000			03851nam a22005177a 4500
008			210719s20212021 xxu||||| |||| 00| 0 eng d
022			_a1932-6203
024			_a10.1371/journal.pone.0252684 [doi]
024			_aPMC8177453 [pmc]
024			_aPONE-D-21-02829 [pii]
040			_aOvid MEDLINE(R)
099			_a34086774
245			_aDeveloping a protocol for adapting multimedia patient-reported outcomes measures for low literacy patients.
251			_aPLoS ONE [Electronic Resource]. 16(6):e0252684, 2021.
252			_aPLoS ONE. 16(6):e0252684, 2021.
252			_zPLoS ONE. 16(6):e0252684, 2021.
253			_aPloS one
260			_c2021
260			_fFY2021
265			_sepublish
266			_d2021-07-19
268			_aPLoS ONE [Electronic Resource]. 16(6):e0252684, 2021.
269			_fFY2021
501			_aAvailable online through MWHC library: 2006 - present
520			_aBACKGROUND: Self-administration of patient-reported outcomes measures (PROMs) by patients with low literacy is a methodologic and implementation challenge. There is an increasing emphasis on patient-centered care and wider adoption of PROMs to understand outcomes and measure healthcare quality. However, there is a risk that the use of PROMs could perpetuate health disparities unless they are implemented in an inclusive fashion. We present a protocol to adapt validated, text-based PROMs to a multimedia format (mPROMs) to optimize self-administration in populations with limited literacy. We describe the processes used to develop the protocol and the planned protocol implementation.
520			_aDISCUSSION: The MAP provides an approach for adapting PROMs to a multimedia format. We encourage others to evaluate and test this approach with other questionnaires and patient populations. The development and use of mPROMs has the potential to expand our ability to accurately capture PROs in limited literacy populations and promote equity in PRO measurement.
520			_aMETHODS/DESIGN: Our study protocol development was guided by the International Quality of Life Assessment (IQOLA) protocol for translating and culturally adapting PROMs to different languages. We used the main components of IQOLA's protocol to generate a conceptual framework to guide development of a Multimedia Adaptation Protocol (MAP). The MAP, which incorporates human-centered design (HCD) and takes a community-engaged research approach, includes four stages: forward adaptation, backward adaptation, qualitative evaluation, and validation. The MAP employs qualitative and quantitative methods including observation, cognitive and discovery interviews, ideation workshops, prototyping, user testing, co-creation interviews, and psychometric testing. An iterative design is central to the MAP and consistent with both the IQOLA protocol and HCD processes. We will pilot test and execute the MAP to adapt the Patient Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Short Form for use in a mixed literacy hand and upper extremity patient population in Baltimore, Maryland.
546			_aEnglish
650			_a*Literacy
650			_a*Patient Reported Outcome Measures
650			_aHumans
650			_aMultimedia
650			_aPatient-Centered Care
650			_aQuality of Health Care
650			_aSelf Report
650			_aSurveys and Questionnaires
650			_aTranslating
651			_aCurtis National Hand Center
657			_aJournal Article
700			_aGiladi, Aviram M
700			_aLong, Chao
790			_aBeres LK, Giladi AM, Long C, Wu AW
856			_uhttps://dx.doi.org/10.1371/journal.pone.0252684 _zhttps://dx.doi.org/10.1371/journal.pone.0252684
858			_yLong, Chao _uhttps://orcid.org/0000-0003-4403-909X _zhttps://orcid.org/0000-0003-4403-909X
942			_cART _dArticle
999			_c10900 _d10900