Background
Patient reported outcome measures (PROMs) are widely used to capture patients' perspectives of their health status and treatment outcomes and to enable practitioners to evaluate the effectiveness of interventions. The aim of this study was to explore Australian osteopaths’ perceptions of the use of respiratory PROMS in the management of chronic lung conditions.
Methods
This study drew on the social ecological model (SEM), which highlights the interdependence of contextual structures and processes. Osteopaths who were initially part of a larger mixed-methods study were invited to participate in semi-structured interviews. Transcripts were thematically analysed using the SEM.
Results
Seven of the original study osteopaths were interviewed. When presented with a patient who had a co-morbid respiratory condition, they focused on the musculoskeletal aspects of that condition (intrapersonal factors). Participants described sporadic use of musculoskeletal and quality of life PROMs in practice, and scarce use of respiratory PROMs (intrapersonal and organizational factors). Participants’ perceptions of their scope of practice strongly influenced their use of respiratory PROMs (environmental factors).
Conclusion
Intrapersonal and environmental factors were dominant drivers for participants’ scant use of respiratory PROMs. Further education on the scope and contribution of osteopaths to the management of chronic lung conditions and the use of respiratory PROMS is called for to promote multidisciplinary patient care.
Details
Title
The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths
Creators
Roger Engel (Author) - Southern Cross University
Danielle Baxter (Author) - RMIT University
Lee Muddle (Author) - University of Technology Sydney
Brett Vaughan (Author) - Southern Cross University
Sandra Grace (Author) - Southern Cross University
Publication Details
Complementary therapies in clinical practice, Vol.57, 101918
Publisher
Elsevier Ltd; London
Grant note
This study was supported by a grant from Osteopathy Australia. The funding body played no role in the design of the study, in collection, analysis, or interpretating of data, or in writing the manuscript.