PROM implementation for elective surgery patients in Australia: national implementation of the “AusPROM Recommendations” (Phase III)

NOTE: This registration record refers to Phase III of a broader study. Phase I and II are reported as part of trial registration number ACTRN12621000298819. In summary, PHASE I: Development of the "AusPROM" implementation recommendations. Phase I is an iterative process and it extends the duration of the 12 month study. Phase I informs, and is informed by, Phase II. Informing the "AusPROM" implementation recommendations is a co-design process involving medical and nursing staff (3 focus groups of 1 hour duration via video conference over 12 months). PHASE II: Feasibility testing phase. Phase II involves: (i) pre-testing the survey at 1 pilot site (n=100) for technical feasibility, and (ii) testing the survey at 4 pilot sites across 3 states of Australia (n=800) for response rate feasibility and patient acceptability and this is informed by focus group 1. Phase II will adopt the early recommendations which come from Phase I as will collect patient acceptability feedback and this will further inform the "AusPROM" implementation recommendations. PHASE III (the current study): Involves the implementation of the PROM across 29 private hospitals Australia-wide. The AusPROM recommendations developed during Phase I and II will guide the Phase III national implementation process. * The PROM being used for data collection is the Quality of Recovery 15 item tool (QoR-15). The QoR-15 PROM is a 15 item short-form and it was based on the 40 item QoR-40. The QoR-15 has 15 items each rated on a 11-point scale from 0-10, with a maximum score of 150. It takes 2.4 minutes to complete and has reported good validity, reliability and responsiveness. There is evidence that the QoR-15 can be used from pre-surgery up to 24 hours to 7 days post-surgery, as a measure of change over time. The minimal clinical important difference of the QoR-15 is 8.0. * The PROM will be collected electronically. An email or text will be sent to the patient with a link to a survey containing the QoR-15 questions. It is expected that the survey will take up to 5 minutes to complete (2.4 minutes for the QoR-15 questions). Four of the 29 sites have been pre-selected to also completed the EQ-5D-5L following the PROM questions, to test concurrent validity between the two tools (additional 2-3 minutes to complete the EQ-5D-5L). The PROM data is collected independently of any other hospital data or health professional clinical assessments. * Observation: Pre and post surgery PROMs. PROMs are observed at three timepoints - the week prior to surgery, the week following surgery and four weeks following surgery. The PROM will be collected electronically from all participating sites over a 3 month period. * Patients / consumers will also be invited to attend a focus group to provide feedback on the PROMS tool. This will be a once off focus group up to 1 hour duration via video/tele-conference, and will include 6-10 participants. * Exposure: elective surgery