• 1
    PROM Introduction/Submission

    Patient receives introductory information about the PROM, completes form, and proceeds to next stage upon submission.

  • 2
    PROM Reminder/Results

    Thank you sent to patient upon form submission. Reminder is sent after 3 days of no submission. Results explanation factsheet provided to the patient to provide context.

Pathway details
  • Code: PATH-PSFS
  • Name: Patient Specific Functional Scale
  • Author: PEP health
  • Version: 1.00
  • Reviewed: 02/2025
Pathway inclusions
2 pathway stages
2 documents
1 questionnaires
1 reminders
2 messages
PROM Scorecard
PROM score calculations
PROM Cut Points
Export of PROM data
About

This is a two-stage pathway that streamlines the delivery, reminders, scoring, analysis, and data export of the Patient Specific Functional Scale (PSFS ) PROM for clinicians and researchers.

This pathway is designed to enable clinicians and researchers to

  • deliver the PSFS PROM tool to their patients quickly and easily,
  • provide patients with contextual information about the tool,
  • automatically remind patients to submit the PSFS PROM,
  • collect the results of the submitted PSFS PROM,
  • calculate the PSFS PROM Score based on the answers submitted,
  • allocate PSFS PROM Cut Points based on the score calculations,
  • display survey results, Score and Cut Points, and
  • provide an export of deidentified PSFS PROM data for research purposes.
Intended Population

Adults with musculoskeletal disorders (back, neck, knee, upper extremity), stroke rehabilitation, and some non-musculoskeletal populations.

Method of use

The Patient-Specific Functional Scale (PSFS) is administered through a structured patient-centred process to identify and track functional limitations.

PROM details
PROMs included
  • Patient Specific Functional Scale (PSFS)
Description

Patient-specific questionnaire where patients identify & rate difficulty of 3-5 functional activities (0-10 scale). Measures activity limitations in musculoskeletal/neurological conditions.

Type

Evaluative (monitors functional changes over time)

Advantages
  • Patient-centered goals
  • Quick administration (<5 mins)
  • Flexible across conditions
  • High clinical responsiveness
Disadvantages
  • Requires patient engagement to identify activities
  • Not standardized for direct comparisons
  • Less validated in non-musculoskeletal populations
Evidence

Strong validity/reliability in musculoskeletal populations. Emerging evidence for stroke & community-dwelling older adults.

Reliability

ICC 0.82 (cervical radiculopathy), 0.71-0.90 (upper extremity). MDC 2.0-2.8 points.

Reference population

Adults with chronic pain, post-surgical rehabilitation, neurological conditions (stroke).

Scoring

Average score of 3-5 self-identified activities (0=unable to perform, 10=no difficulty). PSFS 2.0 (2024 update) uses inverted 0-10 scoring (0=no difficulty) with improved responsiveness

Cut Points
  • MDC: 2.0-2.8 points
  • MCID: 2.0 points (musculoskeletal)
  • Threshold for “meaningful change”: ≥3.3 points
Terms of Use

Requires permission from the copyright holder for formal use. Free for clinical use with proper citation; formal research/adaptations require licensing

Copyright owner

Dr. Paul Stratford (McMaster University)

References
  •  Stratford et al. (1995) – Original validation
  • Horn et al. (2012) – Systematic review
  • Mathis & Taylor (2023) – Community-dwelling older adults

Want to be able to deliver survey tools to you patients and collect data quickly and easily?

Get in touch today!

Fill in and submit your details and we will contact you as soon as possible.





    Previous
    Next