USABILITY TESTING OF AN ELECTRONIC PATIENT-REPORTED OUTCOME SYSTEM FOR SURVIVORS OF CRITICAL ILLNESS.

Background Web-based electronic patient-reported outcomes (ePRO) measures are increasingly used to facilitate patient-centered health assessments. However, it is unknown if ePRO completion is feasible for recently ill intensive care unit (ICU) survivors and their families. Objective To develop and e...

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Publicado en:American Journal of Critical Care Vol. 25; no. 4; pp. 340 - 350
Autores principales: Cox, Christopher E., Wysham, Nicholas G., Kamal, Arif H., Jones, Derek M., Cass, Brian, Tobin, Maria, White, Douglas B., Kahn, Jeremy M., Hough, Catherine L., Carson, Shannon S.
Formato: research tables/charts Journal Article
Publicado: American Association of Critical-Care Nurses Jul2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2016
      vid: 25
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        10.4037/ajcc2016952
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        atl: USABILITY TESTING OF AN ELECTRONIC PATIENT-REPORTED OUTCOME SYSTEM FOR SURVIVORS OF CRITICAL ILLNESS.
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        au:
          Cox, Christopher E.
          Wysham, Nicholas G.
          Kamal, Arif H.
          Jones, Derek M.
          Cass, Brian
          Tobin, Maria
          White, Douglas B.
          Kahn, Jeremy M.
          Hough, Catherine L.
          Carson, Shannon S.
        affil: Associate professor of medicine, Duke University, Durham, North Carolina
      sug:
        subj:
          Critically Ill Patients
          Survivors
          World Wide Web Utilization
          Data Collection, Computer Assisted
          Instrument Construction
          Instrument Validation
          Outcomes (Health Care) Evaluation
          Computers, Portable
          Human
          Evaluation Research
          Family Attitudes Evaluation
          Patient Attitudes Evaluation
          Attitude of Health Personnel Evaluation
          Questionnaires
          Smartphone
          Computers, Hand-Held
          Purposive Sample
          Adult
          Middle Age
          Aged
          Scales
          Academic Medical Centers
          North Carolina
          Summated Rating Scaling
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Background Web-based electronic patient-reported outcomes (ePRO) measures are increasingly used to facilitate patient-centered health assessments. However, it is unknown if ePRO completion is feasible for recently ill intensive care unit (ICU) survivors and their families. Objective To develop and evaluate the usability of a novel ePRO system (ePRO to Support People and Enhance Recovery [ePROSPER]) among ICU survivors and their families within an ongoing clinical trial. Methods Paper-based PROs were iteratively adapted to electronic forms (ePROs).Then, the usability of ePROSPER was assessed among 60 patients, their family members, and PRO and programming experts via questionnaires (eg, Systems Usability Scale), "think aloud" open-ended feedback, task completion times, and error rates. Results Input from patients and their families was used to incorporate user-experience modifications into ePROSPER. This feedback also led to inclusion of automated reminders for questionnaire completion and real-time alerts for staff triggered by high symptom levels. Median usability scores increased over testing cycles from 40 to 73 to 95, nearing the maximum score and showing excellent usability. All users completed ePROSPER within 20 minutes; 87% preferred it to a written version. ePROSPER was then implemented in a clinical trial without data errors. Conclusions Automated ePRO systems can be successfully integrated in a post-ICU clinical trial setting. The value of integrating such systems in direct clinical care should be assessed in future studies.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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