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Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: An implementation study
by
Kamran, Rakhshan
, Rodrigues, Jeremy
, Stepney, Melissa
, Harrison, Conrad
, Jackman, Liam
, Jain, Abhilash
, Laws, Anna
in
Analysis
/ Biology and Life Sciences
/ Engineering and Technology
/ Evidence-based medicine
/ Medicine and Health Sciences
/ Proms (Parties)
/ Research and Analysis Methods
/ Social Sciences
2024
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Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: An implementation study
by
Kamran, Rakhshan
, Rodrigues, Jeremy
, Stepney, Melissa
, Harrison, Conrad
, Jackman, Liam
, Jain, Abhilash
, Laws, Anna
in
Analysis
/ Biology and Life Sciences
/ Engineering and Technology
/ Evidence-based medicine
/ Medicine and Health Sciences
/ Proms (Parties)
/ Research and Analysis Methods
/ Social Sciences
2024
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Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: An implementation study
by
Kamran, Rakhshan
, Rodrigues, Jeremy
, Stepney, Melissa
, Harrison, Conrad
, Jackman, Liam
, Jain, Abhilash
, Laws, Anna
in
Analysis
/ Biology and Life Sciences
/ Engineering and Technology
/ Evidence-based medicine
/ Medicine and Health Sciences
/ Proms (Parties)
/ Research and Analysis Methods
/ Social Sciences
2024
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Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: An implementation study
Journal Article
Developing feasible and acceptable strategies for integrating the use of patient-reported outcome measures (PROMs) in gender-affirming care: An implementation study
2024
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Overview
Use CFIR guidance to create comprehensive, evidence-based, feasible, and acceptable gender-affirming care PROM implementation strategies.
A 3-Phase participatory process was followed to design feasible and acceptable strategies for integrating PROMs in gender-affirming care. In Phase 1, barriers and enablers to PROM implementation for gender-affirming care were identified from a previous systematic review and our prior qualitative study. We used the CFIR-ERIC tool to match previously identified barriers and enablers with expert-endorsed implementation strategies. In Phase 2, implementation strategy outputs from CFIR-ERIC were organised according to cumulative percentage value. In Phase 3, gender-affirming care PROM implementation strategies underwent iterative refinement based on rounds of stakeholder feedback with seven patient and public partners and a gender-affirming healthcare professional.
The systematic review and qualitative study identified barriers and enablers to PROM implementation spanning all five CFIR domains, and 30 CFIR constructs. The top healthcare professional-relevant strategies to PROM implementation from the CFIR-ERIC output include: identifying and preparing implementation champions, collecting feedback on PROM implementation, and capturing and sharing local knowledge between clinics on implementation. Top patient-relevant strategies include: having educational material on PROMs, ensuring adaptability of PROMs, and collaborating with key local organisations who may be able to support patients.
This study developed evidence-based, feasible, and acceptable strategies for integrating PROMs in gender-affirming care, representing evidence from a systematic review of 286 international articles, a qualitative study of 24 gender-affirming care patients and healthcare professionals, and iteration from 7 patient and public partners and a gender-affirming healthcare professional. The finalised strategies include patient- and healthcare professional-relevant strategies for implementing PROMs in gender-affirming care. Clinicians and researchers can select and tailor implementation strategies best applying to their gender-affirming care setting.
Publisher
Public Library of Science,Public Library of Science (PLoS)
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