A Patient-Reported Outcome Measure for Emergency Care of Older People
Research type
Research Study
Full title
Development and evaluation of face and content validity of a preliminary Patient-Reported Outcome Measure (PROM) for the emergency care of older people with frailty.
IRAS ID
260098
Contact name
Simon Conroy
Contact email
Sponsor organisation
University of Leicester’s Academic Department
Duration of Study in the UK
1 years, 5 months, 31 days
Research summary
There is a lack of evidence that describes expectations for care as reported by older patients and their carers. Older patients with frailty form a unique subgroup of the Emergency Department population; having frequent atypical presentations and complex comorbid states, their clinical needs may be poorly served by traditional fast-flowing, protocol-driven ED systems. Our systematic literature review has suggested that older peoples' perceptions around preferred healthcare outcomes and priorities for their ED attendance may be different to other groups.
The use of a Patient-Reported Outcome Measure could help to ascertain individual perspectives and compare outcomes between care providers. Indeed, NICE advocate an individualised approach to care through acknowledgement of differences in perspectives. However, there is no validated Patient-Reported Outcome (PROM) or Experience Measure (PREM) with which to elicit the perspectives of older people with frailty.
This study will form the initial phase of development of a novel PROM instrument to explore and objectively measure preferred outcomes for emergency care among older patients with frailty. Namely, this study will generate a conceptual framework describing the preferred outcomes for older patients with frailty and emergency care needs, and produce a preliminary PROM instrument which will undergo validation testing in future work.
REC name
West Midlands - Coventry & Warwickshire Research Ethics Committee
REC reference
19/WM/0098
Date of REC Opinion
24 Apr 2019
REC opinion
Favourable Opinion