Assessment of Patient-Centeredness through Patient-Reported Experience Measures (ASPIRED)

Assessment of Patient-Centeredness through Patient-Reported Experience Measures (ASPIRED)

ASPIRED is a health services research project led by Dr. Isabelle Scholl and funded by the German Federal Ministry of Education and Research over the period of five years.

The implementation of patient-centeredness shows positive effects on health-related and psychological outcomes like patient satisfaction, well-being, self-management and adherence. In order to realize patient-centeredness it needs to be measurable in routine health care.

ASPIRED has three aims

1) To assess the relevance of different dimensions of patient-centeredness from patients’ perspectives;
2) to develop and psychometrically test a core set of German patient-reported experience measures (PREM) to assess different dimensions of patient-centeredness; and
3) to investigate the feasibility of implementation of the developed PREM core set in routine health care.

The development of the measure is conducted by using quantitative and qualitative research methods (so called mixed-methods-approach). Qualitative techniques will be used to generate items and to assess their comprehensibility and their relevance. Quantitative methods will be used to assess the relevance of particular dimensions of patient-centeredness from the patients’ perspective as well as the psychometric quality of the instrument. The study targets patients from four different chronic disease groups (cancer, cardiovascular diseases, mental disorders, and musculoskeletal disorders) treated in outpatient and inpatient settings.

The resulting measure can be used to assess experienced patient-centeredness in the different sectors of the German health care system and thereby increase health care quality. We will explicitly examine how the measure can be integrated well in routine health care and discuss implementation strategies with experts.

Core elements of ASPIRED

  • Development of a patient-reported experience measure to assess patient-centeredness
  • Inclusion of approximately 2,500 in- and outpatients with several chronic diseases
  • Evaluation of possible use of the measure in routine health care


Zeh S, Christalle E, Zill JM, et al, What do patients expect? Assessing patient-centredness from the patients’ perspective: an interview study, BMJ Open 2021;11:e047810. doi: 10.1136/bmjopen-2020-047810

Christalle E, Zeh S, Hahlweg P, et al., Assessment of patient centredness through patient-reported experience measures
(ASPIRED): protocol of a mixed-methods study. BMJ Open 2018;8:e025896. doi:10.1136/bmjopen-2018-025896

Zeh S, Christalle E, Hahlweg P, et al., Assessing the relevance and implementation of patient- centredness from the patients’ perspective in Germany: results of a Delphi study. BMJ Open 2019;9:e031741. doi:10.1136/bmjopen-2019-031741


Dr. Isabelle Scholl
Universtitätsklinikum Hamburg-Eppendorf
Institut und Poliklinik für Medizinische Psychologie
Martinistr. 52, W26
20246 Hamburg

Phone: +49 (0)40 7410-57135


Current dates

18. Apr 2023

BMC Kongress 2023

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