The suitability of patient reported outcome measures (PROMs) for managing chronic respiratory conditions in non-research settings: a scoping review

Professor Sandra Grace1, Mr Mark Belotti1, Ms Yana Hasyea1, Ms Claire Moore1, Ms Archana Sukhtankar1, Mr Paul Tait1, Mr Nathaneal Tang1, Dr Brett Vaughan1,2,3, Dr Roger Engel1,4

1Southern Cross University, Lismore, Australia, 2University of Melbourne, Melbourne, Australia, 3University of Technology Sydney, Sydney, Australlia, 4Macquarie University, Sydney, Australia

Asthma and chronic obstructive pulmonary disease (COPD) are among the most common chronic conditions in Australia. Patients with these conditions present to allied health practitioners such as osteopaths and chiropractors, albeit not as the primary presenting complaint. An opportunity therefore, exists for osteopaths and chiropractors to play a role in the management of chronic respiratory conditions. Patient-reported outcome measures (PROMs) are widely used in respiratory research to monitor the outcomes of interventions. However, little is known about the suitability of these respiratory PROMs in non-research settings.

To identify the suitability of respiratory PROMs for monitoring the effect of intervention in non-research settings.

The study adopted a scoping review methodology to identify respiratory PROMS used for monitoring outcomes of intervention for patients with chronic respiratory conditions. Measurement properties of each PROM were summarised.

Thirty-six studies were identified in the review. The majority evaluated patients with COPD. The most common questionnaires used were the St Georges Respiratory Questionnaire and Health-Related Quality of Life (HQoL) measures. Identified measures demonstrated acceptable measurement properties including reliability, validity, feasibility and acceptability.

A range of respiratory PROMs with acceptable measurement properties were identified as applicable for evaluating patients with chronic respiratory conditions outside of a research setting. Opportunities exist to use the identified PROMs to explore the role of osteopathy and chiropractic in the management of chronic respiratory conditions such as COPD. Further research should be directed towards the impact of this type of intervention on HRQoL.


Roger is an osteopath and chiropractor with over 38 years’ clinical and 20 years’ educational experience. His PhD was in chronic respiratory disease management, in particular, the use of non-pharmacological interventions for chronic obstructive pulmonary disease (COPD). Roger holds appointments as an Honorary Senior Research Fellow in the Faculty of Medicine, Human and Health Sciences at Macquarie University, and Adjunct Associate Professor in the Faculty of Health at Southern Cross University.

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