Computerized Assessment of Cancer Symptoms

描述（由申请人提供）：问题陈述：癌症患者经常经历与疾病和治疗相关的症状，这些症状会显著降低生活质量。尽管有一些经过证实的干预措施能够减轻疼痛和痛苦，但许多报告表明，大多数患者的症状控制不佳。尽管成功控制的障碍众多而复杂，但一些研究表明，最关键的障碍之一是缺乏有效、系统和准确评估症状的方法。计算机化（即自动化）的癌症症状评估为克服这一障碍提供了一种手段。通过对先前验证的症状测量的自动化管理和评分，计算机化的症状评估可用于生成简短但准确的总结报告，可在办公室就诊时使用，从而促进患者与提供者的沟通并提高护理质量。总体目标：拟议的可行性研究将开发和测试肿瘤症状的计算机评估（CAOS）系统。具体目的：通过检查CAOS系统的参与率、完成率、完成时间、患者和提供者对CAOS系统的满意度，开发并评估三家癌症门诊诊所疼痛、疲劳、抑郁和焦虑的计算机化评估的可行性。设计与方法：在六个月的定期就诊期间，90名癌症中心的门诊患者将在等待与肿瘤科医生会面时完成疼痛、疲劳、抑郁和焦虑的症状测量，之后将生成一份总结报告并提交给患者和患者的肿瘤科医生，以便在办公室就诊时使用。可行性和满意度数据将在患者在医生办公室完成症状评估时收集，在办公室访问后2至3天通过电话收集，并在数据收集期结束时通过提供者收集。

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.