Development of EirV3: A Computer-Based Tool for Patient-Reported Outcome Measures in Cancer

Purpose Immediate transfer of patient-reported outcome measures (PROMs) for use in medical consultations is facilitated by electronic assessments. We aimed to describe the rationale and development of Eir version 3 (EirV3), a computer-based symptom assessment tool for cancer, with emphasis on content and user-friendliness. Methods EirV3’s specifications and content were developed through multiprofessional, stepwise, and iterative processes (from 2013 to 2016), with literature reviews on traditional and electronic assessment and classification methods, formative iterative usability tests with end-users, and assessment of patient preferences for paper versus electronic assessments. Results EirV3 has the following two modules: Eir-Patient for PROMs registration on tablets and Eir-Doctor for presentation of PROMs in a user-friendly interface on computers. Eir-Patient starts with 19 common cancer symptoms followed by specific, in-depth questions for endorsed symptoms. The pain section includes a body map for pain location and intensity, whereas physical functioning, nutritional intake, and well-being are standard questions for all. Data are wirelessly transferred to Eir-Doctor. Symptoms with intensity scores ≥ 3 (on a 0 to 10 scale) are marked in red, with brighter colors corresponding to higher intensity, and supplemented with graphs displaying symptom development over time. Usability results showed that patients and health care providers found EirV3 to be intuitive, easy to use, and relevant. When comparing PROM assessments on paper versus tablets (n = 114), 19% of patients preferred paper, 41% preferred tablets, and 40% had no preference. Median intraclass correlation coefficient between paper and tablets (0.815) was excellent. Conclusion Iterative test rounds followed by continuous improvements led to a user-friendly, applicable symptom assessment tool, EirV3, developed for and by end-users. EirV3 is undergoing international testing of clinical and cross-cultural adaptability.

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VALIDATION OF A COMPUTER-BASED SYSTEM FOR THE COLLECTION OF PATIENT REPORTED OUTCOME MEASURES IN PEDIATRIC SPORTS MEDICINE

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00037 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0003

Author(s):

Meagan J. Sabatino ◽

Catherine V. Gans ◽

Aaron J. Zynda ◽

Chan-Hee Jo ◽

Jane Chung ◽

...

Keyword(s):

Outcome Measures ◽

Sports Medicine ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Electronic Format ◽

Pediatric Sports Medicine ◽

Patient Reported ◽

Computer Based ◽

Activity Scale ◽

Tegner Activity Scale

Background: In orthopedics, patient reported outcome measures (PROMs) have become popularized due to an increase in patient-centered research and pay for performance reimbursement models. Most pediatric PROMs have been utilized and validated in paper format. However, the use of a computer-based system may improve patient and physician efficiency, decrease cost, ensure completion, provide instantaneous information, and minimize inconvenience. The purpose of the study is to validate the use, evaluate patient satisfaction, and review differences of electronic compared to paper PROMs in a pediatric sports medicine practice. Methods: New patients between 12 – 19 years of age with a knee-related primary complaint were identified prior to their appointment. Patients were then randomized into two groups to complete standard clinical PROMs; including the Pedi-IKDC, HSS Pedi-FABS, Tegner Activity Scale, Visual Analogue Scale (VAS) and PedsQL-Teen. Group 1 completed paper forms followed by electronic, while Group 2 received the electronic format followed by paper, with a 10-minute break between formats in each group. Following the completion of PROMs, subjects completed a satisfaction survey. A Pearson’s correlation was used to calculate the association between the measures and a paired t-test to compare means between electronic and paper forms. Reliability analysis was conducted using an ICC calculation. Results: 87 subjects were enrolled with one excluded due to incomplete PROMs, for a total of 86. 54 subjects were female and 32 were male with an average age of 14.3 years (range 12-18). A high degree of reliability was found when comparing the paper and electronic versions of the Pedi-IKDC, HSS Pedi-FABS, PedsQL 13-18 and the Tegner activity scale (Figure 1). Differences were noted between the VAS scores, with paper scores being significantly higher than electronic (5.3 vs 4.6, p<0.001). Excluding the 10-minute break, it took subjects an average of 21.3 minutes to complete the PROMs. Although not significant, electronic PROMs took less time than paper on average (10.0 min vs 11.2 min, p=0.096). All subjects endorsed that PROMs captured on paper were the same as electronic with 69.8% of subjects preferring the electronic PROMs. 67.4% of subjects reported they felt the electronic format was faster, with only 5.8% of patients reporting the electronic forms were hard or confusing. 93.0% stated they would complete forms at home prior to appointments if it were an option and 91.8% were not concerned about the safety/privacy of electronic forms. Conclusion/Significance: PROMs captured electronically were reliable and valid when compared to paper, with differences noted only on the VAS. Electronic PROMs may be quicker, will not require manual scoring, and are preferred by patients. Electronic PROMs will improve the clinician’s ability to collect complete and validated data while reducing the burden on the clinical staff and patients. [Figure: see text]

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What are patient-reported outcomes and why they are important: improving studies of preschool wheeze

Archives of Disease in Childhood - Education and Practice ◽

10.1136/archdischild-2018-316476 ◽

2019 ◽

Vol 105 (3) ◽

pp. 185-188 ◽

Cited By ~ 1

Author(s):

Heidi Makrinioti ◽

Andrew Bush ◽

Chris Griffiths

Keyword(s):

Child Health ◽

Outcome Measures ◽

Emergency Departments ◽

Patient Reported Outcomes ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Common Condition ◽

Patient Reported ◽

User Friendly

There are no outcomes-based commissioning structures in child health. This needs to change. Preschool wheeze is a very common condition. Many families present at emergency departments with their wheezy children and stay briefly. This highlights that this group of children may be lacking a more personalised approach. There are no user-friendly patient-reported outcome measures in preschool wheeze. This needs to change. Research in this area is therefore highly anticipated.

