Werner Krammer, John H Missimer, Simon Habegger, Manuela Pastore-Wapp, Roland Wiest, Bruno J Weder
Sensing form - finger gaiting as key to tactile object exploration - a data glove analysis of a prototypical daily task
Journal of neuroengineering and rehabilitation
prospective cohort patientreported outcome measurement information system promis validated lumbar spine use patientreported outcome pro measures improve clinical decision making health literacy point care use promis however limited part clinicians patients lack plain language understanding meaning scores remains unclear best use point care purpose develop plain language descriptions apply promis physical function pf pain interference pi scores assess patient understanding preferences presentation individualized pro information retrospective analysis prospectively collected promis pf v12 pi v11 patients presenting tertiary spine center backlower extremity complaints performed patients missing scores standard error 032 assessments 4 12 questions excluded scores categorized score groups specifically promis pf groups 18 20 2 25 2 30 2 35 2 40 2 45 2 50 2 55 2 60 2 62 promis pi groups 48 50 2 55 2 60 2 65 2 70 2 75 2 80 2 82 representative questions answers promis pi promis pf selected score group questions 25 assessments representing 15 assessments excluded two fellowshiptrained spine surgeons trimmed questions create streamlined clinical tool using consensus process plain language descriptions promis pf used prospective assessment 100 consecutive patients patient preference consuming score data recorded analyzed total 12 712 assessments5524 unique patients included pf 14 823 assessments6582 unique patients pi 90 assessments completed 4 questions number assessments patients per scoring group normally distributed mean pf score 372 82 mean pi 633 74 plain language descriptions compact clinical tool generated prospectively 100 consecutive patients surveyed preference receiving tscore versus plain language description versus graphical presentation total 78 patients found receiving personalized pro data helpful 1 found specifically helpful overall 80 patients found either graphical plain language helpful tscore alone half preferred plain language graphical descriptions together total 89 patients found plain language descriptions accurate patients point care interested receiving results pro measures plain language descriptions promis scores enhance patient understanding promis numerical scores patients preferred plain language andor graphical representation rather numerical score alone pros commonly used assessing outcomes research use point care growing interest study clarifies might utilized physicianpatient communication