Using Patient-Reported Outcome Measures (PROMs) to promote quality of care and safety in the management of patients with Advanced Chronic Kidney disease (PRO-trACK project): a mixed-methods project protocol

Olalekan Lee Aiyegbusi; Derek Kyte; Paul Cockwell; Tom Marshall; Mary Dutton; Anita Slade; Neil Marklew; Gary Price; Rav Verdi; Judi Waters; Keeley Sharpe; Melanie Calvert

doi:10.1136/bmjopen-2017-016687

Using Patient-Reported Outcome Measures (PROMs) to promote quality of care and safety in the management of patients with Advanced Chronic Kidney disease (PRO-trACK project): a mixed-methods project protocol

BMJ Open. 2017 Jun 30;7(6):e016687. doi: 10.1136/bmjopen-2017-016687.

Authors

Olalekan Lee Aiyegbusi^{1

2}, Derek Kyte^{1

2}, Paul Cockwell^{1

3}, Tom Marshall^{1

2}, Mary Dutton³, Anita Slade^{1

2}, Neil Marklew⁴, Gary Price⁴, Rav Verdi⁴, Judi Waters⁴, Keeley Sharpe⁴, Melanie Calvert^{1

2}

Affiliations

¹ Centre for Patient-Reported Outcomes Research, University of Birmingham, Birmingham, UK.
² Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
³ Department of Renal Medicine, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
⁴ Patient Advisory Group Member, Centre for Patient-Reported Outcomes Research, University of Birmingham, Birmingham, UK.

Abstract

Introduction: Advanced chronic kidney disease (CKD) has a major effect on the quality of life and health status of patients and requires accurate and responsive management. The use of electronic patient-reported outcome measures (ePROMs) could assist patients with advanced pre-dialysis CKD, and the clinicians responsible for their care, by identifying important changes in symptom burden in real time. We report the protocol for 'Using Patient-Reported Outcome measures (PROMs) to promote quality of care and safety in the management of patients with Advanced Chronic Kidney Disease' (PRO-trACK) project, which will explore the feasibility and validity of an ePROM system for use in patients with advanced CKD.

Methods and analysis: The project will use a mixed-methods approach in three studies: (1) usability testing of the ePROM system involving up to 30 patients and focusing on acceptability and technical performance/stability; (2) ascertaining the views of patient and clinician stakeholders on the optimal use and administration of the CKD ePROM system-this will involve qualitative face-to-face/telephone interviewing with up to 30 patients or until saturation is achieved, focus groups with up to 15 clinical staff, management and IT team members; (3) psychometric assessment of the system, within a cohort of at least 180 patients with advanced CKD, to establish the measurement properties of the ePROM.

Ethics and dissemination: This project was approved by the West Midlands Edgbaston Research Ethics Committee (Reference 17/WM/0010) and received Health Research Authority (HRA) approval on 24 February 2017.The findings from this project will be provided to clinicians at the Department of Renal Medicine, Queen Elizabeth Hospitals, Birmingham (QEHB), NHS England, presented at conferences and to the Kidney Patients' Association, British Kidney Patient Association and the British Renal Society. Articles based on the findings will be written and submitted for publication in peer-reviewed journals.

Keywords: nephrology; qualitative research; statistics&research methods; usability testing.

MeSH terms

Feasibility Studies
Humans
Outcome and Process Assessment, Health Care / methods*
Patient Reported Outcome Measures*
Qualitative Research
Quality of Life*
Renal Insufficiency, Chronic / classification
Renal Insufficiency, Chronic / therapy*
Research Design

Grants and funding

PDF-2016-09-009/DH_/Department of Health/United Kingdom