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Using Patient-Reported Outcome Measures (PROMs) to Improve Patient-Clinician Communication and Enhance Treatment Efficacy

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1.  What are PROMs and what do they measure? Patient’s ratings of medical treatment options discussed Patient’s ratings on measures evaluating the quality of medical care provided Patient’s ratings on measures targeting the impact that a health condition and its respective treatment are having on his/her functioning Provider’s ratings on objective measures of the patient’s health condition and benefits of treatment

2.  What historical factor(s) contributed significantly to the development and use of PROMs in healthcare and clinical practice? A major shift internationally in thinking about what health is and how it is measured A general movement in healthcare that embraces the notion that the patient is the best source of information about how he or she feels A growing emphasis on patient-centered care in quality clinical practice All of the above

3.  What do PROMs NOT measure? Provider adherence to the standards of recommended care Sense of well-being Symptoms and functioning General health status

4.  What statement is NOT true about how PROMs fit into the context of clinical practice? PROMs enable clinicians to provide individualized treatments based on patients’ perceived needs and priorities PROMs can act as a screening tool for undiagnosed problems PROMs enable clinicians and patients to set functional goals and track progress collaboratively None of the above

5.  What statement is NOT true about generic versus condition-specific PROMs? Generic PROMs are designed to measure global health status whereas condition-specific PROMs are designed to target issues salient to a specific health condition or population. Condition-specific PROMs generally do not allow comparisons of health status across patients with different sorts of conditions. Generic PROMs tend to be more psychometrically-sound than condition-specific PROMs Condition-specific PROMs and are the kind of PROMs most likely to be relevant in clinical practice

6.  For what reasons are audiologists reluctant to use PROMs in clinical practice Skepticism regarding the usefulness of PROMs beyond what objective clinical measures provide There are so many PROMs available, it is difficult to know which ones to use and for which patients There isn’t enough time in the clinical appointment to administer, score, and talk about PROM results All of the above

7.  What has NOT been identified as a reason that patients are reluctant to complete PROMs for audiologic clinical purposes? confusion regarding the purpose and usefulness of the measure the measure takes too long to complete skepticism that responses on the questionnaire will be reviewed by the audiologist none of the above

8.  What has been shown to be a beneficial outcome from utilizing PROMs in hearing healthcare clinical practice? increased patient-centered care increased satisfaction with overall quality of clinical services provided fewer returns of hearing aid devices All of the above

9.  What measure listed below would NOT be an appropriate PROM to use in hearing healthcare clinical practice? HHIE/HHIA SF-36 IOI-HA SADL

10.  For what reasons was the IHEAR-IT developed? Focus groups with adults with hearing loss and their family members suggested areas of impact and relevance that were not targeted by other PROMs Generic PROMs are generally unresponsive to the experiences of individuals with hearing loss The field of health-related quality of life and how we measure it has advanced significantly within the past 20 years All of the above