Skip to content
← Measures

prom

PGIC · Patient Global Impression of Change

1 items · 1 min · 1–7 · lower is better

1 Before you use it

What it is

The GROC's simpler cousin. A single 7-point item from no change / got worse through to a great deal better, describing overall change since starting treatment.

When to reach for it

At reassessment, as an alternative to the GROC — particularly where a site already uses it, or where the −7 to +7 scale confuses patients.

Pick one of the two and be consistent.

2 Giving it

Scoring

Single item, 1 to 7. Lower is better on the conventional wording — check the direction on whichever version your site uses before you record it, because the polarity varies.

What it doesn’t measure

No baseline, no detail, no attribution of change to your treatment. It is an impression, and it should be labelled as one.

3 Reading the score

Interpreting it

Used as a global anchor rather than a graded outcome. No verified threshold is carried in our library and none is printed here.

It carries the same recall limitation as the GROC.

Is the change real?

No verified MCID or MDC is carried in our library for this measure, so the number on its own cannot tell you a change is real. Compare it to this patient's own baseline and say what changed functionally.

Student trap. Assuming the direction. Some versions run better-to-worse and some run worse-to-better; record the anchor text, not just the digit.

Official source: phenxtoolkit.org. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

Did this page do its job?

CliniStudy is in beta. One tap is enough — it decides what gets fixed first.