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Patient reported outcome measures in septorhinoplasty surgery

Annals of The Royal College of Surgeons of England ◽

10.1308/003588414x14055925059075 ◽

2015 ◽

Vol 97 (1) ◽

pp. 63-65 ◽

Cited By ~ 15

Author(s):

TC Biggs ◽

LR Fraser ◽

MJ Ward ◽

VS Sunkaraneni ◽

PG Harries ◽

...

Keyword(s):

Outcome Measures ◽

Primary Care Providers ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

University Hospital ◽

Care Providers ◽

Outcomes Evaluation ◽

Assess Patient Satisfaction ◽

Patient Reported ◽

The University

Introduction Surgical procedures incorporating a cosmetic element such as septorhinoplasty and otoplasty are currently under threat in the National Health Service (NHS) as they are deemed to be procedures of ‘limited clinical benefit’ by many primary care providers. Patient reported outcome measures (PROMs), which assess the quality of care delivered from the patients’ perspective, are becoming increasingly important in documenting the effectiveness of such procedures. Methods The Rhinoplasty Outcomes Evaluation (ROE) questionnaire, a validated PROM tool, was used to assess patient satisfaction in 141 patients undergoing septorhinoplasty surgery over a 90-month period at the University Hospital Southampton NHS Foundation Trust. Results Overall, 100 patients with a mean follow-up period of 36 months completed the study. The mean ROE score was 73.3%. In addition, 75% of patients questioned were happy with the final result of their operation and 83% would undergo the procedure again if required. These benefits occurred irrespective of age, sex and primary versus revision surgery, and were maintained for up to 71 months following surgery. Conclusions This study has shown that patients are generally satisfied with their functional and cosmetic outcomes following septorhinoplasty surgery. These results help support the case for septorhinoplasty surgery to continue being funded as an NHS procedure.

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Usability testing of EirV3—a computer-based tool for patient-reported outcome measures in cancer

Supportive Care in Cancer ◽

10.1007/s00520-018-4435-3 ◽

2018 ◽

Vol 27 (5) ◽

pp. 1835-1844 ◽

Cited By ~ 2

Author(s):

Hilde Krogstad ◽

Stine Marie Sundt-Hansen ◽

Marianne Jensen Hjermstad ◽

Liv Ågot Hågensen ◽

Stein Kaasa ◽

...

Keyword(s):

Outcome Measures ◽

Usability Testing ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Patient Reported ◽

Computer Based

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Usability testing of EirV3-a computer-based tool for patient reported outcome measures in cancer

Annals of Oncology ◽

10.1093/annonc/mdy300.068 ◽

2018 ◽

Vol 29 ◽

pp. viii625

Author(s):

H. Krogstad ◽

S.M. Sundt-Hansen ◽

M.J. Hjermstad ◽

L.Å Hågensen ◽

S. Kaasa ◽

...

Keyword(s):

Outcome Measures ◽

Usability Testing ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Patient Reported ◽

Computer Based

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Patient-reported outcome measures in osteoarthritis: a systematic search and review of their use and psychometric properties

RMD Open ◽

10.1136/rmdopen-2018-000715 ◽

2018 ◽

Vol 4 (2) ◽

pp. e000715 ◽

Cited By ~ 1

Author(s):

Åsa Lundgren-Nilsson ◽

Anna Dencker ◽

Annie Palstam ◽

Gert Person ◽

Mike C Horton ◽

...

Keyword(s):

Psychometric Properties ◽

Outcome Measures ◽

Short Form ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Systematic Search ◽

Performance Quality ◽

Patient Reported ◽

User Friendly ◽

Psychometric Evidence

IntroductionPatient-reported outcome measures (PROM) or self-completed questionnaires have been used to report outcomes in osteoarthritis (OA) for over 35 years. Choices will always need to be made about what should be measured and, if relevant, what would be the most appropriate PROM to use. The current study aims to describe the available PROMs used in OA and their performance quality, so that informed choices can be made about the most appropriate PROM for a particular task.MethodsThe study included a systematic search for PROMs that have been in use over 17 years (period 2000–2016), and to catalogue their psychometric properties, and to present the evidence in a user-friendly fashion.Results78 PROMs were identified with psychometric evidence available. The domains of pain, self-care, mobility and work dominated, whereas domains such as cleaning and laundry and leisure, together with psychological and contextual factors, were poorly served. The most frequently used PROMs included the Western Ontario McMaster Osteoarthritis Index, the Short Form 36 and the Knee Disability and Osteoarthritis Outcome Score which, between them, appeared in more than 4000 papers. Most domains had at least one PROM with the highest level of psychometric evidence.ConclusionA broad range of PROMs are available for measuring OA outcomes. Some have good psychometric evidence, others not so. Some important psychological areas such as self-efficacy were poorly served. The study provides a current baseline for what is available, and identifies the shortfall in key domains if the full biopsychosocial model is to be explored.

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