Porter Randall S, Holt Kathleen, Ramchandran Rajeev S
Pediatric Ophthalmology and Ocular Genetics Service, University of Rochester Flaum Eye Institute, Rochester, NY, USA.
University of Rochester Clinical & Translational Science Institute, Rochester, NY, USA.
Patient Relat Outcome Meas. 2021 Oct 7;12:307-312. doi: 10.2147/PROM.S329345. eCollection 2021.
The full utility of general health Patient-Reported Outcomes Measurement Information System (PROMIS) surveys in the eye care setting has not been previously demonstrated. This report demonstrates the feasibility of implementing PROMIS in an eye care clinic.
Over 2 months, general health and functioning PROMIS surveys were offered to all patients in an optometric clinic in Rochester, NY. Demographic and clinical variables were recorded along with percent completion and time to completion of the survey.
Across 651 patients, 258 chose to attempt PROMIS. Patients with low visual acuity were less likely to attempt the survey (=0.049), and younger patients were more likely to complete the survey (=0.025); no other patient characteristics were found to differ between those who did and did not participate in, nor complete, PROMIS. A total of 193 patients completed the survey (74.8%) in a mean time of 6.36 minutes (range = [1.43, 51.92] minutes; standard deviation = 5.62 minutes). Time to completion did not vary significantly across any groups.
Our relatively high completion rate among those who attempted PROMIS indicates that PROMIS surveys are feasible to implement in an optometry clinic. While most patients completed the survey in little time, the large range of time to completion may indicate that some patients had difficulty completing the survey. Furthermore, the significant difference in visual acuity between those who participated in the survey and those who did not highlights the need to address the way PROMIS is delivered in order to foster greater inclusion.
患者报告的结局测量信息系统（PROMIS）通用健康调查问卷在眼科护理环境中的全部效用此前尚未得到证实。本报告展示了在眼科护理诊所实施PROMIS的可行性。
在两个月的时间里，向纽约州罗切斯特市一家验光诊所的所有患者提供通用健康和功能PROMIS调查问卷。记录了人口统计学和临床变量，以及调查问卷的完成百分比和完成时间。
在651名患者中，258名选择尝试PROMIS。视力低下的患者尝试该调查问卷的可能性较小（P=0.049），而年轻患者完成调查问卷的可能性较大（P=0.025）；未发现参与和未参与或完成PROMIS的患者在其他患者特征方面存在差异。共有193名患者完成了调查问卷（74.8%），平均用时6.36分钟（范围=[1.43,51.92]分钟；标准差=5.62分钟）。完成时间在任何组中均无显著差异。
我们在尝试PROMIS的患者中相对较高的完成率表明，PROMIS调查问卷在验光诊所实施是可行的。虽然大多数患者在短时间内完成了调查问卷，但完成时间的较大范围可能表明一些患者在完成调查问卷时存在困难。此外，参与调查和未参与调查的患者在视力方面的显著差异凸显了需要解决PROMIS的发放方式，以促进更高的参与度。
