Finalising an item bank for a first draft cardiac rehabilitation PROM

Abstract

Background: A Scotland-wide scoping exercise identified the need for a new patient-reported outcome measure (PROM) to suit the range of diagnostic groups now accessing cardiac rehabilitation (CR). A previous literature review of existing tools guided a qualitative methodology involving CR staff and service users (Cowie et al, 2018). Aim: This paper describes the merging of literature review findings with qualitative data to finalise the item bank for a first draft tool (PROM-CR1). Methods: Conceptual ideas identified from existing tools were aligned with key themes and subthemes within the qualitative data. Quotes most reflective of the qualitative language were used to evidence themes and develop 40 construct indicators which were used to build PROM-CR1. Results: PROM-CR1 contains 40 items across 'physical', 'social', 'psychological' and 'therapeutic' domains, plus 'general health and well-being', 'physical', 'social', and 'psychological' summary scores. Future directions: PROM-CR1 will be piloted with both staff and service users, and refined to develop a finalised tool (PROM-CR) for clinical practice.