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Roles of different organizations in implementing patient-reported measures in routine maternity care in Finland. 不同机构在芬兰常规产科护理中实施患者报告措施方面的作用。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-03 DOI: 10.1186/s41687-024-00793-x
Kirsi Marja-Leena Väyrynen, An Chen, Seppo Heinonen, Aydin Tekay, Paulus Torkki

Background: The integration of patient-centered care (PCC) and value-based healthcare (VBHC) principles, emphasizing personalized, responsive care and cost efficiency, is crucial in modern healthcare. Despite advocation from the International Consortium for Health Outcomes Measurement (ICHOM) for the global adoption of these principles through patient-reported measures (PRMs), their implementation, especially the pregnancy and childbirth (PCB) set, remains limited in maternity care. This study focuses on understanding the optimal organizational entity for integrating standard ICHOM-PCB-PRMs into routine maternity care in Finland. It aims to clarify the distribution of tasks among stakeholders and gather Finnish maternity healthcare professionals' perspectives on organizational responsibility in PRM collection. The emphasis was on identifying the optimal organizational framework for managing PRMs in maternity care.

Results: A total of 66 maternity healthcare professionals participated in the study, reaching a consensus that public maternity care centers in Finland should be the primary entity responsible for managing PRMs in the maternity sector. Key aspects such as confidence with the role as a mother, maternal confidence with breastfeeding, and satisfaction with the result of care were identified as crucial and should be inquired about in both public maternity care centers and hospital maternity wards. The findings highlight the importance of comprehensive and consistent attention to these PRMs across public maternity care centers and hospital maternity settings to ensure holistic and effective maternal care.

Conclusions: The study highlights the central role of public maternity care centers in the collection and management of PRMs within Finnish maternity care, as agreed upon by the professional consensus. It underscores the importance of a consistent and holistic approach to PRM inquiry across different care settings to enhance the quality and effectiveness of maternity care. This finding is crucial for policymakers and healthcare practitioners, suggesting that reinforcing the collaborative efforts between public maternity care centers and hospital maternity wards is vital for a patient-centric, efficient healthcare system. Aligning with PCC and VBHC principles, this approach aims to improve healthcare outcomes for pregnant and postpartum women in Finland, emphasizing the need for a unified strategy in managing maternity care.

背景:以患者为中心的护理(PCC)和以价值为基础的医疗保健(VBHC)原则强调个性化、反应迅速的护理和成本效益,两者的结合对现代医疗保健至关重要。尽管国际健康结果测量联盟(ICHOM)提倡通过患者报告测量(PRMs)在全球范围内采用这些原则,但在孕产妇护理中,尤其是妊娠和分娩(PCB)组中,这些原则的实施仍然有限。本研究旨在了解芬兰将标准的 ICHOM-PCB-PRMs 纳入常规产科护理的最佳组织实体。它旨在明确利益相关者之间的任务分配,并收集芬兰产科医护专业人员对 PRM 收集工作中组织责任的看法。重点是确定在产科护理中管理 PRM 的最佳组织框架:共有 66 名产科医护专业人员参与了这项研究,并达成了一项共识,即芬兰的公立产科护理中心应该是负责管理产科领域 PRM 的主要实体。研究发现,对母亲角色的信心、产妇对母乳喂养的信心以及对护理结果的满意度等关键方面至关重要,应在公立产科护理中心和医院产科病房进行调查。研究结果强调了在公立产科护理中心和医院产科环境中全面、一致地关注这些 PRMs 的重要性,以确保提供全面、有效的孕产妇护理:这项研究强调了公立产科护理中心在芬兰产科护理中收集和管理产妇死亡率监测指标的核心作用,这一点已得到专业人士的共识。它强调了在不同的护理环境中采用一致、全面的方法进行产妇死亡率监测的重要性,以提高产科护理的质量和有效性。这一发现对政策制定者和医疗从业人员至关重要,表明加强公立产科护理中心与医院产房之间的合作对于建立以患者为中心的高效医疗系统至关重要。这种方法符合PCC和VBHC原则,旨在改善芬兰孕妇和产后妇女的医疗保健结果,强调了在管理产科护理方面采取统一战略的必要性。
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引用次数: 0
Psychometric characteristics of the Spanish version of the HIV Symptom Index. 西班牙文版艾滋病症状指数的心理计量特征。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-10-01 DOI: 10.1186/s41687-024-00780-2
Olatz Ibarra-Barrueta, Oihana Mora-Atorrasagasti, Itziar Palacios-Zabalza, Urko Aguirre-Larracoechea, Maria Jose Legarreta, Nerea González-Hernández

Background: The aim of this study was to determine the psychometric properties of the Spanish-language version of the HIV-Symptom Index (HIV-SI) questionnaire in Spanish patients undergoing antiretroviral therapy.

Methods: Between 2014 and 2016, an observational, multicenter, prospective cohort study was conducted in seventeen Spanish hospitals to validate HIV-SI questionnaire in terms of: construct validity (confirmatory factor analysis), internal consistency (Cronbach's alpha), convergent validity (Pearson's correlation coefficient) and Known-group validity. In addition, a sensitivity to change analysis was also performed.

Results: A total of 232 patients were included in the study. They had a mean age of 46.17 (SD9.82) and were 75% male. The median overall score for the HIV-SI was 10 (IQR 4- 19.5) and the most common symptoms reported were feelings of nervousness or anxiety, fatigue or energy loss, feeling sad or depressed, stomach pain or bloating, and difficulty sleeping. In the current study, the Spanish HIV-SI questionnaire showed a high internal consistency (α = 0.89) and adequate construct validity (CFI and TLI > 0.90). When contrasted with the MOS-HIV questionnaire, an inverse correlation was found. It showed a good association with the mental (r=-0.61; P < 0.0001) and physical score (r=-0.60; P < 0.0001). In a multivariate analysis, the age of the patient, female condition, hepatitis C coinfection, concomitant treatment and non-adherence resulted in a higher HIV-SI score.

