Table 3 Thematic analysis of patient interviews
Theme | Subcategories | Description | Significant statement examples |
|---|---|---|---|
Patient experiences patients completing PROMs | Ease | Ease of use of patients completing PROMs | “Everything seemed easy, there is nothing difficult about it at all.” (1008) “They were asked in a way that was easy to understand and accept.” (1009) |
Challenge | Challenge involved in completing PROMs | “It was really interesting to do. I enjoyed the challenge of finding the answers.” (1009) | |
Comprehensiveness | Comprehensiveness of the PROMs used in the intervention | “I think it's you, know quite comprehensive.” (2007) “I came away from the interview thinking you’d covered most bases. I couldn’t think oh why didn’t he ask that or why didn’t he measure that.” (2017) | |
Electronic administration | Views on the desirability of electronic administration | “Don't bother me either way.” (4009) “The personal contact in my view is essential.” (3009) | |
PROMs feedback | Detail | Views on level of detail required (simplicity versus inclusion of supporting information) | “The simplicity of it is the benefit really.” (4007) “It was absolutely brilliant’… ‘that is the benefit of it, it’s simple and anyone can look at it… you don’t need to put three charts together you have a very clear picture.” (1009) “I think if it had a few more clinical bits on it, and I’m talking about very short clinical bits on there… such as the results of their last blood test, or whatever it is pertaining to their particular health conditions, then I think that would be a really good document.” (5003) |
Awareness | Extent to which the PROMs summary encourages patient awareness of their health | “…it just puts down in black and white how I felt at the time.” (5004) “It was good, it’s highlighted the fact that I’ve been lucky I think since my knee’s been done that it’s had a good effect on the diabetes and makes me feel lucky as I say with both problems that I’ve had.” (4007) “I came back and discussed it with my husband and we talked about some of the things that had been raised… we then discussed some of the aspects of my condition that I perhaps hadn’t considered before so that for me was really good”. (5003) | |
Prioritization | Extent to which the PROMs summary encourages patient prioritization | “It’s all too easy to assume that everyone needs what we think they need, or have problems with what we think they have problems with, and I guess if someone looked at me from the outside and saw me wobbling along they would probably think that my mobility problems were the worst part but it’s actually the pain and lack of sleep, that’s the bit that makes it hardest. So again that’s changed the priority from the outside view to my view.” (1009) “It brings your attention to what your priorities are.” (3008) | |
PROMs as part of routine care | Patient monitoring | Extent to which the intervention encourages patient monitoring | “I think looking at it may be used in the future it really does make it feel like a tool which can be, should be, ought to be used.” (1009) “Yeah, I think it’s a good thing. From my point of view it’s either going to highlight a problem or give you a reassurance that you know things are remaining good.” (4007) “I think that was good because I think in two years’ time you could repeat it, the whole questionnaire and you’d possible come out with different results.” (1009) |
Barriers | Barriers to implementation (such as resource pressures) | “I wonder what use it’ll be at the end of the day to GPs and that because they’re all so busy and they’ve got so much else on their plates… whether they worry about stuff like this I don’t know… if they just brush it under the carpet who knows… so many things are changing down our local GP practice that you don’t know where they are half the time.” (1008) |