Exploring patient-reported outcomes following percutaneous coronary intervention: A qualitative study.

Ayton, Darshini R, Barker, Anna L, Peeters, Geeske M E E, Berkovic, Danielle E, Lefkovits, Jeffrey, Brennan, Angela, Evans, Sue, Zalcberg, John, Reid, Christopher, Stoelwinder, Johannes Just and McNeil, John (2017) Exploring patient-reported outcomes following percutaneous coronary intervention: A qualitative study.. Health expectations : an international journal of public participation in health care and health policy, . doi:10.1111/hex.12636


Author Ayton, Darshini R
Barker, Anna L
Peeters, Geeske M E E
Berkovic, Danielle E
Lefkovits, Jeffrey
Brennan, Angela
Evans, Sue
Zalcberg, John
Reid, Christopher
Stoelwinder, Johannes Just
McNeil, John
Title Exploring patient-reported outcomes following percutaneous coronary intervention: A qualitative study.
Journal name Health expectations : an international journal of public participation in health care and health policy   Check publisher's open access policy
ISSN 1369-7625
Publication date 2017-11-12
Sub-type Article (original research)
DOI 10.1111/hex.12636
Open Access Status DOI
Abstract Percutaneous coronary intervention (PCI) is a common cardiac procedure used to treat obstructive coronary artery disease. Patient-centred care is a priority in cardiovascular health having been shown to increase patient satisfaction, engagement with rehabilitation activities and reduce anxiety. Evidence indicates that patient-centred care is best achieved by routine collection of patient-reported outcomes (PROs). However, existing patient-reported outcome measures (PROMs) have limited the patient involvement in their development.

To identify and explore outcomes, patients perceive as important following PCI.

A qualitative design was adopted. Eight focus groups and five semi-structured interviews were conducted with 32 patients who had undergone PCI in the previous 6 months. Outcomes were identified and mapped under the U.S. Food and Drug Administration (FDA) patient-reported outcome (PROs) domains of feeling (physical and psychological outcomes), function and evaluation. Inductive and deductive analysis methods were used with open, axial and thematic coding.

Consistent with prior studies, patients identified feeling and function outcomes such as reductions in physical and psychological symptoms and the ability to perform usual activities as important. Participants also identified a range of new outcomes, including confidence to return to usual activities and evaluation domains such as adverse effects of medications and the importance of patient communication.

The findings of this research should be considered in the design of a cardiac PROM for PCI patients. A PROM which adequately assesses these outcomes can provide clinicians and hospital staff with a foundation in which to address these concerns or symptoms.
Keyword patient perspectives
patient-centred care
patient-reported outcome measures
patient-reported outcomes
percutaneous coronary intervention
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Pubmed Import
 
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Created: Wed, 15 Nov 2017, 13:44:47 EST