Conclusions: Our study has shown that the Spanish HIV-SI is a valid and reliable self-administered PROM for routine measurement of patient- reported symptoms among Spanish patients on antiretroviral treatment.

背景:本研究旨在确定西班牙语版艾滋病毒症状指数(HIV-SI)问卷在接受抗逆转录病毒治疗的西班牙患者中的心理测量特性:2014年至2016年期间,在西班牙17家医院开展了一项观察性、多中心、前瞻性队列研究,从以下方面验证了HIV-SI问卷:构建效度(确证因子分析)、内部一致性(Cronbach's alpha)、收敛效度(皮尔逊相关系数)和已知群体效度。此外,还进行了变化敏感性分析:研究共纳入 232 名患者。他们的平均年龄为 46.17 岁(SD9.82),75% 为男性。HIV-SI 总分的中位数为 10(IQR 4-19.5),最常见的症状是紧张或焦虑、疲劳或精力下降、悲伤或抑郁、胃痛或腹胀以及睡眠困难。在本次研究中,西班牙 HIV-SI 问卷显示出较高的内部一致性(α = 0.89)和足够的结构效度(CFI 和 TLI > 0.90)。与 MOS-HIV 问卷相比,两者之间存在反相关性。该问卷与精神状况有良好的相关性(r=-0.61;P 结论:我们的研究表明,西班牙 HIV-SI 是一种有效、可靠的自填式 PROM,可用于常规测量接受抗逆转录病毒治疗的西班牙患者报告的症状。
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引用次数: 0
Top 100 most cited articles on Patient Reported Experience Measures (PREM): insights and perspectives. 关于患者报告体验测量(PREM)的 100 篇最常被引用的文章:见解与观点。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-30 DOI: 10.1186/s41687-024-00791-z
Asiya Attar, Kasturi Shukla, Preeti Mulay

Purpose: Patient experience is fundamental to Patient-Centered Care (PCC). Although prior bibliometric research studies have focused on various aspects of PCC, a comprehensive analysis of PREM articles is required to understand its impact on the clinical practices. This study aims to analyze the top 100 most-cited PREM articles to examine the critical studies and related trends.

Methods: The 100 most cited articles on PREM were gathered from the Web of Science using a combination keyword search approach. The following information was extracted: study design, sample size, topic, number of citations, authorship, country, year of publication, journal title, and dimensions included in these PREM instruments. The VOSviewer software was used to generate graphical bibliometric networks.

Results: The citation count of the top 100 PREM articles varied from 20 to 775 citations. 21 articles had received a minimum of 100 citations. All the articles were in English, and out of these 45% were from the USA. The cross-sectional study (69%) was the most common study design, and the impact of treatment (44%) was the most frequent topic. The common PREM instruments used were customized PREM questionnaires (16%) and HCAHPS (10%).

Conclusion: This bibliometric research showed that the area of PREM is far from being saturated. The authors have attempted to provide an overview of global PREM research. Future research should focus on studies from underdeveloped and developing countries to develop condition-specific PREM tools. Longitudinal researches among special populations and studies in day-care and outpatient settings are recommended in future.

目的:患者体验是 "以患者为中心的医疗"(PCC)的基础。尽管之前的文献计量学研究关注了 PCC 的各个方面,但要了解其对临床实践的影响,还需要对 PREM 文章进行全面分析。本研究旨在分析被引用次数最多的 100 篇 PREM 文章,以考察关键研究和相关趋势:方法:采用关键词组合搜索法,从科学网收集了 100 篇被引用次数最多的 PREM 文章。提取了以下信息:研究设计、样本大小、主题、引用次数、作者、国家、发表年份、期刊名称以及这些 PREM 工具所包含的维度。使用 VOSviewer 软件生成图解文献计量学网络:PREM 前 100 篇文章的引用次数从 20 次到 775 次不等。有 21 篇文章至少被引用了 100 次。所有文章均为英文,其中 45% 来自美国。横断面研究(69%)是最常见的研究设计,治疗的影响(44%)是最常见的主题。常用的 PREM 工具是定制的 PREM 问卷(16%)和 HCAHPS(10%):这项文献计量学研究表明,PREM 领域远未饱和。作者试图提供全球 PREM 研究的概况。未来的研究应侧重于欠发达国家和发展中国家的研究,以开发针对具体情况的 PREM 工具。建议今后在特殊人群中开展纵向研究,并在日托和门诊环境中开展研究。
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引用次数: 0
Patient-reported outcome measures for lupus nephritis: content validity of LupusQoL and FACIT-Fatigue. 狼疮性肾炎的患者报告结果测量:LupusQoL 和 FACIT-Fatigue 的内容有效性。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-30 DOI: 10.1186/s41687-024-00783-z
Mona L Martin, Jennifer N Hill, Jennifer L Rogers, Deven Chauhan, Wen-Hung Chen, Kerry Gairy

Background: Lupus nephritis (LN), a severe organ manifestation of systemic lupus erythematosus (SLE), significantly impacts health-related quality of life (HRQoL). Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) and Lupus Quality of Life (LupusQoL) have been validated to measure HRQoL in SLE, but not specifically in LN. Patient-reported symptoms of LN are not well-reported. We assessed the content validity and relevance of these measures in evaluating patients with LN and their LN-related experiences.

