ModRUM is a concise, generic, modular resource-use measure, which can be used to collect self-report data on the healthcare services people use in UK-based studies. To date, we have developed a healthcare module for ModRUM which includes a concise 2-page core module (11 questions). We have also developed depth questions, which can replace core questions to capture more detail on key cost drivers or highly utilised resource.

For non-commercial use, ModRUM is free to use and is licensed under ModRUM License (PDF, 84kB). The terms of this licence state that ModRUM can only be adapted in the ways described in the ModRUM User Guide (PDF, 237kB).

If you would like to use ModRUM, please register here: ModRUM - Modular Resource-Use Measure available from Bristol.

If you are thinking about using ModRUM, and would like to see it before registering, please see sample versions of the ModRUM Core Module (PDF, 130kB) and ModRUM Core Module with depth questions (PDF, 278kB). These versions are for review only.

To develop and validate ModRUM, we have undertaken the following activities:

• A Delphi consensus survey with health economists to identify a minimum set of items.
• Interviews with health economists to assess face and content validity (Thorn et al. 2018).
• Cognitive interviews with patients recruited from primary care to assess content validity and acceptability (Garfield et al. 2021).
• An online survey of health economists who provided feedback on the feasibility and suitability of ModRUM for collecting resource-use data in randomised controlled trials.
• A pilot study with 100 patients recruited from primary care to assess acceptability, feasibility, and validity.

We are currently in the process of developing social care and informal care modules, and an electronic version of ModRUM. In future, we plan to develop modules covering other sectors. We also plan to develop proxy versions. If you are interested in developing further versions or translating ModRUM into another language, please contact us.

If you have any feedback about using ModRUM, we would be interested to hear it. Please contact Kirsty.Garfield@bristol.ac.uk.

For more information on the development to date, please see the following publications:

1. Thorn, J.C., et al., Core items for a standardized resource use measure (ISRUM): expert delphi consensus survey. Value in Health, 2018. 21(6): p. 640-649. doi: 10.1016/j.jval.2017.06.011
2. Garfield KM, Husbands SK, Thorn JC, Noble SM, Hollingworth W. Development of a brief, generic, modular resource-use measure (ModRUM): cognitive interviews with patients. BMC Health Services Research. 2021, 21(1). 371.          doi.org/10.1186/s12913-021-06364-w.
3. Garfield KM, Thorn JC, Noble SM, Husbands SK, Hollingworth W. Development of a brief, generic, modular resource-use measure (ModRUM): piloting with patients. BMC Health Services Research. 2023 Sept 15;23(994):994. doi: 10.1186/s12913-023-10011-x

The Delphi consensus survey was undertaken with the support of the MRC Collaboration and innovation for Difficult and Complex randomized controlled Trials In Invasive procedures (grant no. MR/K025643/1), the MRC North West Hub for Trials Methodology Research (grant no. MR/K025635/1), and the MRC Network of Hubs for Trials Methodology Research (grant no. MR/L004933/1-N57).

Development of ModRUM core module and core module with depth questions was supported by the MRC Network of Hubs for Trials Methodology Research (MR/L004933/2- PhD Award R9).

Ongoing development of additional social care and other modules is being funded by an NIHR Research for Patient Benefit (RfPB) award (NIHR201961).