Tailoring and Evaluating Treatment with the Patient-Specific Needs Evaluation: A Patient-Centered Approach Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1097/prs.0000000000011199
Background: No patient-reported instrument assesses patient-specific information needs, treatment goals, and personal meaningful gain (PMG), a novel construct evaluating individualized, clinically relevant improvement. This study reports the development of the Patient-Specific Needs Evaluation (PSN) and examines its discriminative validity (ie, its ability to distinguish satisfied from dissatisfied patients) and test-retest reliability in patients with hand or wrist conditions. Methods: A mixed-methods approach was used to develop and validate the PSN, following Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines, including pilot testing, a survey (pilot, n = 223; final PSN, n = 275), cognitive debriefing ( n = 16), expert input, and validation. Discriminative validity was assessed by comparing the satisfaction level of patients who did and did not achieve their PMG ( n = 1985) and test-retest reliability using absolute agreement, the Cohen kappa, and intraclass correlation coefficients ( n = 102). The authors used a sample of 2860 patients to describe responses to the final PSN. Results: The PSN has only 5 questions (completion time, ±3 minutes) and is freely accessible online. The items and response options were considered understandable by 90% to 92% of the end-users and complete by 84% to 89%. The PSN had excellent discriminative validity (Cramer V, 0.48; P < 0.001) and moderate to high test-retest reliability (kappa, 0.46 to 0.68; intraclass correlation coefficients, 0.53 to 0.73). Conclusions: The PSN is a freely available, patient-centered decision support tool that helps clinicians tailor their consultations to patients’ individual needs and goals. It contains the PMG, a novel construct evaluating individualized, clinically relevant treatment outcomes. The PSN may function as a conversation starter, facilitate expectation management, and aid shared decision-making. The PSN is implementation-ready and can be readily adapted to other patient populations.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/prs.0000000000011199
- OA Status
- hybrid
- Cited By
- 4
- References
- 44
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389608415
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4389608415Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/prs.0000000000011199Digital Object Identifier
- Title
-
Tailoring and Evaluating Treatment with the Patient-Specific Needs Evaluation: A Patient-Centered ApproachWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-12-12Full publication date if available
- Authors
-
W.A. de Ridder, Y.E. van Kooij, Harm P. Slijper, Grada R. Arends, A. de Roode, Joy C. MacDermid, Guus M. Vermeulen, Steven E.R. Hovius, Ruud W. Selles, Robbert M. WoutersList of authors in order
- Landing page
-
https://doi.org/10.1097/prs.0000000000011199Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/prs.0000000000011199Direct OA link when available
- Concepts
-
Medicine, Debriefing, Reliability (semiconductor), Construct validity, Discriminative model, Kappa, Test (biology), Cohen's kappa, Face validity, Construct (python library), Criterion validity, Patient satisfaction, Physical therapy, Medical physics, Psychometrics, Clinical psychology, Artificial intelligence, Machine learning, Medical education, Surgery, Biology, Power (physics), Programming language, Paleontology, Physics, Computer science, Quantum mechanics, Linguistics, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 3Per-year citation counts (last 5 years)
- References (count)
-
44Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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