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Table 2 Sub-steps in selecting the PROM (step 3 of the PROM-cycle)

From: Development of a framework with tools to support the selection and implementation of patient-reported outcome measures

Sub-stepDescription
3aDetermine requirements of the PROMRequirements may include the type of PROM (e.g. generic of specific), mode of administration (e.g. paper/pencil, web-based), measurement properties (see also 3d), applicability (see also step 3e).
3bIdentify potential PROMsIdentification of PROMs per selected PRO through a systematic search of the literature and existing databases.
3cInitial selection of potential PROMsInitial selection through content validity by evaluating the relevance, comprehensiveness, and comprehensibility of the items and domains of the PROM – does the PROM measure the selected PROs?
3dDetermine measurement properties of the PROMEvaluate the reliability, validity and responsiveness of the potential PROMs. The COSMIN methodology may assist in the evaluation.
3eDetermine feasibility, interpretability and acceptability of the PROMFeasibility is related to various aspects such as the time of administration (number of items), availability of translated version, and costs for using the PROM; interpretability is related to meaningful use of the scores on the PROM such as minimal clinical important difference; acceptability is related to support of patients and clinicians in using the PROM
3fSelect suitable PROM(s)Selection of the PROM(s) based on the outcomes of step 3d and 3e, for which formal and informal consensus procedures can be used.
3gDetermine the next stepThe next step could be testing of the selected PROM (step 4 in the PROM-cycle), adaptation of an existing PROM through further development and testing; or development of a new PROM if no existing PROMs meet the requirements.
  1. PRO Patient Reported Outcome, PROM Patient Reported Outcome Measure, COSMIN COnsensus-based Standards for the selection of health Measurement Instruments [9]
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