Use of SMS and tablet computer improves the electronic collection of elective orthopaedic patient reported outcome measures

Introduction Electronic patient reported outcome measures (PROMs) enable real time reporting back to the patient and medical team, comparison between similar patient cohorts and long-term cost effective outcome measurement. The primary objective of this three-phase pilot study was to measure uptake using a web-based PROM system following the introduction of two separate process improvements. Methods Eighty consecutive new elective orthopaedic patients in a single surgeon’s practice were recruited for the study. Patients in Group 1 (n=26) received only a letter reminding them to complete a symptom score. Those in Group 2 (n=31) also received a reminder SMS (short message service) message via their mobile or home telephone and those in Group 3 (n=23) also had access to a tablet computer in clinic. Results The mean patient age in Group 1 was 55 years (range: 24–80 years), in Group 2 it was 60 years (range: 23–85 years) and in Group 3 it was 58 years (range: 37–78 years) (p>0.05). Overall, 79% of patients had internet access, and 35% of Group 1, 55% of Group 2 and 74% of Group 3 recorded an electronic PROM score (p=0.02). In Group 3, 94% of patients listed for an operation completed an electronic PROM score (p=0.006). Conclusions Collecting PROM data effectively in everyday clinical practice is challenging. Electronic collection should meet that challenge and improve healthcare delivery but it is in its infancy. This pilot study shows that the combination of an SMS reminder and access to a Wi-Fi enabled tablet computer in the clinic setting enabled 94% of patients listed for an operation to complete a score on a web-based clinical outcomes system. Additional staff training and telephone call reminders may further improve uptake.

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A Pilot Study Investigating the Use of At-Home, Web-Based Questionnaires Compiling Patient-Reported Outcome Measures Following Total Hip and Knee Replacement Surgeries

Journal of Long-Term Effects of Medical Implants ◽

10.1615/jlongtermeffmedimplants.2013008024 ◽

2013 ◽

Vol 23 (1) ◽

pp. 39-43 ◽

Cited By ~ 7

Author(s):

H. Gakhar ◽

B. McConnell ◽

Alexandros P. Apostolopoulos ◽

P. Lewis

Keyword(s):

Pilot Study ◽

Outcome Measures ◽

Knee Replacement ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Web Based ◽

Total Hip ◽

Patient Reported ◽

At Home

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Correction: Non-operative management, supported by self-monitoring using web-based patient reported outcome measures (PROMs), in knee osteoarthritis

BMJ Case Reports ◽

10.1136/bcr-2017-223560corr1 ◽

2018 ◽

pp. bcr-2017-223560corr1

Keyword(s):

Knee Osteoarthritis ◽

Outcome Measures ◽

Operative Management ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Self Monitoring ◽

Web Based ◽

Patient Reported ◽

Non Operative Management

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Piloting a web-based systematic collection and reporting of patient-reported outcome measures and patient-reported experience measures in chronic heart failure

BMJ Open ◽

10.1136/bmjopen-2020-037754 ◽

2020 ◽

Vol 10 (10) ◽

pp. e037754

Author(s):

Francesca Pennucci ◽

Sabina De Rosis ◽

Claudio Passino

Keyword(s):

Heart Failure ◽

Chronic Heart Failure ◽

Outcome Measures ◽

Health Workers ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Population Characteristics ◽

