Accepted for/Published in: JMIR Research Protocols
Date Submitted: May 3, 2019
Open Peer Review Period: May 6, 2019 - May 20, 2019
Date Accepted: Jun 27, 2019
(closed for review but you can still tweet)
Factors in Randomised Controlled Trials (RCTs) Reported to Impact Implementation of Patient Reported Outcome Measurements (PROMs) into Routine Care: A Systematic Review Protocol
ABSTRACT
Background:
Patient Reported Outcomes Measures (PROMs) are tools that enable patients to directly report their own assessments of wellbeing, or symptoms, in a structured and consistent way. Despite PROMs usefulness in optimising health outcomes, their use in clinical practice is not routine. PROMs are complex to integrate into the clinical setting, with many elements potentially impacting on the success of implementation. For this reason, a protocol has been developed to guide a systematic review to collate the information about implementation as presented in the randomised controlled trials to date.
Objective:
The primary objective of this systematic review is to identify and synthesise available from RCT data about the fidelity of PROMs interventions in clinical practice. The secondary objective will be an assessment of how implementation factors impact fidelity outcomes.
Methods:
PRISMA reporting standards will be followed. Medline, EMBASE, and CINAHL via OVID SP will be accessed using a defined search strategy. Grey literature and clinicaltrials.gov will be reviewed for unpublished studies. Data extraction will be done to identify fidelity and factors impacting implementation, summarised using a narrative synthesis. An evidence-based Implementation Science Framework will assist in identifying potential elements of importance, and their effect on the process and outcomes of implementation. A meta-analysis to assess the impact of implementation factors will be attempted. A Cochrane Risk of Bias Tool will be used.
Results:
This protocol has received funding and preliminary searches of databases will commence at the end of May 2019. It is planned that this systematic review will be finalized for publication in July 2019.
Conclusions:
Applying an implementation science evidence-based framework to the published literature may identify factors present in the data that impact on the implementation of PROMs into routine clinical care. This systematic review aims to improve understanding of how these impact the fidelity of this intervention so that PROMs can be more effectively used in the care of patients. This systematic review can also offer more detailed information about the process and outcomes of successful implementation of PROMs. Clinical Trial: PROSPERO CRD42017056138
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.