Further thoughts on how the electronic patient-reported outcome measure (ePROM) can be implemented in the real world

Further thoughts on how the electronic patient-reported outcome measure (ePROM) can be implemented in the real world
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关于如何在现实世界中实施电子患者报告结果测量(ePROM)的进一步思考

DOI:
10.1007/s00520-022-07545-x
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发表时间:
2022
影响因子:
3.1
通讯作者:
Yu Haniuda
Yu Haniuda
中科院分区:
医学2区
文献类型:
--
作者:
Michihiro Tsubaki;Yoshiyasu Ito;Yu Haniuda

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我们怀着极大的兴趣阅读了李等人的报告。[1],“谁更有可能采用和遵守电子患者报告结局测量(ePROM)移动的应用程序?一项对正在接受积极治疗的癌症患者进行的现实世界研究”,其中作者确定了影响真实的世界中ePROM采用和依从性的因素。现实世界的研究,如目前的研究,是一个有价值的除了以前的ePROM研究在临床研究设置。然而,如何对本研究中揭示的关联采取行动,仍有讨论的余地。关于ePROM的采用,作者报告说,“对ePROM应用程序的易用性和有用性有更大期望的患者比没有期望的患者更有可能采用该应用程序”[1]。基于这一结果,他们强调了为应用程序用户提供技术培训的重要性[1]。尽管这一策略有一些优点,但人口老龄化的迅速发展可能会阻碍其有效性。人口老龄化不仅是进行调查的大韩民国的问题,而且正在成为世界范围内的挑战[2]。年龄是造成数字鸿沟的因素[3],这表明仅仅给老年人技术培训可能无法克服使用ePROM应用程序的任何犹豫。我们建议可以通过使用非正式支持来解决这个问题,家庭成员帮助患者在应用程序中输入ePROM响应。老年人必须得到家人或其他人的支持,以克服任何最初的恐惧或不确定性,这一点至关重要。使用新技术[4]。此外,老年人继续使用它是很重要的,因为这将有利于他们的数字技能[5],我们相信,从这个角度来看,家庭支持也是非常宝贵的。
We read with great interest the report by Lee et al.[1],“Who is more likely to adopt and comply with the electronic patientreported outcome measure (ePROM) mobile application? A real-world study with cancer patients undergoing active treatment,” in which the authors identified factors influencing ePROM adoption and compliance in the real world. Real-world studies, such as the current study, are a valuable addition to previous ePROM studies in clinical research settings. However, there is room for discussion on how the associations revealed in this study should be acted upon. Regarding ePROM adoption, the authors reported that “patients who had greater expectations regarding the ease of use and usefulness of the ePROM app were more likely to adopt the app than those who did not”[1]. Based on this result, they highlighted the importance of giving app users technical training [1]. Though this strategy has some merit, rapidly advancing aging population is likely to impede its effectiveness. Population aging not only is an issue in the Republic of Korea where the survey was conducted, but also is becoming a challenge worldwide [2]. Age is the factor driving the digital divide [3], indicating that simply giving the elderly technical training may not overcome any hesitancy to use an ePROM app. We propose that this issue can be addressed by employing informal support, where family members help the patient enter ePROM responses into the app. It is crucial that older adults have support from their families or others to conquer any initial fears or uncertainties about using new technologies [4]. Moreover, it is important that older people continue to use it, as this will benefit their digital skills [5], and we believe that family support will be invaluable from this perspective as well.
一项关于韩国老年人数字鸿沟的原因分析的研究。
DOI: 10.3390/ijerph18168586
发表时间: 2021-08-14
影响因子: --
作者:
Jun W
通讯作者: Jun W