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SUMMARY:Improving patient reported outcome measures for use in primary car
 e - Dr. Chris Gibbons\, Centre for Primary Care: Institute of Population H
 ealth\, CLAHRC\, University of Manchester
DTSTART:20131022T153000Z
DTEND:20131022T163000Z
UID:TALK47145@talks.cam.ac.uk
CONTACT:Luning Sun
DESCRIPTION:The NHS Outcomes Framework sets out a vision of a performance 
 model based on health outcomes\, rather than processes of care. This visio
 n includes strategies to improve quality of life (QoL) for patients with l
 ong-term conditions and enhance their satisfaction with care. The framewor
 k suggests these goals may be met\, in part\, by increased utilisation of 
 patient reported outcome measure (PROMs) to monitor changes in patient qua
 lity of life and care experience. \nCompleting PROMs increases patient inv
 olvement in care and help identify specific areas amenable to additional c
 are (e.g. psychological issues). Despite demonstrable benefits of routine 
 screening\, questionnaire administration is frequently dismissed in primar
 y care due to the competing demands of short consultation times and length
 y questionnaires. \nPrevious research using the Rasch measurement model to
  assess the psychometric properties of commonly-used patient-reported outc
 omes has highlighted a number of issues. These issues include item redunda
 ncy\, differential item functioning and disordered category thresholds. Su
 ch measurement inaccuracies can have serious implications for clinical dec
 ision making and research. \nImplementation and measurement accuracy may b
 e improved by the combined use of computer adaptive testing (CAT) and Rasc
 h analysis. Electronic questionnaire administration using CAT may increase
  measurement accuracy and reduce response time by selectively presenting q
 uestions based on past responses\, disease group or demographic informatio
 n. Scores from CATs are instantly calculated and presented in a manner tha
 t is easily interpretable by clinicians and patients.\n We conclude that t
 he vision of improved monitoring for patient quality of life and care expe
 rience may be realised by adapting existing pencil-and-paper questionnaire
 s for CAT administration in primary care. 
LOCATION:Seminar Room\, Department of Psychology\, Downing Site\, Cambridg
 e
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