id