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Barriers and facilitators to the use of Patient Reported Outcome Measures by Australian osteopaths

Journal: International Journal of Osteopathic Medicine Date: 2025/12, (online 2025/12/23):. doi: Subito , type of study: qualitative study

Full text    (https://www.journalofosteopathicmedicine.com/article/S1746-0689(25)00062-8/fulltext)

Keywords:

Australia [168]
osteopaths [225]
patients [134]
patient reported outcome measures [5]
PROMs [3]
qualitative study [277]

Abstract:

Background Patient Reported Outcome Measures (PROMs) are increasingly being used to quantify and inform valued-based healthcare both globally and in Australia. However, use of these measures in specific allied health professions, notably osteopathy, is lacking. Objectives The current study aimed to determine potential barriers and facilitators to the use of PROMs in a cohort of Australian osteopaths. Methods Clinically active Australian osteopaths were recruited for the study. Information on potential barriers and facilitators was collected using focus groups (3 groups, n=12) and one-on-one interviews (n=8). Data was examined using thematic analysis which was completed using NVivo 14 for Microsoft Windows. Results 20 Australian osteopaths participated in the study. They identified various factors that may impact or support the routine use of PROMs in osteopathic practice. Themes included environmental, organisational, and individual (clinician and patient) barriers. Time, administration burden, and clinician knowledge were identified as common barriers impeding PROM use, whereas facilitators included improved access to profession-relevant PROMs, access to training and information, and policy-based use. Conclusion PROMs provide an opportunity for osteopaths to embrace standardised routine measurement that has the potential to support clinical decision-making, empower patients, and help build the professional standard of osteopathic care in Australia. Identifying factors that may hinder or improve routine PROM adoption by osteopaths remains paramount, as this information may later be used to develop effective implementation strategies to improve the use of standardised outcome measures in practice.


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