PROMS and PREMS
PROMs & PREMs available for us to use within the DfI scheme
A Patient Reported Outcome Measure (PROM) is defined as: any report of the status of a patient’s health condition that comes directly from the patient, without interpretation of the patient’s response by a clinician or anyone else.
PROMs can assist physiotherapists in their clinical reasoning process for diagnosis and treatment, with a specific focus on the patient’s perspective. Involving the patient in this way can also help stimulate self-management.
Embedded within the DfI scheme is the PSFS (Patient Specific Functional Scale) and the NPRS (Numerical Pain Related Scale). Both these PROMs are completed with discussion between both patient and therapist and therefore not completely independent. They are validated measures we can use for a pre and post treatment measure. This helps to identify the main problems in functioning and activities in daily living which assists with making treatment objectives and monitoring treatment results.
There is also the option to use independent PROM & PREMs
- BmPROM – Brighton musculoskeletal Patient Recorded Outcome Measure
- GRoC – Global Rating of Change (PROM)
- NPS – Net Promotor Score (PREM)
These are available for you to input to the University of Brighton..
Online link to the BmPROM, GRoC and NPS:
The link here gives you the online BmPROM link and can be sent to your patients prior to their initial assessment and upon discharge, giving them the opportunity to independently provide feedback on their experience of Physiotherapy treatment.
Online link to the GRoC and NPS:
The link below provides access to the GRoC and NPS and is sent upon discharge, giving them the opportunity to independently provide feedback on their experience of Physiotherapy treatment. Please note that this is for practitioners who are not using the BmPROM in their clinic.
These options allow you to chose which PROM & PREM measures work for you.
Why use these optional PROM & PREMs?
Their use in clinical practice helps to ensure the patient ‘voice’ is present in all aspects of care, which is essential to ensure treatment and patient management remains patient centred. PROMs capture the patient’s own opinions on the impact of their condition, and its treatment, on their life. Their particular value is for goal setting and monitoring progress at an individual level, which tends to make them more sensitive to change than conventional measurements.
PROMS can be used to:
- Guide and audit routine care
- Guide clinicians in providing evidence-based treatment.
- Allow clinicians to effectively track treatment impact.
- May directly facilitate change behaviour for patients.
- There is the potential to empower patients, support clinical decision making and drive forward quality improvement.
Give evidence of the quality of care.
About the BmPROM
The BmPROM is a valid and reliable outcome measure for use with patients attending physiotherapy treatment for a MSK condition The BmPROM comprises eight-items and is designed to include the major areas of importance to people with MSK problems including quality of life, activities of daily living, leisure or social activities, pain, medication, sleep, anxiety, and depression levels. Patients rate their response to each question using an 11-point Likert scale (ranging from 0 to 10) in relation to the problem that has brought them to seek physiotherapy. Scores are calculated for the two subscales: Functionality and Wellbeing. The Functionality subscale relates to: quality of life, leisure & social activities, and normal everyday activities. The Wellbeing subscale relates to: pain, medication, sleep disturbance, anxiety and downheartedness. For both subscales, Functionality and Wellbeing, a high score is representative of a more favourable health state.
About the GRoC
The Global Rating of Change (GRoC) provides a means of measuring self-perceived change in respect to a condition/problem that brought the patient to physiotherapy over a specified time period (in this instance, how they felt before treatment commenced compared to after treatment had been completed).
Patients are asked, ‘How would you describe your general condition now, compared to how you were when you started physiotherapy treatment?’.
The patient responds on a 7-point scale ranging from 1, ‘very much worse’ to 7, ‘very much improved’. This measure is completed just once, after the completion of their treatment.
As a Patient Recorded Experience Measure (PREM) the Net Promotor Score can give you more information about how the patient felt about coming to your practice. Their experience depends on all aspects of your practice, from accessibility for parking, toilet facilities, ease of booking future appointments and the sunny smile of your receptionist (if you have one)! This can encourage engagement of the whole team in the patient experience.
Net Promotor Score (NPS)
The Net Promotor Score (NPS) measures how likely the patient is to recommend the Physiotherapist who treated them to a friend or colleague and is completed by the patient following the completion of treatment.
Patients are asked ‘How likely are you to recommend us to a friend?’.
Responses are on an 11-point scale form 0, ‘not at all likely’, to 10, ‘extremely likely’. This measure is completed just once, after the completion of their treatment.
So why use these PROMs and PREM? How do they contribute to the value of our interaction with our patient?
Using PROMs helps to improve the process of your care by enhancing communication, patient education, shared decision-making and monitoring the response to treatment.
Within the DfI scheme we have the opportunity to use an efficient PROM collection system which is measured for us and fed back in the form of reports from the University of Brighton Research Team (UoB). Any Physio First member who is signed up to the DfI scheme can use the online PROM & PREM collection tool. Currently reports from the online tool is separate to the report from the DfI, these reports are sent to you regardless of the number of patients who have completed the online forms.