Scoring Smarter in primary care physical therapy practice

Patient Reported Outcome Measures (questionnaires) used by physical therapists are often long and sometimes contain irrelevant questions for patients. This problem can be resolved by using PROMIS Computer Adaptive Test (CAT). With this smart scoring system, only 4 to 7 questions need to be answered for a reliable measure.


The aim of this project is to examine the feasibility of PROMIS-CAT instruments that are relevant in primary care physical therapy.


We will examine this in 5 work packages:

  • What is the test-retest reliability and Smallest Detectable Change of the PROMIS-CAT instruments?
  • What is the responsiveness and Minimal Important Change for patients?
  • What is the demand, acceptability, implementation and practicality of the PROMIS-CAT instruments?
  • Which kind of training can we develop that is necessary for implementation of the PROMIS-CAT instruments in primary care physical therapy?
  • What is the effect of the training on the use and feasibility of the PROMIS-CAT instruments?


01 June 2021 - 31 May 2023


In a pilot-project, PROMIS-CAT instruments have been integrated in the Electronic Health Record “Fysiomanager”. Physical therapists will use the PROMIS-CAT instruments, along currently used legacy questionnaires, during 6 months. By interviewing physical therapists and patients, experiences of physical therapists and patients will be examined and a training will be developed and evaluated.

HU researchers involved in the research

Related research groups