Impact of the Patient-Reported Outcomes Management Information System (PROMIS) upon the Design and Operation of Multi-center Clinical Trials: a Qualitative Research Study

New technologies may be required to integrate the National Institutes of Health’s Patient Reported Outcome Management Information System (PROMIS) into multi-center clinical trials. To better understand this need, we identified likely PROMIS reporting formats, developed a multi-center clinical trial process model, and identified gaps between current capabilities and those necessary for PROMIS. These results were evaluated by key trial constituencies. Issues reported by principal investigators fell into two categories: acceptance by key regulators and the scientific community, and usability for researchers and clinicians. Issues reported by the coordinating center, participating sites, and study subjects were those faced when integrating new technologies into existing clinical trial systems. We then defined elements of a PROMIS Tool Kit required for integrating PROMIS into a multi-center clinical trial environment. The requirements identified in this study serve as a framework for future investigators in the design, development, implementation, and operation of PROMIS Tool Kit technologies.

[1]  B. Blackwood,et al.  Methodological issues in evaluating complex healthcare interventions. , 2006, Journal of advanced nursing.

[2]  Helen Rodgers,et al.  Caring for carers of people with stroke: developing a complex intervention following the Medical Research Council framework , 2005, Clinical rehabilitation.

[3]  D. Stryer,et al.  Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. , 2003, JAMA.

[4]  Sally Kerry,et al.  A lesson learnt: the importance of modelling in randomized controlled trials for complex interventions in primary care. , 2004, Family practice.

[5]  Russell E. Glasgow,et al.  External validity: We need to do more , 2006 .

[6]  Margaret E Cupples,et al.  The contribution of qualitative research in designing a complex intervention for secondary prevention of coronary heart disease in two different healthcare systems , 2006, BMC Health Services Research.

[7]  Daniel B. Mark,et al.  Acute Coronary Care , 1985, Springer US.

[8]  Tom O'Dowd,et al.  Development of a complex intervention to test the effectiveness of peer support in type 2 diabetes , 2007, BMC Health Services Research.

[9]  P. Sandercock,et al.  Framework for design and evaluation of complex interventions to improve health , 2000, BMJ : British Medical Journal.

[10]  Ad J. J. M. Vingerhoets,et al.  Quality of life assessment , 2001 .

[11]  D. Cook,et al.  Users' guides to the medical literature: XXIII. Qualitative research in health care B. What are the results and how do they help me care for my patients? Evidence-Based Medicine Working Group. , 2000, JAMA.

[12]  S. Woolf The meaning of translational research and why it matters. , 2008, JAMA.

[13]  Karen A. Blase,et al.  Implementation Research: A Synthesis of the , 2005 .

[14]  Alexander Ommaya,et al.  The Role of Purchasers and Payers in the Clinical Research Enterprise , 2002 .

[15]  David L. Altheide,et al.  Criteria for assessing interpretive validity in qualitative research. , 1994 .

[16]  Shawna L. Mercer,et al.  Study designs for effectiveness and translation research :identifying trade-offs. , 2007, American journal of preventive medicine.

[17]  Peter Sandercock,et al.  Sensible approaches for reducing clinical trial costs , 2008, Clinical trials.

[18]  T. Stokes ELECTRONIC RECORDS, ELECTRONIC SIGNATURES, AND FDA REGULATION FINAL RULE , 1998 .

[19]  D. DeMets,et al.  Fundamentals of Clinical Trials , 1982 .

[20]  Stephen B. Johnson,et al.  Central challenges facing the national clinical research enterprise. , 2003, JAMA.

[21]  Russell E. Glasgow,et al.  Evaluating the Relevance, Generalization, and Applicability of Research , 2006, Evaluation & the health professions.

[22]  R Power,et al.  Developing complex interventions for rigorous evaluation--a case study from rural Zimbabwe. , 2004, Health education research.

[23]  N. Denzin,et al.  Handbook of Qualitative Research , 1994 .

[24]  Jon Nicholl,et al.  Why, and how, mixed methods research is undertaken in health services research in England: a mixed methods study , 2007, BMC Health Services Research.

[25]  D. Ader,et al.  Developing the Patient-reported Outcomes Measurement Information System (promis) , 2007 .

[26]  B. Haynes,et al.  Barriers and bridges to evidence based clinical practice , 1998, BMJ.

[27]  Paul A Estabrooks,et al.  Practical Clinical Trials for Translating Research to Practice: Design and Measurement Recommendations , 2005, Medical care.

[28]  W O Spitzer,et al.  State of science 1986: quality of life and functional status as target variables for research. , 1987, Journal of chronic diseases.

[29]  C P Bradley,et al.  Turning anecdotes into data--the critical incident technique. , 1992, Family practice.

[30]  A J Morales,et al.  Quality of Life Assessment , 1996, Seminars in reproductive endocrinology.

[31]  D. Cook,et al.  Users' guides to the medical literature: XXIII. Qualitative research in health care A. Are the results of the study valid? Evidence-Based Medicine Working Group. , 2000, JAMA.

[32]  G. Guyatt,et al.  Users' guides to the medical literature. , 1993, JAMA.

[33]  Michael Eraut,et al.  Practice Based Evidence , 2004 .

[34]  J. Fries,et al.  The Patient-Reported Outcomes Measurement Information System (PROMIS): Progress of an NIH Roadmap Cooperative Group During its First Two Years , 2007, Medical care.

[35]  M. Marshall Sampling for qualitative research. , 1996, Family practice.

[36]  Margaret E Cupples,et al.  Development of a complex intervention for secondary prevention of coronary heart disease in primary care using the UK Medical Research Council framework. , 2006, The American journal of managed care.