PROMIS Measures in Primary Care Practice

Incorporating PROMIS Symptom Measures Into Primary Care Practice

The purpose of this study is to determine the effectiveness of providing PROMIS Profile Scale scores (e.g., sleep, pain, anxiety, depression, energy/fatigue) to physicians on patients' symptoms.

The SPADE symptoms (sleep, pain, anxiety, depression, and energy/fatigue) are the most common yet undertreated symptoms in clinical practice. Using the PROMIS (Patient-Reported Outcome Measurement Information System) Profile Scales as a measure of SPADE symptoms, this study will determine the effectiveness of providing patient symptom scores to clinicians, identify barriers and facilitators to the clinical use of such scores, and evaluate the psychometric properties of the PROMIS Profile Scales in a primary care population.

Inclusion Criteria:

Patients

• Adults ≥ 18 years of age,
• Receiving care from a participating primary care physician
• Report a moderate level of severity ( ≥ 4 on a 0 to 10 scale) on at least one of 5 symptoms (sleep, pain, anxiety, depression, energy/fatigue) based on a 5-item screener.

Physicians

• Primary care physicians within the Indiana University Health and Eskenazi Health systems

Exclusion Criteria:

Patients

• Patients less than 18 years of age
• Patients who do not receive care from a participating primary care physician
• Patients who have less than a moderate level of severity (less than 4 on a 0 to 10 item scale) on each of the 5 symptoms (sleep, pain, anxiety, depression, energy/fatigue) based on a 5-item screener.

Physicians:

• Primary care physicians who do not practice within the Indiana University Health or Eskenazi Health systems