Implementing electronic patient-reported outcome measures in outpatient cosmetic surgery clinics: An exploratory qualitative study

Manraj Kaur, Andrea Pusic, Chris Gibbons, Anne F. Klassen

Research output: Contribution to journalArticle


Background: Patient-reported outcome measure (PROM) data are increasingly being collected over the internet or on a smart device by means of electronic versions (e-PROMs). Limited evidence exists about factors influencing e-PROM implementation in outpatient clinics. Objectives: The authors sought to identify barriers to collection of PRO data from different locations (home or cosmetic surgery office) by means of different modes (paper vs e-PROM) from the perspective of patients, plastic surgeons, and clinic administrative staff; and to explore patient preferences for the design of e-PROM platforms. Methods: Semistructured interviews were conducted with 11 patients, 3 cosmetic surgeons, and administrative staff. Patients were shown 1 of the 3 PROMs (ie, the BODY-Q Satisfaction with Body scale, BREAST-Q Augmentation Module Satisfaction with Breast scale, or FACE-Q Satisfaction with Facial Appearance scale). The formats included paper and electronic (REDCap and TickiT) on a tablet and laptop computer. The interviews were audio-recorded and transcribed verbatim. Qualitative descriptive analysis was conducted. Results: Patients and providers preferred electronic over paper format. The flexibility of the hardware, data entry point (remote location vs pointof- care), and the privacy of the data were the most recurring themes from the patient's perspective. The objective of collecting PROM data, role in peer-benchmarking, and return on investment were key to surgeons and administrative staff. Conclusions: The e-PROMs were well accepted in the community setting by the patients and plastic surgeons alike. The design and interface features of e-PROMs were explored in this study, which may be useful for future, mixed method studies evaluating the implementation of e-PROMs.

Original languageEnglish (US)
Pages (from-to)687-695
Number of pages9
JournalAesthetic surgery journal
Issue number6
StatePublished - Jun 1 2019


ASJC Scopus subject areas

  • Surgery

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