Table 1 Generic PROM components
Component | Purpose | Description |
|---|---|---|
Consent | Person completing the form can indicate whether they are the patient or completing the PROM on behalf of a patient Person completing the form provides consent for their responses to be used for clinical and/or research purposes | |
EQ-5D-5L | Validated tool to assess patient health state | 5 dimensions • Mobility • Self-care • Usual activities • Pain/discomfort • Anxiety/depression |
Work Productivity and Activity Impairment | Validated tool to measure health-related work productivity loss for the employed population | |
About You | Additional questions designed to collect data on important factors which may affect patients health and outcomes | Questions included: • Year of birth • Ethnicity • Medically diagnosed co-morbidities • Height • Weight • Waist size • Smoking status • Alcohol consumption • Exercise level • Employment status |