Patient reported outcome measures (known as PROMs) are designed and developed to assess patients’ health outcomes from the patient’s perspective. PROMS are used to measure whether a treatment works, to monitor and improve care and to inform care management and health policy. Patients are experts in their own care and are best placed to identify which health outcomes are most relevant to them. Despite this, patients often have limited input in the development of PROMS. This has led to concerns over the extent to which existing PROMS used with patients who are requiring, undergoing or who have undergone reconstructive surgery for a lower limb condition, are fit for the purpose of accurately capturing these patients’ important experiences.
PROLLIT aims to undertake research to investigate whether a new PROM is needed for use in research involving people who are requiring, undergoing or who have undergone reconstructive surgery for a lower limb condition. Patients will be included if they are adults (16+) requiring, undergoing or undergone reconstructive surgery for a lower limb condition (leg, ankle or foot) which may be as a result of a congenital or acquired condition, from trauma, infection, nonunion or malunion. Patients will be excluded if they have experienced a condition in a part of the body that is not a lower limb, they have had a lower limb amputation and if they are under the age of 16.
To develop a conceptual framework to identify the outcomes important to people who are requiring, undergoing or who have undergone reconstructive surgery for a lower limb condition and should be contained in a PROM for this group. A three phase approach will be undertaken.
We will map the content of existing PROMS onto the needs identified in the conceptual framework to determine whether the content of current measures is adequate. We will also assess the psychometric properties (how consistent and accurate they are) of PROMS currently used. If there is a discrepancy between the domains and outcomes identified in the conceptual framework and the content and psychometric properties of existing PROMS a decision will be reached as to whether it is necessary to proceed and develop a new PROM.
Phase 3 will involve the development of the new PROM, which will undergo formal psychometric evaluation, subject to the results of phase 2.
The University of York and Hull University Teaching Hospitals
|Sponsor||University of York|
|Start Date||June 2019|
|End Date (Phase 1)||August 2021|
|End Date (Phase 2 & 3)||TBC|
We also have a patient and public involvement and engagement group who will meet at key stages during the project to review patient facing documentation and to discuss early patient related findings.
Please contact Dr Heather Leggett, email@example.com, 01904326387 if you have any queries or would like an further information.