Mobile App Delivery of the EORTC QLQ-C30 Questionnaire to Assess Health-Related Quality of Life in Oncological Patients: Usability Study.

Mobile App Delivery of the EORTC QLQ-C30 Questionnaire to Assess Health-Related Quality of Life in Oncological Patients: Usability Study.
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DOI:
10.2196/mhealth.9486
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发表时间:
2018-02-20
影响因子:
5
通讯作者:
Combs SE
Combs SE
中科院分区:
医学2区
文献类型:
--
作者:
Kessel KA;Vogel MM;Alles A;Dobiasch S;Fischer H;Combs SE

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移动应用程序在医疗领域不断发展。然而,正在进行的讨论质疑此类应用程序是否真的有价值以及患者是否会接受它们在日常临床生活中的使用。因此,我们在我们部门发起了一项可用性研究。我们展示了第一个应用程序原型和肿瘤患者健康相关生活质量 (HRQoL) 评估的患者测试结果。我们在八个月内分三个阶段开发了 iOS 操作系统的应用程序原型:构思、初始开发和试点测试。对于 HRQoL 评估,我们选择仅实施欧洲癌症研究与治疗组织 (EORTC) 生活质量问卷核心 30(QLQ-C30;德语版本 3)。可用性测试进行了三个月。参与是自愿的并且是化名的。使用我们部门提供的 iPad 完成 QLQ-C30 问卷后,我们进行了包含 10 个问题的简短调查。这项调查询问了患者对一般方面的看法,包括医学技术进步、癌症治疗期间的移动和应用程序协助以及应用程序特定功能(例如界面和导航)。登录应用程序后,用户可以选择启动调查问卷、查看答案(仅限管理员)和注销。调查问卷显示的信息、问题和答案与原始 QLQ-C30 表上的信息、问题和答案相同。措辞未作任何修改。对 81 名患者进行了可用性测试;中位年龄为 55 岁。在 iPad 上完成 HRQoL 问卷的中位时间为 4.0 分钟。在所有参与者中,84% (68/81) 拥有移动设备。同样,84% (68/81) 的参与者更喜欢移动版本的 HRQoL 问卷,而不是纸质版本。 83% (67/81) 的参与者支持在癌症治疗期间和之后在日常生活中使用该应用程序。在应用程序的原型版本中,数据存储在设备上;未来,79%(64/81)的患者会同意通过互联网传输数据。我们的可用性测试在吸引力、可操作性和可理解性方面显示出良好的结果。此外,我们的结果表明肿瘤学领域对移动应用程序和远程医疗的总体接受度很高。通过该应用程序进行的HRQoL评估得到了患者的广泛接受,个人热衷于在临床常规中使用它,但必须确保数据的隐私和安全。
Mobile apps are evolving in the medical field. However, ongoing discussions have questioned whether such apps are really valuable and whether patients will accept their use in day-to-day clinical life. Therefore, we initiated a usability study in our department. We present our results of the first app prototype and patient testing of health-related quality of life (HRQoL) assessment in oncological patients. We developed an app prototype for the iOS operating system within eight months in three phases: conception, initial development, and pilot testing. For the HRQoL assessment, we chose to implement only the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30; German version 3). Usability testing was conducted for three months. Participation was voluntary and pseudonymized. After completion of the QLQ-C30 questionnaire using iPads provided by our department, we performed a short survey with 10 questions. This survey inquired about patients’ opinions regarding general aspects, including technical advances in medicine, mobile and app assistance during cancer treatment, and the app-specific functions (eg, interface and navigation). After logging into the app, the user can choose between starting a questionnaire, reviewing answers (administrators only), and logging out. The questionnaire is displayed with the same information, questions, and answers as on the original QLQ-C30 sheet. No alterations in wording were made. Usability was tested with 81 patients; median age was 55 years. The median time for completing the HRQoL questionnaire on the iPad was 4.0 minutes. Of all participants, 84% (68/81) owned a mobile device. Similarly, 84% (68/81) of participants would prefer a mobile version of the HRQoL questionnaire instead of a paper-based version. Using the app in daily life during and after cancer treatment would be supported by 83% (67/81) of participants. In the prototype version of the app, data were stored on the device; in the future, 79% (64/81) of the patients would agree to transfer data via the Internet. Our usability test showed good results regarding attractiveness, operability, and understandability. Moreover, our results demonstrate a high overall acceptance of mobile apps and telemedicine in oncology. The HRQoL assessment via the app was accepted thoroughly by patients, and individuals are keen to use it in clinical routines, while data privacy and security must be ensured.
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