Idiographic patient reported outcome measures (I‐PROMs) for routine outcome monitoring in psychological therapies: Position paper

Sales, Célia M. D.; Ashworth, Mark; Ayis, Salma; Barkham, Michael; Edbrooke‐Childs, Julian; Faisca, Luis; Jacob, Jenna; Xu, Dan; Cooper, Mick

http://hdl.handle.net/10400.1/17771

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Authors

Edbrooke‐Childs, Julian

Abstract(s)

Idiographic patient-reported outcome measures (I-PROMs) are a growing set of individualized tools for use in routine outcome monitoring (ROM) in psychological therapies. This paper presents a position statement on their conceptualization, use, and analysis, based on contemporary evidence and clinical practice. Four problem-based, and seven goal-based, I-PROMs, with some evidence of psychometric evaluation and use in psychotherapy, were identified. I-PROMs may be particularly valuable to the evaluation of psychological therapies because of their clinical utility and their alignment with a patient-centered approach. However, there are several challenges for I-PROMs: how to generate items in a robust manner, their measurement model, methods for establishing their reliability and validity, and the meaning of an aggregated I-PROM score. Based on the current state of the literature, we recommend that I-PROMs are used to complement nomothetic measures. Research recommendations are also made regarding the most appropriate methods for analyzing I-PROM data.