Web Based ◽

Patient Reported ◽

Systematic Collection

ObjectivesTo evaluate the feasibility of a digital and continuous collection and reporting of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) for chronic heart failure (CHF).DesignA single-site pilot study was settled for evaluating the feasibility of the intervention, both using qualitative and quantitative data (ie, workshop, surveys).SettingThe pilot has been implemented in a Tuscan specialised hospital (Italy).Participants162 patients were involved. Inclusion criteria were: a previous diagnosis of HF, age ≥18 years, absence of cognitive impairment or active tumours, ability to provide informed consent to study participation.InterventionThe continuous collection and reporting of PROMs and PREMs has been designed and implemented in 2018. PREMs questionnaires for patients were developed, while Kansas City Cardiomyopathy Questionnaire-12 was used for assessing PROMs. Questionnaires are administered at specific time points: discharge; 30 days, 7 and 12 months after the discharge. Enrolment of patients, administration and real-time reporting of questionnaires are carried on through a digital platform.Outcome measuresEnrolment, response and drop-out rates were considered to assess the feasibility of the intervention. Qualitative data were collected during meetings and workshops with health workers. The representativeness of the recruited sample with respect to the population characteristics was also evaluated.ResultsThe system has been successfully implemented during 2018. Response rates have been consistently above 50%, demonstrating patients’ transversal willingness to participate. All the involved stakeholders acknowledged the feasibility of the design. The recruited sample is significantly different in terms of age and educational level compared with the overall population characteristics.ConclusionIt is possible to run a web-based systematic collection and reporting system for CHF patient-reported data. Systematic collection and reporting of PROMs and PREMs data allows professionals to increasingly assume CHF patient perspective in their daily work. Limitations will be used to improve the system.

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Patient reported outcome measures (PROMs) in primary care: an observational pilot study of seven generic instruments

BMC Family Practice ◽

10.1186/1471-2296-15-88 ◽

2014 ◽

Vol 15 (1) ◽

Cited By ~ 24

Author(s):

Jan-Willem Weenink ◽

Jozé Braspenning ◽

Michel Wensing

Keyword(s):

Primary Care ◽

Pilot Study ◽

Outcome Measures ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Patient Reported

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Attitudes, experiences, and preferences of ophthalmic professionals regarding routine use of patient-reported outcome measures in clinical practice

PLoS ONE ◽

10.1371/journal.pone.0243563 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243563

Author(s):

Alexandra O. Robertson ◽

Valerija Tadić ◽

Jugnoo S. Rahi

Keyword(s):

Clinical Practice ◽

Pilot Study ◽

Focus Group ◽

Outcome Measures ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Training Needs ◽

Barriers And Enablers ◽

Patient Reported ◽

Paediatric Ophthalmology

Background/Objectives Routine use of patient-reported outcome measures (PROMs) to assess quality of health care systems is mandated in many countries and has been implemented successfully in many specialities. Ophthalmology currently lags behind. To support and inform future implementation, we investigated paediatric ophthalmic clinicians’ experience of, and future training needs for, using child-appropriate vision PROMs and their views about the barriers and enablers to future routine implementation in clinical practice. Methods We conducted a pilot study, using an online survey to elicit the experience, attitudes, training needs and perceptions of barriers and enablers to routine PROMs use of ophthalmic health professionals in the Paediatric Ophthalmology Department at Great Ormond Street Hospital, London. A focus-group was undertaken to discuss survey results and preferences regarding presentation of PROM data. Analysis comprised descriptive statistics, presented alongside complementary qualitative data. Results Eighteen clinicians in the department completed the survey. Twenty-seven took part in the focus group. Clinicians had limited experience of using PROMs but high confidence in the potential positive impact on communication with patients, monitoring chronic conditions and clinical decision-making. Clinicians identified operational issues (collection and analysis of data) and impact (interpretation and application of data) as the two key areas for consideration. Training and information requirements before implementation were clearly articulated, alongside the benefits of using digital/electronic data capture ahead of consultations to allow efficiency and automated analysis, and presentation in an appropriate visual format alongside clinical data to ensure meaningful use. Conclusion The findings of this pilot study of ophthalmic clinicians working in a specialist paediatric ophthalmology department, suggest that ophthalmic clinicians recognise the potential benefits of routine PROMs use in clinical practice. Together with existing literature outside ophthalmology relating to overcoming barriers and exploiting enablers to routine implementation, findings may be applicable in planning routine PROM implementation in paediatric ophthalmology.

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