Feasibility of PROMIS using computerized adaptive testing during inpatient rehabilitation

Journal of Patient-Reported Outcomes, 2023 · DOI: https://doi.org/10.1186/s41687-023-00567-x · Published: January 1, 2023

Patient Experience Rehabilitation

Simple Explanation

This study aimed to determine if it's practical to use tablet-based questionnaires (PROMIS CAT) to gather patient feedback in inpatient rehabilitation settings. The study also assessed how much effort staff would need to put in and looked at the prevalence of elevated scores on PROMIS measures among patients. The results indicated that using PROMIS with computerized adaptive testing is feasible in inpatient rehabilitation, especially with dedicated research staff support.

Study Duration

Not specified

Participants

108 patients with neurological disorders

Evidence Level

Not specified

Key Findings

1
PROMIS assessment using CAT is feasible in inpatient rehabilitation with research staff assistance.
2
Mean PROMIS T-scores indicated average symptom levels, but 19–31% of patients had scores needing clinical action.
3
Completion rates improved significantly when a dedicated staff member assisted patients with the assessments.

Research Summary

The study evaluated the feasibility of administering PROMIS measures using computerized adaptive testing (CAT) via tablets in an inpatient rehabilitation setting. Results showed that PROMIS assessment using CAT is feasible with dedicated research staff, and a significant portion of patients had clinically actionable T-scores. The study highlights the importance of dedicated staffing to ensure successful PRO data collection in inpatient rehabilitation.

Practical Implications

Clinical Practice

Integrating PROMIS CAT can enhance clinical relevance by collecting patient-reported outcomes shortly before team conferences.

Resource Allocation

Dedicated staff support is crucial for the successful implementation of PROMIS assessments in inpatient rehabilitation settings.

Future Research

Future studies should focus on developing multilingual CAT platforms and compliance monitoring to improve response rates.

Study Limitations

1
Evaluation of PROMIS feasibility at only one inpatient rehabilitation hospital limits generalizability.
2
Patient participation was sometimes hindered by family visits or sleep, affecting assessment completion.
3
Level of staff assistance may create a bias.

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