caa a22 4500 60617866X CHVBK 20210128100757.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s11136-014-0903-5 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0903-5 Training clinicians in how to use patient-reported outcome measures in routine clinical practice [Elektronische Daten] [Maria Santana, Lotte Haverman, Kate Absolom, Elena Takeuchi, David Feeny, Martha Grootenhuis, Galina Velikova] Introduction: Patient-reported outcome measures (PROs) were originally developed for comparing groups of people in clinical trials and population studies, and the results were used to support treatment recommendations or inform health policy, but there was not direct benefit for the participants providing PROs data. However, as the experience in using those measures increased, it became obvious the clinical value in using individual patient PROs profiles in daily practice to identify/monitor symptoms, evaluate treatment outcomes and support shared decision-making. A key issue limiting successful implementation is clinicians' lack of knowledge on how to effectively utilize PROs data in their clinical encounters. Methods: Using a change management theoretical framework, this paper describes the development and implementation of three programs for training clinicians to effectively use PRO data in routine practice. The training programs are in three diverse clinical areas (adult oncology, lung transplant and paediatrics), in three countries with different healthcare systems, thus providing a rare opportunity to pull out common approaches whilst recognizing specific settings. For each program, we describe the clinical and organizational setting, the program planning and development, the content of the training session with supporting material, subsequent monitoring of PROs use and evidence of adoption. The common successful components and practical steps are identified, leading to discussion and future recommendations. Results: The results of the three training programs are described as the implementation. In the oncology program, PRO data have been developed and are currently evaluated; in the lung transplant program, PRO data are used in daily practice and the integration with electronic patient records is under development; and in the paediatric program, PRO data are fully implemented with around 7,600 consultations since the start of the implementation. Conclusion: Adult learning programs teaching clinicians how to use and act on PROs in clinical practice are a key steps in supporting patient engagement and participation in shared decision-making. Researchers and clinicians from different clinical areas should collaborate to share ideas, develop guidelines and promote good practice in patient-centred care. Springer International Publishing Switzerland, 2015 Patient-reported outcome measures nationallicence Training clinicians nationallicence Use and implementation in clinical practice nationallicence Santana Maria W21C Research and Innovation Centre, Institute of Public Health, Faculty of Medicine, University of Calgary, GD01, TRW Building, 3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada aut Haverman Lotte Psychosocial Department, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands aut Absolom Kate University of Leeds, Leeds, UK aut Takeuchi Elena University of Leeds, Leeds, UK aut Feeny David Department of Economics, McMaster University, Hamilton, ON, Canada aut Grootenhuis Martha Psychosocial Department, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands aut Velikova Galina University of Leeds, Leeds, UK aut Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1707-1718 0962-9343 24:7<1707 2015 24 11136 https://doi.org/10.1007/s11136-014-0903-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0903-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Santana Maria W21C Research and Innovation Centre, Institute of Public Health, Faculty of Medicine, University of Calgary, GD01, TRW Building, 3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada aut NATIONALLICENCE 700 1- Haverman Lotte Psychosocial Department, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Absolom Kate University of Leeds, Leeds, UK aut NATIONALLICENCE 700 1- Takeuchi Elena University of Leeds, Leeds, UK aut NATIONALLICENCE 700 1- Feeny David Department of Economics, McMaster University, Hamilton, ON, Canada aut NATIONALLICENCE 700 1- Grootenhuis Martha Psychosocial Department, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Velikova Galina University of Leeds, Leeds, UK aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/7(2015-07-01), 1707-1718 0962-9343 24:7<1707 2015 24 11136