Methods: This qualitative, interview-based study enrolled patients with LN from three US sites from a larger, retrospective survey study. The interview comprised an open-ended concept elicitation part and a more structured cognitive part. Concept elicitation was used to identify relevant themes describing the patients' experiences. Patients were asked to describe their LN-related symptoms, the severity and impact of those symptoms and their satisfaction with treatment. A cognitive interview approach evaluated the appropriate understanding of the items, instructions, and response options and asked patients about their understanding of the FACIT-Fatigue or LupusQoL measures, their relevance to the condition, and any aspects of confusion or need for better clarity of the questionnaires. All interviews were recorded and transcribed. The concept elicitation data were coded, while the cognitive interview data were tabulated to present the participants' responses next to the interview questions to support the evaluation of their understanding of the questionnaire items.

Results: Overall, 10 patients participated in FACIT-Fatigue and another 10 in LupusQoL interviews; 18 patients were female, 10 were Black (self-reported) and 17 were receiving maintenance treatment for LN with stable disease activity. When patients recalled their symptoms, 670 expressions of varying symptoms were reported. All patients described pain, discomfort, and energy-related symptoms. Urinary frequency and non-joint swelling were most frequently attributed to LN rather than SLE. Patients felt the questions asked in the FACIT-Fatigue and LupusQoL surveys were relevant to their LN experience.

Conclusions: The symptoms reported by patients with LN were consistent with symptoms reported by the overall SLE population. However, patients indicated that some symptoms of LN were more profound than symptoms of SLE alone, affecting a broad range of areas of daily life activity and resulting in a higher burden on their HRQoL. FACIT-Fatigue and LupusQoL demonstrated content relevance as meaningful tools for patients with LN. However, further quantitative data collection is needed to ensure that these patient-reported outcome tools demonstrate good measurement properties in an LN population.

背景:狼疮肾炎(LN)是系统性红斑狼疮(SLE)的一种严重器官表现,严重影响健康相关生活质量(HRQoL)。慢性疾病治疗功能评估-疲劳(FACIT-Fatigue)和狼疮生活质量(LupusQoL)已被证实可用于测量系统性红斑狼疮的 HRQoL,但还没有专门用于测量 LN 的 HRQoL。患者报告的 LN 症状并不多。我们评估了这些测量方法在评估 LN 患者及其 LN 相关经历时的内容有效性和相关性:这项基于访谈的定性研究从一项大型回顾性调查研究中招募了来自美国三个地点的 LN 患者。访谈包括开放式概念激发部分和结构化认知部分。概念激发用于确定描述患者经历的相关主题。患者被要求描述他们的 LN 相关症状、这些症状的严重程度和影响以及他们对治疗的满意度。认知访谈法评估了患者对项目、说明和回答选项的适当理解,并询问了患者对 FACIT-Fatigue 或 LupusQoL 测量的理解、与病情的相关性,以及是否有任何困惑或需要进一步明确问卷的内容。所有访谈都进行了录音和转录。对概念激发数据进行了编码,同时将认知访谈数据制成表格,将参与者的回答与访谈问题一一对应,以帮助评估他们对问卷项目的理解:共有 10 名患者参加了 FACIT-疲劳访谈,另有 10 名患者参加了狼疮生活质量访谈;18 名患者为女性,10 名患者为黑人(自我报告),17 名患者正在接受狼疮维持治疗,疾病活动稳定。患者在回忆症状时,共报告了 670 种不同的症状表现。所有患者都描述了疼痛、不适和能量相关症状。尿频和非关节肿胀最常被归咎于 LN 而非系统性红斑狼疮。患者认为 FACIT-Fatigue 和 LupusQoL 调查中提出的问题与他们的 LN 经历相关:结论:LN 患者报告的症状与整个系统性红斑狼疮患者报告的症状一致。然而,患者表示LN的某些症状比单纯的系统性红斑狼疮症状更严重,影响了日常生活活动的多个领域,给他们的HRQoL造成了更大的负担。FACIT-Fatigue 和 LupusQoL 作为对 LN 患者有意义的工具,在内容上具有相关性。不过,还需要进一步收集定量数据,以确保这些患者报告的结果工具在 LN 患者中表现出良好的测量特性。
{"title":"Patient-reported outcome measures for lupus nephritis: content validity of LupusQoL and FACIT-Fatigue.","authors":"Mona L Martin, Jennifer N Hill, Jennifer L Rogers, Deven Chauhan, Wen-Hung Chen, Kerry Gairy","doi":"10.1186/s41687-024-00783-z","DOIUrl":"10.1186/s41687-024-00783-z","url":null,"abstract":"<p><strong>Background: </strong>Lupus nephritis (LN), a severe organ manifestation of systemic lupus erythematosus (SLE), significantly impacts health-related quality of life (HRQoL). Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) and Lupus Quality of Life (LupusQoL) have been validated to measure HRQoL in SLE, but not specifically in LN. Patient-reported symptoms of LN are not well-reported. We assessed the content validity and relevance of these measures in evaluating patients with LN and their LN-related experiences.</p><p><strong>Methods: </strong>This qualitative, interview-based study enrolled patients with LN from three US sites from a larger, retrospective survey study. The interview comprised an open-ended concept elicitation part and a more structured cognitive part. Concept elicitation was used to identify relevant themes describing the patients' experiences. Patients were asked to describe their LN-related symptoms, the severity and impact of those symptoms and their satisfaction with treatment. A cognitive interview approach evaluated the appropriate understanding of the items, instructions, and response options and asked patients about their understanding of the FACIT-Fatigue or LupusQoL measures, their relevance to the condition, and any aspects of confusion or need for better clarity of the questionnaires. All interviews were recorded and transcribed. The concept elicitation data were coded, while the cognitive interview data were tabulated to present the participants' responses next to the interview questions to support the evaluation of their understanding of the questionnaire items.</p><p><strong>Results: </strong>Overall, 10 patients participated in FACIT-Fatigue and another 10 in LupusQoL interviews; 18 patients were female, 10 were Black (self-reported) and 17 were receiving maintenance treatment for LN with stable disease activity. When patients recalled their symptoms, 670 expressions of varying symptoms were reported. All patients described pain, discomfort, and energy-related symptoms. Urinary frequency and non-joint swelling were most frequently attributed to LN rather than SLE. Patients felt the questions asked in the FACIT-Fatigue and LupusQoL surveys were relevant to their LN experience.</p><p><strong>Conclusions: </strong>The symptoms reported by patients with LN were consistent with symptoms reported by the overall SLE population. However, patients indicated that some symptoms of LN were more profound than symptoms of SLE alone, affecting a broad range of areas of daily life activity and resulting in a higher burden on their HRQoL. FACIT-Fatigue and LupusQoL demonstrated content relevance as meaningful tools for patients with LN. However, further quantitative data collection is needed to ensure that these patient-reported outcome tools demonstrate good measurement properties in an LN population.</p>","PeriodicalId":36660,"journal":{"name":"Journal of Patient-Reported Outcomes","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Educating patients about patient-reported outcomes-are we there yet? 教育患者了解患者报告的结果--我们做到了吗?
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-30 DOI: 10.1186/s41687-024-00745-5
Elizabeth Unni, Maud M van Muilekom, Kate Absolom, Bishnu Bajgain, Lotte Haverman, Maria Santana

