{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:02:46Z","timestamp":1792173766587,"version":"4.4.0"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"unspecified","delay-in-days":253,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951525000483_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>This study aimed to investigate healthcare professionals\u2019 experiences with using the PRO Palliative Care questionnaire (PRO-Pall) to identify palliative care symptoms and problems in non-specialized palliative care settings among patients with heart, lung, and kidney disease, and cancer. The study also investigated the PRO-Pall\u2019s potential to ensure further initiatives and care.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525000483_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A national, multicenter, observational study employing a mixed-methods approach. It includes quantitative analysis using an evaluation survey (<jats:italic>n<\/jats:italic> = 286) and qualitative analysis from workshops (<jats:italic>n<\/jats:italic> = 11). Quantitative data were analyzed descriptively, while qualitative data were analyzed thematically.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525000483_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Quantitative and qualitative data were organized according to 3 a priori-defined themes: <jats:italic>Theme 1: Assessment of palliative symptoms, Theme 2: Support for dialogue<\/jats:italic>, and <jats:italic>Theme 3: Timely initiation of initiatives and care.<\/jats:italic> The evaluation survey and qualitative interviews with healthcare professionals indicated that it was valuable to use PRO-Pall in a non-specialist palliative context to screen for symptoms and problems, as well as to initiate actions. PRO-Pall helped to structure the dialogue and had a positive effect on the quality of the conversation.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525000483_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>The findings highlight that it can be valuable to utilize the PRO-Pall in general palliative care settings for patients with heart, lung, or kidney diseases as well as cancer. When implementing PRO-Pall in practice, it is crucial to carefully consider the entire process, from administering the questionnaire to planning initiatives informed by patients\u2019 PRO responses.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951525000483","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T05:34:56Z","timestamp":1757568896000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Healthcare professionals\u2019 experiences in using a patient-reported outcome tool (PRO-Pall) to identify symptoms and problems in palliative care: A mixed-methods study"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0887-0057","authenticated-orcid":false,"given":"Tine","family":"Ikander","sequence":"first","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Bergenholtz","sequence":"additional","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"},{"name":"Zealand University Hospital"},{"name":"Holbaek Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henriette","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Paine","sequence":"additional","affiliation":[{"name":"Bispebjerg and Frederiksberg Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Skytte","sequence":"additional","affiliation":[{"name":"Holb\u00e6k Municipality"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida","family":"Refer","sequence":"additional","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Christensen","sequence":"additional","affiliation":[{"name":"Frederiksberg Hospital"},{"name":"The National PRO-secretariat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1197-5455","authenticated-orcid":false,"given":"Mette","family":"Raunkiaer","sequence":"additional","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilie","family":"Egholm","sequence":"additional","affiliation":[{"name":"Odense University Hospital"},{"name":"University of Southern Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"S1478951525000483_ref23","unstructured":"PRO-secretariat (2023) Basic palliative care [Basal palliation]. Available at https:\/\/pro-danmark.dk\/da\/pro-emner\/basal-palliation (accessed 05 August 2025)."},{"key":"S1478951525000483_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13254"},{"key":"S1478951525000483_ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01123-y"},{"key":"S1478951525000483_ref30","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2021-0162"},{"key":"S1478951525000483_ref29","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000001120"},{"key":"S1478951525000483_ref20","unstructured":"OPEN (2024) Open Patient data Explorative Network. Available at https:\/\/en.ouh.dk\/research\/open-odense-patient-data-explorative-network\/ (accessed 05 August 2025)."},{"key":"S1478951525000483_ref14","article-title":"Routine provision of feedback from patient-reported outcome measurements to healthcare providers and patients in clinical practice","volume":"10","author":"Gibbons","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S1478951525000483_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.07.010"},{"key":"S1478951525000483_ref22","unstructured":"PRO Palliation (2021) Opsamlingsrapport fra workshopforl\u00f8b for udvikling af PRO til Palliaton [Summary report from the workshop course for the development of PRO for Palliation]. Available at https:\/\/sundhedsdatastyrelsen.dk\/-\/media\/subsites\/pro\/filer\/pro_emner\/basal-palliation\/opsamlingsrapport-fra-workshopforloeb-for-udvikling-af-pro-til-palliation-(pdf).pdf (accessed 05 April 2024 )."},{"key":"S1478951525000483_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-022-00509-z"},{"key":"S1478951525000483_ref31","first-page":"17","article-title":"Integrating patient-reported measures into routine cancer care: Cancer patients\u2019 and clinicians\u2019 perceptions of acceptability and value","volume":"3","author":"Stover","year":"2015","journal-title":"eGEMs (Washington DC)"},{"key":"S1478951525000483_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2005.06.022"},{"key":"S1478951525000483_ref7","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.16.5761"},{"key":"S1478951525000483_ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1611252"},{"key":"S1478951525000483_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-067044"},{"key":"S1478951525000483_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2024.100264"},{"key":"S1478951525000483_ref21","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2018.09.02"},{"key":"S1478951525000483_ref24","unstructured":"PRO-secretariat [General palliative care] Basal palliation. 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Available at https:\/\/www.rehpa.dk\/wp-content\/uploads\/2023\/02\/Evaluering-af-pilotafproevning-af-PRO-Palliation-til-basal-palliation.pdf (accessed 05 August 2025)."},{"key":"S1478951525000483_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-03003-z"},{"key":"S1478951525000483_ref28","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137747"},{"key":"S1478951525000483_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-04976-x"},{"key":"S1478951525000483_ref34","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"S1478951525000483_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2023.104755"},{"key":"S1478951525000483_ref10","article-title":"What are the attitudes of health professionals regarding patient reported outcome measures (PROMs) in oncology practice? A mixed-method synthesis of the qualitative evidence","volume":"20","author":"Easpaig","year":"2020","journal-title":"BMC Health Services Research."},{"key":"S1478951525000483_ref33","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6600001"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525000483","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T05:34:59Z","timestamp":1757568899000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525000483\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":34,"alternative-id":["S1478951525000483"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525000483","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e159"}}