Implementation of PROMIS® in an Optometry Clinic

Abstract

Purpose: The full utility of general health Patient-Reported Outcomes Measurement Information System ® (PROMIS) surveys in the eye care setting has not been previously demonstrated. This report demonstrates the feasibility of implementing PROMIS in an eye care clinic. Patients and Methods: Over 2 months, general health and functioning PROMIS surveys were offered to all patients in an optometric clinic in Rochester, NY. Demographic and clinical variables were recorded along with percent completion and time to completion of the survey. Results: Across 651 patients, 258 chose to attempt PROMIS. Patients with low visual acuity were less likely to attempt the survey (p=0.049), and younger patients were more likely to complete the survey (p=0.025); no other patient characteristics were found to differ between those who did and did not participate in, nor complete, PROMIS. A total of 193 patients completed the survey (74.8%) in a mean time of 6.36 minutes (range = [1.43, 51.92] minutes; standard deviation = 5.62 minutes). Time to completion did not vary significantly across any groups. Conclusion: Our relatively high completion rate among those who attempted PROMIS indicates that PROMIS surveys are feasible to implement in an optometry clinic. While most patients completed the survey in little time, the large range of time to completion may indicate that some patients had difficulty completing the survey. Furthermore, the significant difference in visual acuity between those who participated in the survey and those who did not highlights the need to address the way PROMIS is delivered in order to foster greater inclusion.

Development and Validation of The Activity-Based Checks (ABCs) of Pain: A Functional Pain Scale

“…The PROMIS has become a well-recognized scale with numerous bank items that can be added or removed from the scale based on clinician preference and purpose for its use. Time to completion for adaptations of the PROMIS have been previously reported to range from 3.3 minutes to 6.4 minutes [14,22]. In comparison, the BPI has been reported to take up to 5 minutes [9].…”

Comparison of Psychometric Properties of Patient-Reported Outcomes Measurement Information System With Traditional Outcome Metrics in Spine Surgery

“…The aim of PROMIS is to provide valid, flexible, and generalizable measures of pertinent symptoms and health concepts applicable to a range of chronic conditions 8 . This validated outcome measure allows for the evaluation and monitoring of physical, mental, and social health and is increasingly being used [9][10][11] . Therefore, the purpose of this manuscript was to provide insight into the utilization, advantages, and disadvantages of PROMIS within the field of spine surgery and to provide a comparison with legacy PROMs.…”