Table 1.

Proposed overarching concepts of PROM planning and development.

Team

Convening a qualified team

Question

Clarifying the need and goals of PROM research

Design

Designing the research to ensure saturation of concepts in relevant population

Implementation and qualitative analysis

Data collection, iterative analyses and revision leading to concept saturation and conceptual framework

Field-testing

Testing items for relevance of concept, language, phrasing and response format

Item reduction and fit

Quantitative field-testing for item reduction and psychometric testing

Validation

Multi-step process examining performance

PROM: patient-reported outcome measures.