112 Chapter 4 teams were open to an evaluation meeting despite the importance for the implementation process. However, the experiences of clinicians from different disciplines, working with various disease groups in multiple hospitals and different outcome measure sets were included. Second, completing the VAS of the domains ‘overall satisfaction’ and ‘satisfaction with PROMs and feedback’ was not always possible when using a tablet. For these clinicians, it was not possible to move the bar to the desired position, causing a score around 50. Unfortunately, it could not be traced who had had this problem and therefore the results of these questions should be interpreted carefully. Third, the question ‘I am satisfied with the PROMs offered’ was not always understood by the clinicians. Prior to this question, there was a question about specific PROMs. The explanations showed that some clinicians referred to the specific PROMs when answering this question. That is why the answers to this question of 14 clinicians were not included. Fourth, due to the used method, this study provides no insight into the actions clinicians take with regard to the completed PROMs. In addition, no questions were asked about how clinicians use the information from the completed PROMs in daily clinical care. Therefore, recommendations for future PROM implementation research are to gain more insight into the actions of clinicians with regard to the discussed PROMs and how this can lead to more patient-centered care. The use of video observations in the consultation room may provide this information. To conclude, the KLIK PROM portal is a valuable tool for clinicians to systematically monitor the functioning of their patients in clinical practice, so that extra support can be offered when needed. Overall, clinicians were enthusiastic about the feedback and user-friendliness of the KLIK PROM portal and the added value of using PROMs in clinical practice. However, some challenges and barriers were also identified. Therefore, a next step is to address the mentioned feedback points in the KLIK portal to improve the user-friendliness. Also, the perspective of the other user group, the patients and parents, is needed to further adapt the KLIK PROM portal to their wishes. Therefore, a similar study will be performed in the near future evaluating the KLIK PROM portal from the patients’ perspective, with the ultimate goal to further optimize the KLIK PROM portal and to improve the quality of health care.
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