Evaluating PROMS in Primary Care​

Evaluating Inter-professional Primary Care Services Using Patient-Reported Outcome Measures: A Utility and Feasibility Study


The challenge to provide quality primary care to increasingly complex patients is often met by interprofessional teams. These teams provide services that impact multiple areas of health such as function and daily activities. Effectiveness of these services is difficult to determine with routinely collected data, pointing to a clear need to expand outcome measurement. Little is known about the best tools to use to measure expanded domains of health, or about the process of integrating these tools into primary care.


The objective of this study was to explore the utility and feasibility of assessing participation and function in daily activities using patient-reported outcome measures (PROMs) within interprofessional primary care, by examining the use of PROMs within occupational therapy primary care falls prevention services.


Mixed-methods study. Over seven months, occupational therapists administered two outcome measures to patients receiving falls prevention services. Subsequent group interviews with therapists explored the utility and process of using the tools. Analysis involved assessing pre-to-post change scores and descriptive content analysis of interview transcripts. The outcome measures were the Modified Falls Efficacy Scale (MFES) and Late Life Function and Disability Instrument: Disability Scale (LLFDI-DS). The MFES appears to capture change over time.


Patient-reported outcomes are feasible to include in interprofessional primary care. Service-specific tools appear useful, and tools that can be used across services require further exploration.​


Catherine Donnelly, Cecilia Doesborgh, Martha Bauer, Nicole Bobbette, Maria Borczyk, Nanette Bowen-Smith, Dana Driesman-Klover, Gillian Fish, Colleen O’Neill