Background: Using Patient Reported Outcome Measures (PROMs) in clinical settings can improve patient outcomes by enhancing communication between patient and provider. There has been significant improvements in the development of PROMs, their implementation in routine patient clinical care, training physicians and other healthcare providers to interpret the PROMs results to identify any issues reported by the patient, and to use the PROMs results to provide or modify the treatment.

Main body: Despite the increased use of PROMs, the lack of PROM completion by patients is a major concern in the optimal use of PROMs. Studies have shown several reasons why patients do not complete PROMs and one of the reasons is their lack of understanding of the significance of PROMs and their utility in their clinical care. While examining the various strategies that can be used to improve the uptake of PROM completion by patients, educating patients about the use of PROMs has been recommended. There is less evidence on how patients are trained or educated about PROMs. It may also be possible that the patient education strategies are not reported in the publications. This brings up the question of evaluation of the educational strategies used.

Conclusion: Our symposium at the 2023 ISOQOL conference brought together a range of experiences and learning around patient-centered PROMs educational activities used in the Netherlands, Canada, and the UK. This commentary is aimed to describe the lay of the land about educational activities around the use of PROMs in clinical care for patients, recognizing the gaps, and posing questions to be considered by the research and clinical community.

背景:在临床环境中使用患者报告结果指标(PROMs)可以加强患者与医疗服务提供者之间的沟通,从而改善患者的治疗效果。在开发患者报告结果量表、将其应用于常规临床护理、培训医生和其他医疗服务提供者解释患者报告结果量表结果以确定患者报告的任何问题,以及利用患者报告结果量表结果提供或修改治疗方法等方面都取得了重大进展:尽管 PROMs 的使用越来越多,但患者对 PROMs 的填写不完整是影响 PROMs 最佳使用的一个主要问题。研究表明,患者不填写 PROM 的原因有多种,其中一个原因是他们不了解 PROM 的意义及其在临床治疗中的作用。在研究改善患者填写 PROM 的各种策略时,我们建议对患者进行 PROM 使用教育。关于如何对患者进行 PROM 培训或教育的证据较少。出版物中也可能没有报道患者教育策略。这就提出了对所使用的教育策略进行评估的问题:我们在 2023 年 ISOQOL 大会上举办的研讨会汇集了荷兰、加拿大和英国围绕以患者为中心的 PROMs 教育活动所取得的一系列经验和学习成果。本评论旨在介绍在临床护理中使用 PROMs 对患者进行教育的情况,认识到存在的差距,并提出研究和临床界需要考虑的问题。
{"title":"Educating patients about patient-reported outcomes-are we there yet?","authors":"Elizabeth Unni, Maud M van Muilekom, Kate Absolom, Bishnu Bajgain, Lotte Haverman, Maria Santana","doi":"10.1186/s41687-024-00745-5","DOIUrl":"10.1186/s41687-024-00745-5","url":null,"abstract":"<p><strong>Background: </strong>Using Patient Reported Outcome Measures (PROMs) in clinical settings can improve patient outcomes by enhancing communication between patient and provider. There has been significant improvements in the development of PROMs, their implementation in routine patient clinical care, training physicians and other healthcare providers to interpret the PROMs results to identify any issues reported by the patient, and to use the PROMs results to provide or modify the treatment.</p><p><strong>Main body: </strong>Despite the increased use of PROMs, the lack of PROM completion by patients is a major concern in the optimal use of PROMs. Studies have shown several reasons why patients do not complete PROMs and one of the reasons is their lack of understanding of the significance of PROMs and their utility in their clinical care. While examining the various strategies that can be used to improve the uptake of PROM completion by patients, educating patients about the use of PROMs has been recommended. There is less evidence on how patients are trained or educated about PROMs. It may also be possible that the patient education strategies are not reported in the publications. This brings up the question of evaluation of the educational strategies used.</p><p><strong>Conclusion: </strong>Our symposium at the 2023 ISOQOL conference brought together a range of experiences and learning around patient-centered PROMs educational activities used in the Netherlands, Canada, and the UK. This commentary is aimed to describe the lay of the land about educational activities around the use of PROMs in clinical care for patients, recognizing the gaps, and posing questions to be considered by the research and clinical community.</p>","PeriodicalId":36660,"journal":{"name":"Journal of Patient-Reported Outcomes","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the factors influencing the health-related quality of life in patients experiencing adverse drug reactions: a cross-sectional study. 探索影响药物不良反应患者健康相关生活质量的因素:一项横断面研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-27 DOI: 10.1186/s41687-024-00790-0
Garapati Pavan, Manish Kumar, Krishna Murti, Sameer Dhingra, V Ravichandiran

