Construction of a conceptual model and preliminary content development for patient-reported outcomes measurement after total hip arthroplasty: from a Chinese perspective - Report - MDSpire
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Construction of a conceptual model and preliminary content development for patient-reported outcomes measurement after total hip arthroplasty: from a Chinese perspective
Clinical Report: Development of a Conceptual Framework for PROM in THA
Overview
This study developed a conceptual model and preliminary content for a patient-reported outcome measurement (PROM) tailored for Chinese patients undergoing total hip arthroplasty (THA). The model encompasses eight key dimensions and includes 99 items, aiming to enhance the assessment of postoperative experiences.
Background
Total hip arthroplasty (THA) is a widely performed surgical procedure that significantly improves patient outcomes in terms of pain relief and mobility. However, the evaluation of postoperative satisfaction often lacks comprehensive patient input, necessitating the development of culturally specific PROMs. This study addresses the gap in existing PROMs that inadequately reflect the unique cultural and clinical contexts of Chinese patients undergoing THA.
Data Highlights
Dimension
Items Developed
Function
12
Pain
15
Symptoms
10
Quality of Life
14
Cognitive and Social Support
11
Psychology
13
Expectations
12
Satisfaction
12
Key Findings
A conceptual model for PROM in THA was developed based on the biopsychosocial model.
The model includes eight dimensions: function, pain, symptoms, quality of life, cognitive and social support, psychology, expectations, and satisfaction.
A total of 99 items were created for the Chinese THA PROM (CTP).
Expert reviews and patient interviews were conducted to ensure content validity.
The CTP aims to address cultural differences in health beliefs and practices among Chinese patients.
Clinical Implications
The development of the CTP provides a framework for more accurately assessing patient experiences following THA in China. Clinicians can utilize this tool to better understand patient needs and improve postoperative care tailored to cultural contexts.
Conclusion
The CTP represents a significant step towards integrating patient perspectives into the evaluation of outcomes following THA, with the potential for further refinement through psychometric testing.
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