Since the PROM project began, a series of developmental stages have been undertaken. The app was developed through qualitative work involving patients (n=22), and clinicians including osteopaths, physiotherapists, and chiropractors (n=46). A systematic review to investigate the measurement properties of different PROMs was conducted also. The findings from these research studies informed the content of the app for piloting.
Piloting of the app
Piloting of the app took place over a period of 18 months. This process, involving osteopaths in private practice, and clinics attached to osteopathic educational institutions, was undertaken to investigate key elements of the app’s performance. These elements included feasibility – would using the app work in private practices, reliability – how the PROMs behaved in an electronic format, and responsiveness – would the PROMs detect change in the symptoms of patients attending osteopathic practices. At the end of the pilot process, the app underwent some small refinements and is now available for use by the osteopathic profession.
PROM data collection in osteopathic practice
A total of 210 osteopaths are currently enrolled in the PROM data collection programme (correct as of Sept 2017). The PROM app is undergoing further development with a specific version being created for osteopaths who include paediatric patients in their practice. A pilot study is ongoing also involving osteopaths in Europe using the app in their practices. This pilot study is supported by the European Federation of Osteopaths.