Background: This study aimed to assess the factors influencing health-related quality of life (HRQoL) in patients experiencing adverse drug reactions (ADRs) at a tertiary care public sector hospital. A cross-sectional study was conducted over a period of 18 months, and included both male and female patients aged 18 years and above. Patients who visited the outpatient and inpatient departments with complaints associated with ADRs were included in this study. HRQoL data were collected using the EuroQol-5 Dimension-5 Level (EQ-5D-5L) questionnaire to assess five dimensions of health on a five-level scale. Descriptive statistics, t-tests, and analysis of variance were used to analyze the data. Multivariate regression analysis was performed to identify the potential determinants of HRQoL.

Results: A total of 316 patients were included in the study among these participants, of which 54% were female, and 65% were from rural areas. The majority (68%) of the patients had moderately severe ADRs, and 63% of the participants had an income < 2.5 lakh Indian rupees (3009 USD). The mean EQ-5D-5L and EuroQoL Visual Analog Scale (EQ VAS) scores of the study participants were 0.714 and 69.73, respectively. The variables ADR severity, income, and age showed a significant difference (p < 0.05) in HRQoL.

Conclusion: This study provides insights into HRQoL among patients with ADRs and identifies the determinants of HRQoL. The findings of this study will contribute to improving patient-centered care and optimizing patient outcomes.

