Development and Feasibility Testing of PROMPT-Care, an eHealth System for Collection and Use of Patient-Reported Outcome Measures for Personalized Treatment and Care: A Study Protocol.
Development and Feasibility Testing of PROMPT-Care, an eHealth System for Collection and Use of Patient-Reported Outcome Measures for Personalized Treatment and Care: A Study Protocol.
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DOI：
10.2196/resprot.6459
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发表时间：
2016-11-24
影响因子：
1.7
通讯作者：
Maher A
中科院分区：
文献类型：
--
作者：
Girgis A;Delaney GP;Arnold A;Miller AA;Levesque JV;Kaadan N;Carolan MG;Cook N;Masters K;Tran TT;Sandell T;Durcinoska I;Gerges M;Avery S;Ng W;Della-Fiorentina S;Dhillon HM;Maher A
患者报告的结果（PRO）措施已被广泛用于筛查癌症患者的抑郁，焦虑和症状。基于计算机的应用程序收集患者的反应并将其真实的传输给治疗健康专业人员，有可能改善患者的健康状况和癌症预后。这项研究将测试一个新开发的电子健康系统的可行性和可接受性，该系统有助于从癌症患者那里获取PRO数据，数据链接和检索以支持临床决策和患者自我管理，以及数据检索以支持正在进行的评估和创新研究。电子保健系统是在与为该项目召集的3个总体内容专家咨询小组协商后开发的：临床咨询小组、技术咨询小组和评价咨询小组。本研究阶段已完成以下工作：个性化治疗和护理的患者报告结局指标开发了（PROMPT-Care）电子健康系统，选择了患者报告的结局（痛苦，症状，未满足的需求），确定告知临床和自我管理干预阈值的算法，设计临床医生PRO反馈总结和纵向报告，整理患者自我管理资源。PROsaiq是一个定制的信息技术系统，它将把PRO数据真实的实时传输到医院的肿瘤信息系统中，以支持临床决策。PROMPT-Care系统的可行性和可接受性将通过患者完成PROMPT-Care评估、参与面对面的认知访谈、完成评估调查和电话访谈以及肿瘤科工作人员参与电话访谈来评估。在3个月的时间里，该系统将在澳大利亚新南威尔士州的2家医院进行试点测试，最多有50名患者接受治疗或后续护理，6名肿瘤科工作人员。将收集数据，以确定数据传输程序的准确性和完整性、参与者评估中缺失数据的程度、电子健康系统的可接受性和自我管理资源的有用性（通过患者评价调查和访谈），以及试验阶段结束时实时PRO报告的可接受性和感知有用性（通过肿瘤学工作人员访谈）。本研究通过开发高效且用户友好的电子医疗系统，调查将证据应用到真实的临床实践中。这项新开发的电子健康系统的可行性和可接受性研究将为下一阶段更大规模的测试和该系统作为日常护理的一部分的未来实施提供信息。澳大利亚和新西兰临床试验注册中心ACTRN 1261500135294; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx? id=369299&isReview=true（由WebCite存档，网址为http：//www.webcitation.org/6lzylG5A0）
Patient-reported outcome (PRO) measures have been used widely to screen for depression, anxiety, and symptoms in cancer patients. Computer-based applications that collect patients’ responses and transfer them to the treating health professional in real time have the potential to improve patient well-being and cancer outcomes. This study will test the feasibility and acceptability of a newly developed eHealth system which facilitates PRO data capture from cancer patients, data linkage and retrieval to support clinical decisions and patient self-management, and data retrieval to support ongoing evaluation and innovative research. The eHealth system is being developed in consultation with 3 overarching content-specific expert advisory groups convened for this project: the clinical advisory group, technical advisory group, and evaluation advisory group. The following work has already been completed during this phase of the study: the Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care) eHealth system was developed, patient-reported outcomes were selected (distress, symptoms, unmet needs), algorithms to inform intervention thresholds for clinical and self-management were determined, clinician PRO feedback summary and longitudinal reports were designed, and patient self-management resources were collated. PROsaiq, a custom information technology system, will transfer PRO data in real time into the hospital-based oncology information system to support clinical decision making. The PROMPT-Care system feasibility and acceptability will be assessed through patients completing PROMPT-Care assessments, participating in face-to-face cognitive interviews, and completing evaluation surveys and telephone interviews and oncology staff participating in telephone interviews. Over the course of 3 months, the system will be pilot-tested with up to 50 patients receiving treatment or follow-up care and 6 oncology staff at 2 hospitals in New South Wales, Australia. Data will be collected to determine the accuracy and completeness of data transfer procedures, extent of missing data from participants’ assessments, acceptability of the eHealth system and usefulness of the self-management resources (via patient evaluation surveys and interviews), and acceptability and perceived usefulness of real-time PRO reporting (via oncology staff interviews) at the completion of the pilot phase. This research investigates implementation of evidence into real world clinical practice through development of an efficient and user-friendly eHealth system. This study of feasibility and acceptability of the newly developed eHealth system will inform the next stage of larger scale testing and future implementation of the system as part of routine care. Australian New Zealand Clinical Trials Registry ACTRN1261500135294; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369299&isReview=true (Archived by WebCite at http://www.webcitation.org/6lzylG5A0)