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. 2018 Jul 4;4:90. doi: 10.1186/s40814-018-0282-8

Table 1.

Generic PROM components

Component Purpose Description
Consent Person completing the form can indicate whether they are the patient or completing the PROM on behalf of a patient
Person completing the form provides consent for their responses to be used for clinical and/or research purposes
EQ-5D-5L Validated tool to assess patient health state 5 dimensions
• Mobility
• Self-care
• Usual activities
• Pain/discomfort
• Anxiety/depression
Work Productivity and Activity Impairment Validated tool to measure health-related work productivity loss for the employed population
About You Additional questions designed to collect data on important factors which may affect patients health and outcomes Questions included:
• Year of birth
• Ethnicity
• Medically diagnosed co-morbidities
• Height
• Weight
• Waist size
• Smoking status
• Alcohol consumption
• Exercise level
• Employment status