研究背景本研究旨在评估影响一家公立三级医院药物不良反应(ADR)患者健康相关生活质量(HRQoL)的因素。这项横断面研究为期 18 个月,包括 18 岁及以上的男性和女性患者。研究对象包括在门诊和住院部就诊、主诉与 ADR 相关的患者。HRQoL 数据采用 EuroQol-5 Dimension-5 Level (EQ-5D-5L) 问卷收集,以五级量表评估五个健康维度。数据分析采用了描述性统计、t 检验和方差分析。此外,还进行了多变量回归分析,以确定影响 HRQoL 的潜在决定因素:研究共纳入 316 名患者,其中 54% 为女性,65% 来自农村地区。大多数患者(68%)有中度严重的 ADR,63%的参与者有收入:本研究有助于深入了解 ADR 患者的 HRQoL,并确定 HRQoL 的决定因素。研究结果将有助于改善以患者为中心的护理和优化患者的治疗效果。
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引用次数: 0
Can the different versions of the Shirom-Melamed Burnout Measure be used to measure burnout among healthcare professionals? A systematic review of psychometric properties. 不同版本的 Shirom-Melamed 职业倦怠测量法能否用于测量医护人员的职业倦怠?心理测量学特性系统回顾。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-26 DOI: 10.1186/s41687-024-00788-8
Sabrina Figueiredo, Jacques Arrieux, Samia Abdallah, Timothy C McCall, Ulrich Koch, Eliezer Oliveira
<p><strong>Background: </strong>The prevalence of Occupational Burnout is high among healthcare professionals (HCP). Hence, it is crucial to have robust measures for ascertaining burnout in this population. The Shirom-Melamed Burnout Measure is a prevalent tool used in the diagnosis of burnout, and in the delivery planning of mental health services. The 14-item Shirom-Melamed Burnout Measure (SMBM) was developed after a methodological revision of the 22-item Shirom-Melamed Burnout Questionnaire (SMBQ). Studies on the psychometric properties of the SMBM and SMBQ exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review aimed to critically appraise the measurement properties of the different versions of the Shirom-Melamed Burnout Measure/Questionnaire (SMBM/Q) used among healthcare professionals.</p><p><strong>Methodology: </strong>Four databases (PubMed, CINAHL, PsychINFO, and Scopus) were searched for studies on the psychometric properties of all versions of the SMBM/Q among HCP. The methodological quality of the studies was evaluated using the COSMIN Risk of Bias checklist. Evidence supporting the measurement properties (EMP) of the SMBM was synthesized using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.</p><p><strong>Results: </strong>Our final pool consisted of five research articles. One study on the 12-item SMBM was included to estimate content validity, two studies reported on the 14-item SMBM, while the other two employed the 22-item version. Interestingly, each study used the SMBM in a different language, namely English/Hebrew, Chinese, French, Serbian, and Swedish. Structural validity, internal consistency, and construct validity are the SMBM's most assessed measurement properties. The Hebrew and French versions demonstrated high levels of structural validity and internal consistency, and the remaining reports on validity demonstrated low levels due to methodological flaws.</p><p><strong>Conclusions: </strong>Per COSMIN guidelines, the SMBM should not be utilized for clinical purposes due to insufficient content validity, but has promising potential with ongoing research. Engaging critical stakeholders for concept elicitation will ensure the relevance, comprehensiveness, and comprehensibility of the PRO items. Likewise, establishing an MIC will allow capturing change over time, which will benefit longitudinal experimental studies. Occupational burnout is a significant problem among healthcare professionals, and it is crucial to have a reliable tool to measure it. The Shirom-Melamed Burnout Measure (SMBM) is commonly used to diagnose burnout and plan mental health services. Studies on the psychometric properties of the SMBM exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review critically appr
背景:医疗保健专业人员(HCP)的职业倦怠发生率很高。因此,制定可靠的措施来确定这一人群的职业倦怠至关重要。Shirom-Melamed 职业倦怠测量法是诊断职业倦怠和规划心理健康服务的常用工具。由 14 个项目组成的 Shirom-Melamed 职业倦怠测量(SMBM)是在对由 22 个项目组成的 Shirom-Melamed 职业倦怠问卷(SMBQ)进行方法修订后开发的。目前已有关于 SMBM 和 SMBQ 心理测量特性的研究,但仍需对其进行全面评估,以确定各项研究的方法质量。为了填补这一空白,本系统性综述旨在对医疗保健专业人员使用的不同版本的希罗姆-梅拉梅德职业倦怠测量/问卷(SMBM/Q)的测量特性进行严格评估:在四个数据库(PubMed、CINAHL、PsychINFO 和 Scopus)中搜索了有关所有版本的 SMBM/Q 在医护人员中的心理测量特性的研究。使用 COSMIN 偏差风险检查表对研究的方法学质量进行了评估。采用建议评估、发展和评价分级法(GRADE)对支持 SMBM 测量特性(EMP)的证据进行了综合:我们最终汇集了五篇研究文章。其中一项研究使用了 12 个项目的 SMBM,以评估其内容效度;两项研究使用了 14 个项目的 SMBM,而另外两项研究则使用了 22 个项目的 SMBM。有趣的是,每项研究都使用了不同语言的 SMBM,即英语/希伯来语、中文、法语、塞尔维亚语和瑞典语。结构效度、内部一致性和建构效度是 SMBM 最值得评估的测量属性。希伯来语和法语版本显示出较高的结构效度和内部一致性,而其余的效度报告则由于方法上的缺陷而显示出较低的效度:结论:根据 COSMIN 的指导方针,由于 SMBM 的内容有效性不足,因此不应将其用于临床目的,但随着研究的不断深入,SMBM 仍有很大的发展潜力。让重要的利益相关者参与概念激发,将确保 PRO 项目的相关性、全面性和可理解性。同样,建立 MIC 可以捕捉随时间推移而发生的变化,这将有利于纵向实验研究。职业倦怠是医护专业人员面临的一个重大问题,因此拥有一个可靠的工具来测量职业倦怠至关重要。Shirom-Melamed 职业倦怠测量法(SMBM)通常用于诊断职业倦怠和规划心理健康服务。目前已有关于 SMBM 心理测量特性的研究,但仍有必要对其进行全面评估,以评价各项研究的方法质量。为了弥补这一不足,本系统性综述对医护人员使用的不同版本的希罗姆-梅拉梅德职业倦怠测量法(SMBM)的测量特性进行了严格评估。我们的研究结果表明,只有少数研究对 SMBM 进行了研究,而且这些研究使用了不同语言的工具。结构效度、内部一致性和构造效度是 SMBM 最值得评估的测量属性。我们建议需要开展更多的研究来评估 SMBM 的内容效度。我们还建议,重要的利益相关者应参与到 SMBM 的开发中来,以确保其相关性、全面性和易理解性。
{"title":"Can the different versions of the Shirom-Melamed Burnout Measure be used to measure burnout among healthcare professionals? A systematic review of psychometric properties.","authors":"Sabrina Figueiredo, Jacques Arrieux, Samia Abdallah, Timothy C McCall, Ulrich Koch, Eliezer Oliveira","doi":"10.1186/s41687-024-00788-8","DOIUrl":"https://doi.org/10.1186/s41687-024-00788-8","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The prevalence of Occupational Burnout is high among healthcare professionals (HCP). Hence, it is crucial to have robust measures for ascertaining burnout in this population. The Shirom-Melamed Burnout Measure is a prevalent tool used in the diagnosis of burnout, and in the delivery planning of mental health services. The 14-item Shirom-Melamed Burnout Measure (SMBM) was developed after a methodological revision of the 22-item Shirom-Melamed Burnout Questionnaire (SMBQ). Studies on the psychometric properties of the SMBM and SMBQ exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review aimed to critically appraise the measurement properties of the different versions of the Shirom-Melamed Burnout Measure/Questionnaire (SMBM/Q) used among healthcare professionals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;Four databases (PubMed, CINAHL, PsychINFO, and Scopus) were searched for studies on the psychometric properties of all versions of the SMBM/Q among HCP. The methodological quality of the studies was evaluated using the COSMIN Risk of Bias checklist. Evidence supporting the measurement properties (EMP) of the SMBM was synthesized using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Our final pool consisted of five research articles. One study on the 12-item SMBM was included to estimate content validity, two studies reported on the 14-item SMBM, while the other two employed the 22-item version. Interestingly, each study used the SMBM in a different language, namely English/Hebrew, Chinese, French, Serbian, and Swedish. Structural validity, internal consistency, and construct validity are the SMBM's most assessed measurement properties. The Hebrew and French versions demonstrated high levels of structural validity and internal consistency, and the remaining reports on validity demonstrated low levels due to methodological flaws.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Per COSMIN guidelines, the SMBM should not be utilized for clinical purposes due to insufficient content validity, but has promising potential with ongoing research. Engaging critical stakeholders for concept elicitation will ensure the relevance, comprehensiveness, and comprehensibility of the PRO items. Likewise, establishing an MIC will allow capturing change over time, which will benefit longitudinal experimental studies. Occupational burnout is a significant problem among healthcare professionals, and it is crucial to have a reliable tool to measure it. The Shirom-Melamed Burnout Measure (SMBM) is commonly used to diagnose burnout and plan mental health services. Studies on the psychometric properties of the SMBM exist, but there remains a need for thorough evaluation to assess the methodological quality of individual studies. To address this gap, this systematic review critically appr","PeriodicalId":36660,"journal":{"name":"Journal of Patient-Reported Outcomes","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Economic burden and quality of life of caregivers of patients with sickle cell disease in the United Kingdom and France: a cross-sectional study. 英国和法国镰状细胞病患者照顾者的经济负担和生活质量:一项横断面研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-26 DOI: 10.1186/s41687-024-00784-y
Martin Besser, Sian Bissell O'Sullivan, Siobhan Bourke, Louise Longworth, Giovanna Tedesco Barcelos, Yemi Oluboyede

