Assessing the feasibility of a web-based outcome measurement system in child and adolescent mental health services - myHealthE a randomised controlled feasibility pilot study.
Assessing the feasibility of a web-based outcome measurement system in child and adolescent mental health services - myHealthE a randomised controlled feasibility pilot study.
复制标题
DOI：
10.1111/camh.12571
复制
发表时间：
2023-02
影响因子：
6.1
通讯作者：
Downs, Johnny
中科院分区：
文献类型：
--
作者：
Morris, Anna C.;Ibrahim, Zina;Heslin, Margaret;Moghraby, Omer S.;Stringaris, Argyris;Grant, Ian M.;Zalewski, Lukasz;Pritchard, Megan;Stewart, Robert;Hotopf, Matthew;Pickles, Andrew;Dobson, Richard J. B.;Simonoff, Emily;Downs, Johnny
关键词：
对基于互联网的患者报告结局指标（PROM）收集的兴趣正在增加。NHS myHealthE（MHE）基于网络的监测系统旨在解决纸质PROM完成的局限性。MHE为获得儿童和青少年心理健康服务的家庭提供了一种简单而安全的方式，以报告临床信息并跟踪其孩子的进展。本研究旨在评估MHE是否改善了优势和困难问卷（SDQ）的完成相比，纸张收集。次要目的是探索护理人员的满意度和应用程序的可接受性。在伦敦南部的196个获得神经发育服务的家庭中进行了一项为期12周的MHE单盲随机对照可行性试点试验，以检查在3个月内电子问卷是否比纸质问卷更容易完成。随访过程评估电话与一个子集（n = 8）的护理人员探讨系统的满意度和可用性。MHE组分配与研究期间完成SDQ-P的概率增加显著相关（校正风险比（HR）12.1，95% CI 4.7-31.0; p = <.001）。在收到MHE邀请的护理人员中（n = 68），69.1%使用该平台完成了SDQ，而对照组为8.8%（n = 68）。该系统深受护理人员的欢迎，他们列举了使用MHE的许多好处，例如，真实的反馈和易于完成。MHE有望提高PROM的完成率。需要进行研究以完善MHE，评估大规模MHE实施，成本效益并探索与电子问卷摄取差异相关的因素。
Interest in internet‐based patient reported outcome measure (PROM) collection is increasing. The NHS myHealthE (MHE) web‐based monitoring system was developed to address the limitations of paper‐based PROM completion. MHE provides a simple and secure way for families accessing Child and Adolescent Mental Health Services to report clinical information and track their child's progress. This study aimed to assess whether MHE improves the completion of the Strengths and Difficulties Questionnaire (SDQ) compared with paper collection. Secondary objectives were to explore caregiver satisfaction and application acceptability. A 12‐week single‐blinded randomised controlled feasibility pilot trial of MHE was conducted with 196 families accessing neurodevelopmental services in south London to examine whether electronic questionnaires are completed more readily than paper‐based questionnaires over a 3‐month period. Follow up process evaluation phone calls with a subset (n = 8) of caregivers explored system satisfaction and usability. MHE group assignment was significantly associated with an increased probability of completing an SDQ‐P in the study period (adjusted hazard ratio (HR) 12.1, 95% CI 4.7–31.0; p = <.001). Of those caregivers' who received the MHE invitation (n = 68) 69.1% completed an SDQ using the platform compared to 8.8% in the control group (n = 68). The system was well received by caregivers, who cited numerous benefits of using MHE, for example, real‐time feedback and ease of completion. MHE holds promise for improving PROM completion rates. Research is needed to refine MHE, evaluate large‐scale MHE implementation, cost effectiveness and explore factors associated with differences in electronic questionnaire uptake.
登录
查看更多内容
影响因子：
7.4
作者：
Ashley L;Jones H;Thomas J;Newsham A;Downing A;Morris E;Brown J;Velikova G;Forman D;Wright P
通讯作者：
Wright P
影响因子：
3.5
作者：
Fernandes AC;Cloete D;Broadbent MT;Hayes RD;Chang CK;Jackson RG;Roberts A;Tsang J;Soncul M;Liebscher J;Stewart R;Callard F
通讯作者：
Callard F
影响因子：
7.2
作者：
Dillon, David G.;Pirie, Fraser;Rice, Stephen;Pomilla, Cristina;Sandhu, Manjinder S.;Motala, Ayesha A.;Young, Elizabeth H.
通讯作者：
Young, Elizabeth H.
在两个儿童和青少年心理健康服务中使用常规结局指标：完整的审计周期。
影响因子：
4.4
作者：
Hall CL;Moldavsky M;Baldwin L;Marriott M;Newell K;Taylor J;Sayal K;Hollis C
通讯作者：
Hollis C
影响因子：
2.9
作者：
Downs, Johnny M.;Ford, Tamsin;Hayes, Richard
通讯作者：
Hayes, Richard