Verbatim transcription of interviews is the conventional way of recording qualitative data, but is time consuming and can severely delay the availability of research findings. Consequently, some stakeholders felt that alternative methods to measuring impact could potentially be more feasible than PROMs.Ĭonducting qualitative research within public health trials requires balancing timely data collection with the need to maintain data quality. Whilst organisations were motivated to implement PROMs to obtain or retain funding, they faced considerable practical and ideological challenges. Organisations found that implementation took several years and was disrupted by other pressures. For example, discussing PROMs in supervision so that they were viewed as part of people’s job roles. Investment of time and energy into developing an outcomes-based organisational culture was key to enable the prioritisation of PROMs. However, competing priorities including external pressures to use specific PROMs, busy workloads and staff opinions created challenges to using measures. The organisations involved staff in choosing an acceptable measure.
The researchers evaluated implementation through a mixed methods approach including five key informant interviews, four evaluation groups and analysis of collected PROMs data (n = 313).īoth third sector organisations faced considerable constraints in incorporating known facilitators and addressing barriers. The organisations were responsible for implementing PROMs. The researchers provided evidence-informed advice and training. However, to date no studies have applied this learning to third sector organisations to evaluate whether taking an evidence-informed implementation approach improves the use of PROMs.Ī Community-Based Participatory Research approach was used which involved university-based researchers supporting two third sector organisations to implement PROMs. Previous studies have identified facilitators including organisations using an appropriate measure, co-producing the PROMs process with staff, and investing resources to support the use of measures. Despite this motivation, organisations can struggle with implementing PROMs. Third sector organisations such as charities and community groups are using Patient Reported Outcome Measures (PROMs) at an aggregated service level to demonstrate their impact to commissioners to generate or retain funding.
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