Background: Sickle cell disease (SCD), a genetic blood disorder that affects red blood cells and oxygen delivery to body tissues, is characterized by haemolytic anaemia, pain episodes, fatigue, and end-organ damage with acute and chronic dimensions. Caring for patients with SCD imposes a high burden on informal caregivers. This study aims to capture the impact on health-related quality of life (HRQoL) and economic burden of caregiving for patients with SCD.

Methods: Validated instruments of HRQoL (EQ-5D-5L, Carer Quality of Life-7 dimensions [CarerQol-7D]) and productivity (Work Productivity and Activity Impairment Questionnaire: Specific Health Problem [WPAI: SHP]) were administered via a cross-sectional online survey to caregivers in the United Kingdom (UK) and France. Demographics, HRQoL, and economic burden data were analyzed using descriptive statistics. Economic burden was determined using country-specific minimum and average wage values. Subgroup analysis examined caregivers with and without SCD.

Results: Sixty-nine caregivers were recruited (UK, 43; France, 26), 83% were female, and 22% had SCD themselves. The mean (SD) caregiver EQ-5D-5L score was 0.66 (0.28) (UK, 0.62; France, 0.73), and the mean CarerQol-7D score was 80.69 (24.40) (UK, 78.72 [25.79]; France, 83.97 [22.01]). Mental health problems were reported in 72% and 70% of caregivers measured using the EQ-5D-5L and CarerQol-7D, respectively. Financial problems were reported by 68% of caregivers, with mean annual minimum wage productivity losses of £4209 and €3485, increasing to £5391 and €9319 for average wages. Sensitivity analysis determined additional HRQoL decrements for caregivers with and without, SCD.

Conclusion: Caring for patients with SCD impacts the HRQoL and economic burden of caregivers. Further research to support the complex needs of SCD caregivers is required.

背景:镰状细胞病(SCD)是一种遗传性血液疾病,会影响红细胞和向身体组织输送氧气,其特征是溶血性贫血、疼痛发作、疲劳以及急性和慢性内脏器官损伤。照顾 SCD 患者给非正规护理人员带来了沉重的负担。本研究旨在了解护理 SCD 患者对其健康相关生活质量(HRQoL)和经济负担的影响:经过验证的 HRQoL(EQ-5D-5L、Carer Quality of Life-7 dimensions [CarerQol-7D])和生产力(工作生产力和活动障碍问卷:我们通过横断面在线调查对英国和法国的照护者进行了问卷调查。采用描述性统计方法对人口统计学、HRQoL 和经济负担数据进行了分析。经济负担是根据特定国家的最低工资和平均工资值确定的。分组分析对患有和不患有 SCD 的护理人员进行了研究:共招募了 69 名护理人员(英国 43 名;法国 26 名),其中 83% 为女性,22% 本身患有 SCD。照顾者 EQ-5D-5L 平均得分(标清)为 0.66 (0.28)(英国为 0.62;法国为 0.73),照顾者 Qol-7D 平均得分为 80.69 (24.40)(英国为 78.72 [25.79];法国为 83.97 [22.01])。使用 EQ-5D-5L 和 CarerQol-7D 测量的护理人员中,分别有 72% 和 70% 的人报告存在心理健康问题。68%的护理人员报告了经济问题,平均每年最低工资生产率损失为 4209 英镑和 3485 欧元,平均工资生产率损失增至 5391 英镑和 9319 欧元。敏感性分析确定了患有和未患有 SCD 的护理人员的额外 HRQoL 下降情况:结论:照顾 SCD 患者会影响照顾者的 HRQoL 和经济负担。需要进一步开展研究,以支持 SCD 照护者的复杂需求。
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引用次数: 0
Comparison of patient-reported outcomes between alternative care provider-led and physician-led care for severe sleep disordered breathing: secondary analysis of a randomized clinical trial. 由替代护理提供者主导和由医生主导的严重睡眠呼吸紊乱护理的患者报告结果比较:随机临床试验的二次分析。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-26 DOI: 10.1186/s41687-024-00747-3
Maria J Santana, Oyindamola Jaja, Qiuli Duan, Erika D Penz, Kristin L Fraser, Patrick J Hanly, Sachin R Pendharkar

Background: Previous research has suggested that alternative (respiratory) care providers (ACP) may provide affordable, accessible care for sleep-disordered breathing (SDB) that decreases wait-times and improves clinical outcomes. The objective of this study was to compare ACP-led and sleep physician-led care for SDB on patient reported outcome and experiences, with a focus on general and health-related quality of life, sleepiness, and patient satisfaction.

Methods: We conducted a secondary analysis of a randomized trial in which participants with severe SDB were assigned to either ACP-led or physician-led management. We created longitudinal linear mixed models to assess the impacts of treatment arm and timepoint on total and domain-level scores of multiple patient-reported outcome measures and patient-reported experience measures.

