Touch-screen computer systems in the rheumatology clinic offer a reliable and user-friendly means of collecting quality-of-life and outcome data from patients with rheumatoid arthritis
Touch-screen computer systems in the rheumatology clinic offer a reliable and user-friendly means of collecting quality-of-life and outcome data from patients with rheumatoid arthritis
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DOI：
10.1093/rheumatology/kei100
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发表时间：
2006-01-01
期刊：
影响因子：
5.5
通讯作者：
Doyle, DV
中科院分区：
文献类型：
--
作者：
Greenwood, MC;Hakim, AJ;Doyle, DV
目标.探讨在常规门诊中使用触摸屏计算机收集类风湿关节炎（RA）患者自填结局数据的可行性。40例RA患者在门诊完成了触摸屏和纸质版的风湿性关节炎生活质量问卷（RAQol），并对易用性和偏好进行了评价。另外45名患者在触摸屏和纸上完成了斯坦福大学健康评估问卷（HAQ）和疼痛、疲劳和整体关节炎活动的视觉模拟量表（VAS），并在触摸屏上完成了关节评估。他们对易用性和再次完成评估的意愿进行了评级。关节独立评估，完成时间和技术问题记录。没有遇到任何技术问题。触摸屏RAQol无需花费更多时间即可完成，64%的患者首选（33%的患者无偏好），即使是未使用过计算机的患者（双尾P= 0.031，n =24），其易用性评分也显著更高（双尾P= 0.003，n =40）。RAQol（0.986）和压痛关节计数（0.918）的方法之间的组内相关系数较高，疼痛、疲劳和整体活动（0.855，0.741，0.881）与纸质版本的重测（0.865，0.746，0.863）一样高。98%的人认为触摸屏对于HAQ和VAS非常/相当容易，90%的人认为触摸屏对于关节评估非常/相当容易。96%的人表示愿意再次在诊所完成触摸屏评估。诊所中的触摸屏问卷可以产生与纸张相当的结果，消除了数据输入的需要，并提供了立即访问结果的机会。这是一个可以接受的，在许多情况下，一个更可取的选择，纸张，无论年龄和以前的经验，计算机。
Objectives. To investigate the feasibility of collecting rheumatoid arthritis (RA) patient self-administered outcome data using touch-screen computers in a routine out-patient clinic.Methods. Forty patients with RA completed the touch-screen and paper Rheumatoid Arthritis Quality of Life Questionnaire (RAQol) in the clinic and rated ease of use and preference. Forty-five others completed the Stanford Health Assessment Questionnaire (HAQ) and visual analogue scales (VASs) for pain, fatigue and global arthritis activity on touch screen and paper and a joint assessment on touch screen. They rated ease of use and willingness to complete the assessment again. Joints were independently assessed, and completion times and technical problems recorded.Results. No technical problems were encountered. The touch-screen RAQol took no longer to complete, was preferred by 64% (33% had no preference) and was rated significantly higher for ease of use (two-tailed P=0.003, n=40) even by computer naive patients (two-tailed P=0.031, n=24). Intraclass correlation coefficients between methods were high for RAQol (0.986) and tender joint counts (0.918), and as high for the pain, fatigue and global activity (0.855, 0.741, 0.881) as for test-retest of the paper versions (0.865, 0.746, 0.863). Ninety-eight per cent rated the touch screen very/quite easy for HAQ and VAS, and 90% for joint assessment. Ninety-six per cent stated a willingness to complete the touch-screen assessment in clinic again.Conclusions. Touch-screen questionnaires in the clinic can produce comparable results to paper, eliminate the need for data entry and afford immediate access to results. It is an acceptable, and in many cases a preferable, option to paper, regardless of age and previous experience of computers.