Barriers and facilitators to implementation of outcome measures among physiotherapists in Nepal: A mixed-methods study

Pathak, Anupa; Abbott, J Haxby; Bajracharya, Nibha; Gurung, Gagan; Nepal, Govinda Mani; Sharma, Saurab

doi:10.1016/j.msksp.2023.102859

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…Other studies reported that service users might be discouraged from completing PROMs if they feel that they have not received appropriate explanations as to their role and functions, or how the data collected will be used and safely stored ( 39 – 42 ). Language barriers and issues with PROMs questions perceived as ethically and/or culturally insensitive were also reported as factors potentially affecting PROMs completion rates ( 43 , 44 ). Additionally, a plethora of studies also outlined professionals-related barriers to PROMs completion, including, for example, concerns about additional work and time commitment (e.g., need to be trained in PROMs administration and scoring), the perceived burden of having to educate patients on the value and uses of PROMs, and following-upon non-responders ( 8 , 45 – 47 ).…”

Section: Introductionmentioning

confidence: 99%

Asking questions that are “close to the bone”: integrating thematic analysis and natural language processing to explore the experiences of people with traumatic brain injuries engaging with patient-reported outcome measures

Di Basilio,

King,

Lloyd

et al. 2024

Front. Digit. Health

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IntroductionPatient-reported outcomes measures (PROMs) are valuable tools for assessing health-related quality of life and treatment effectiveness in individuals with traumatic brain injuries (TBIs). Understanding the experiences of individuals with TBIs in completing PROMs is crucial for improving their utility and relevance in clinical practice.MethodsSixteen semi-structured interviews were conducted with a sample of individuals with TBIs. The interviews were transcribed verbatim and analysed using Thematic Analysis (TA) and Natural Language Processing (NLP) techniques to identify themes and emotional connotations related to the experiences of completing PROMs.ResultsThe TA of the data revealed six key themes regarding the experiences of individuals with TBIs in completing PROMs. Participants expressed varying levels of understanding and engagement with PROMs, with factors such as cognitive impairments and communication difficulties influencing their experiences. Additionally, insightful suggestions emerged on the barriers to the completion of PROMs, the factors facilitating it, and the suggestions for improving their contents and delivery methods. The sentiment analyses performed using NLP techniques allowed for the retrieval of the general sentimental and emotional “tones” in the participants’ narratives of their experiences with PROMs, which were mainly characterised by low positive sentiment connotations. Although mostly neutral, participants’ narratives also revealed the presence of emotions such as fear and, to a lesser extent, anger. The combination of a semantic and sentiment analysis of the experiences of people with TBIs rendered valuable information on the views and emotional responses to different aspects of the PROMs.DiscussionThe findings highlighted the complexities involved in administering PROMs to individuals with TBIs and underscored the need for tailored approaches to accommodate their unique challenges. Integrating TA-based and NLP techniques can offer valuable insights into the experiences of individuals with TBIs and enhance the interpretation of qualitative data in this population.

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Section: Introductionmentioning

confidence: 99%

Asking questions that are “close to the bone”: integrating thematic analysis and natural language processing to explore the experiences of people with traumatic brain injuries engaging with patient-reported outcome measures

Di Basilio,

King,

Lloyd

et al. 2024

Front. Digit. Health

View full text Add to dashboard Cite

show abstract

“…Other studies reported that service users might be discouraged from completing PROMs if they feel that they have not received appropriate explanations as to their role and functions, or how the data collected will be used and safely stored (39-42). Language barriers and issues with PROMs questions perceived as ethically and/or culturally insensitive were also reported as factors potentially affecting PROMs completion rates (43,44). Additionally, a plethora of studies also outlined professionalsrelated barriers to PROMs completion, including, for example, concerns about additional work and time commitment (e.g., need to be trained in PROMs administration and scoring), the perceived burden of having to educate patients on the value and uses of PROMs, and following-upon non-responders (8,(45)(46)(47).…”

Section: Key Areas Of Evaluation Via Proms In Individuals With Tbismentioning

confidence: 99%

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Barriers and facilitators to implementation of outcome measures among physiotherapists in Nepal: A mixed-methods study

Cited by 2 publications

References 30 publications

Asking questions that are “close to the bone”: integrating thematic analysis and natural language processing to explore the experiences of people with traumatic brain injuries engaging with patient-reported outcome measures

Asking questions that are “close to the bone”: integrating thematic analysis and natural language processing to explore the experiences of people with traumatic brain injuries engaging with patient-reported outcome measures

Table1.docx

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