Results: Patients in both treatment arms (ACP-led n = 81; sleep-physician = 75) reported improved outcomes on the Sleep Apnea Quality of Life Index, Health Utilities Index, and Epworth Sleepiness Scale. Patients in each group had similar and clinically meaningful improvements on domains assessing cognition, emotion, and social functioning. The linear mixed models suggested no significant difference between treatment arms on the patient-reported outcomes. However, scores significantly improved over time.

Conclusions: Management of SDB using ACPs was comparable to physician-led care, as measured bypatient-reported outcome and experience measures. While loss to follow-up limits our findings, these results provide some support for the use of this novel health service delivery model to improve access to high quality SDB care.

Clinical trial registration: This is analysis of data from the study registered Clinicaltrials.gov (NCT02191085).

背景:以前的研究表明,替代性(呼吸)护理提供者(ACP)可以为睡眠呼吸障碍(SDB)提供可负担、可获得的护理,从而减少等待时间并改善临床效果。本研究的目的是比较由 ACP 主导和由睡眠医师主导的 SDB 护理对患者报告结果和体验的影响,重点关注一般和健康相关的生活质量、嗜睡和患者满意度:我们对一项随机试验进行了二次分析,在该试验中,患有严重 SDB 的参与者被分配到由 ACP 主导或由医生主导的治疗方案中。我们建立了纵向线性混合模型,以评估治疗臂和时间点对多个患者报告结果指标和患者报告体验指标的总分和领域分的影响:两个治疗组(ACP 主导治疗组 81 例;睡眠医师治疗组 75 例)的患者在睡眠呼吸暂停生活质量指数、健康效用指数和埃普沃思嗜睡量表方面的结果均有所改善。每组患者在认知、情绪和社会功能评估方面都有类似且有临床意义的改善。线性混合模型显示,治疗组之间在患者报告的结果上没有明显差异。然而,随着时间的推移,评分有了明显改善:结论:通过患者报告的结果和体验测量,使用 ACPs 对 SDB 进行管理的效果与医生主导的护理效果相当。虽然随访损失限制了我们的研究结果,但这些结果在一定程度上支持了使用这种新型医疗服务提供模式来改善高质量 SDB 护理的可及性:这是对注册于 Clinicaltrials.gov (NCT02191085) 的研究数据进行的分析。
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引用次数: 0
Translation, cultural adaptation and validation of the Tamil version of the Cardiff Acne Disability Index (CADI) in Sri Lanka. 斯里兰卡卡迪夫痤疮残疾指数(CADI)泰米尔语版的翻译、文化适应和验证。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-09-26 DOI: 10.1186/s41687-024-00782-0
Shamini Prathapan, Achala Liyanage, Sailakshmi Logeeswaran, Wathsala Ratnayake, Lilangi Devapriya, Jennifer Perera

Background: Assessment of QoL has become an essential component in the holistic care of patients with acne. The Cardiff Acne Disability Index (CADI) is used globally to assess quality of life (QoL) in patients with acne. This study was done to validate CADI in Tamil, as 90 million of the global population are native speakers and Tamil is an official language of several countries.

Methods: CADI was translated and validated into Tamil according to published guidelines. The Tamil versions of both CADI and Dermatology Life Quality Index (DLQI), was administered to 150 Sri Lankan young adults with acne. The clinical severity was assessed using the Global Acne Grading System (GAGS). Discriminant validity was tested by comparing the results of CADI with those of GAGS and DLQI, using reliability, validity, Cronbach's alpha, and Spearman's correlation coefficient measurements. Construct validity was assessed by factor analysis.

Results: 70% were female, and the mean age was 25.1 (SD, 5.2). The majority (91.3%) had acne of mild to moderate severity when measured by GAGS. CADI-Tamil showed high internal consistency and reliability (Cronbach's alpha coefficient = 0.83). The CADI total score showed a strong correlation (0.86) with that of DLQI. The correlation between CADI and GAGS was low, whereas CADI had a high and significant correlations with the DLQI. The construct validity explained 61% of the variability.

Conclusions: The CADI-Tamil is a reliable and valid tool for assessing the QoL of Tamil speaking patients with acne. This tool will help clinicians understand the patient's perspective on acne.

背景:生活质量评估已成为痤疮患者整体护理的重要组成部分。卡迪夫痤疮残疾指数(CADI)在全球范围内被用于评估痤疮患者的生活质量(QoL)。全球有 9000 万人口以泰米尔语为母语,而泰米尔语又是多个国家的官方语言,因此本研究旨在验证泰米尔语的 CADI:方法:根据已发布的指南,将 CADI 翻译成泰米尔语并进行验证。对 150 名患有痤疮的斯里兰卡年轻人进行了泰米尔语版 CADI 和皮肤科生活质量指数(DLQI)的测试。临床严重程度采用全球痤疮分级系统(GAGS)进行评估。通过比较 CADI 与 GAGS 和 DLQI 的结果,使用信度、效度、Cronbach's alpha 和 Spearman's 相关系数测量来检验判别效度。通过因子分析评估了结构效度:70%为女性,平均年龄为 25.1 岁(标准差为 5.2 岁)。大多数人(91.3%)的痤疮程度在 GAGS 测量中为轻度至中度。CADI-Tamil 显示出较高的内部一致性和可靠性(Cronbach's alpha coefficient = 0.83)。CADI 的总分与 DLQI 的总分有很强的相关性(0.86)。CADI 与 GAGS 的相关性较低,而 CADI 与 DLQI 的相关性较高且显著。建构效度解释了 61% 的变异性:CADI-泰米尔语是评估泰米尔语痤疮患者 QoL 的可靠而有效的工具。该工具有助于临床医生了解患者对痤疮的看法。
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Journal of Patient-Reported Outcomes
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