Computerized Assessment of Cancer Symptoms

描述（由申请人提供）：问题陈述：癌症患者经常出现疾病和治疗相关症状，这些症状会显著降低生活质量。尽管存在能够减轻疼痛和痛苦的经证实的干预措施，但许多报告表明，大多数患者的症状控制不佳。虽然成功控制的障碍是众多和复杂的，一些研究表明，最关键的障碍之一是缺乏一种方法，允许有效，系统和准确的评估症状。计算机化（即，癌症症状的自动化）评估提供了克服这一障碍的手段。通过自动化管理和评分先前验证的症状措施，计算机化的症状评估可以用来生成简短但准确的总结报告，可以在办公室访问期间使用，从而促进患者提供者的沟通和提高护理质量。广泛目标：拟议的可行性研究将开发和测试计算机化肿瘤症状评估（CAOS）系统。具体目标：通过检查参与率、完成率、完成时间、患者和提供者对CAOS系统的满意度，在三个癌症门诊中开发和评估疼痛、疲劳、抑郁和焦虑的计算机化评估的可行性。设计和方法：在预定访视期间的六个月时间段内，癌症中心的90名门诊患者将在等待与肿瘤学家会面时完成疼痛、疲劳、抑郁和焦虑的症状测量，之后将生成总结报告并呈现给患者和患者的肿瘤学家以供在办公室访视期间使用。将在完成医生办公室症状评估期间、通过电话进行办公室访视后2至3天以及在数据收集期结束时从提供者处收集可行性和满意度数据。

DESCRIPTION (provided by applicant): Statement of Problem: Cancer patients frequently experience disease- and treatment-related symptoms that can dramatically lower quality of life. Despite the availability of proven interventions capable of alleviating pain and suffering, numerous reports have indicated that symptoms are poorly controlled for a majority of patients. Although the barriers to successful control are numerous and complex, several studies have demonstrated that one of the most critical obstacles is the lack of a method permitting efficient, systematic and accurate assessment of symptoms. Computerized (i.e., automated) assessment of cancer symptoms offers a means to overcome this obstacle. By automating the administration and scoring of previously validated symptom measures, computerized symptom assessment can be used to generate brief but accurate summary reports that can be used during office visits, thereby facilitating patient-provider communication and improving quality of care. Broad Objective: The proposed feasibility study will develop and test a computerized assessment of oncology symptoms (CAOS) system. Specific Aims: To develop and evaluate the feasibility of a computerized assessment of pain, fatigue, depression and anxiety in three outpatient cancer clinics by examining participation rate, completion rate, completion time, patient and provider satisfaction with the CAOS system. Design and Methods: Over a six month period of time during scheduled visits, 90 outpatients at a cancer center will complete symptom measures of pain, fatigue, depression and anxiety while waiting to meet with the oncologist, after which a summary report will be generated and presented to the patient and the patient's oncologist for use during the office visit. Feasibility and satisfaction data will be collected from patient during completion of the symptom assessment at the doctor's office, 2 to 3 days after the office visit via telephone and providers at the end of the data collection period.