Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center
Background“Patient Voices” is a software developed to promote the systematic collection of electronic patient-reported outcome measures (ePROMs) in routine oncology clinical practice. ObjectiveThis study aimed to assess compliance with and feasibility of the Patie...
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JMIR Publications
2025-01-01
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| Series: | JMIR Cancer |
| Online Access: | https://cancer.jmir.org/2025/1/e56625 |
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| author | Cinzia Brunelli Sara Alfieri Emanuela Zito Marco Spelta Laura Arba Linda Lombi Luana Caselli Augusto Caraceni Claudia Borreani Anna Roli Rosalba Miceli Gabriele Tine' Ernesto Zecca Marco Platania Giuseppe Procopio Nicola Nicolai Luigi Battaglia Laura Lozza Morena Shkodra Giacomo Massa Daniele Loiacono Giovanni Apolone |
| author_facet | Cinzia Brunelli Sara Alfieri Emanuela Zito Marco Spelta Laura Arba Linda Lombi Luana Caselli Augusto Caraceni Claudia Borreani Anna Roli Rosalba Miceli Gabriele Tine' Ernesto Zecca Marco Platania Giuseppe Procopio Nicola Nicolai Luigi Battaglia Laura Lozza Morena Shkodra Giacomo Massa Daniele Loiacono Giovanni Apolone |
| author_sort | Cinzia Brunelli |
| collection | DOAJ |
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Background“Patient Voices” is a software developed to promote the systematic collection of electronic patient-reported outcome measures (ePROMs) in routine oncology clinical practice.
ObjectiveThis study aimed to assess compliance with and feasibility of the Patient Voices ePROM system and analyze patient-related barriers in an Italian comprehensive cancer center.
MethodsConsecutive patients with cancer attending 3 outpatient clinics and 3 inpatient wards were screened for eligibility (adults, native speakers, and being able to fill in the ePROMs) and enrolled in a quantitative and qualitative multimethod study. Compliance, reasons for not administering the ePROMs, patients’ interaction needs, and patient-perceived System Usability Scale (range 0-100) were collected; semistructured interviews were carried out in a subsample of patients.
ResultsFrom June 2020 to September 2021, a total of 435 patients were screened, 421 (96.7%) were eligible, and 309 completed the ePROMs (309/421, 73.4%; 95% CI 69.8%-77.5%; mean age 63.3, SD 13.7 years). Organization problems and patient refusal were the main reasons for not administering the ePROMs (outpatients: 40/234, 17.1% and inpatients: 44/201, 21.9%). Help for tablet use was needed by 27.8% (47/169) of outpatients and 10.7% (15/140) of inpatients, while the support received for item interpretation was similar in the 2 groups (outpatients: 36/169, 21.3% and inpatients: 26/140, 18.6%). Average System Usability Scale scores indicated high usability in both groups (outpatients: mean 86.8, SD 15.8 and inpatients: mean 83.9, SD 18.8). Overall, repeated measurement compliance was 76.9% (173/225; outpatients only). Interviewed patients showed positive attitudes toward ePROMs. However, there are barriers to implementation related to the time and cognitive effort required to complete the questionnaires. There is also skepticism about the usefulness of ePROMs in interactions with health care professionals.
ConclusionsThis study provides useful information for future ePROM implementation strategies, aimed at effectively supporting the routine clinical management and care of patients with cancer. In addition, these findings may be relevant to other organizations willing to systematically collect PROMs or ePROMs in their clinical routines.
Trial RegistrationClinicalTrials.gov NCT03968718; https://clinicaltrials.gov/study/NCT03968718 |
| format | Article |
| id | doaj-art-43bec275c7644baea21ae7b5c7c26dab |
| institution | Kabale University |
| issn | 2369-1999 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
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| series | JMIR Cancer |
| spelling | doaj-art-43bec275c7644baea21ae7b5c7c26dab2025-01-22T19:00:30ZengJMIR PublicationsJMIR Cancer2369-19992025-01-0111e5662510.2196/56625Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer CenterCinzia Brunellihttps://orcid.org/0000-0003-3905-1289Sara Alfierihttps://orcid.org/0000-0002-2183-240XEmanuela Zitohttps://orcid.org/0000-0002-8318-4030Marco Speltahttps://orcid.org/0009-0008-1655-9112Laura Arbahttps://orcid.org/0000-0003-0725-003XLinda Lombihttps://orcid.org/0000-0002-8486-1021Luana Casellihttps://orcid.org/0000-0001-7058-7570Augusto Caracenihttps://orcid.org/0000-0002-0375-6204Claudia Borreanihttps://orcid.org/0000-0002-7447-4626Anna Rolihttps://orcid.org/0009-0003-2355-3097Rosalba Micelihttps://orcid.org/0000-0003-0954-375XGabriele Tine'https://orcid.org/0000-0003-1762-1375Ernesto Zeccahttps://orcid.org/0000-0003-1689-0370Marco Plataniahttps://orcid.org/0000-0002-6989-487XGiuseppe Procopiohttps://orcid.org/0000-0002-2498-402XNicola Nicolaihttps://orcid.org/0000-0002-5718-2699Luigi Battagliahttps://orcid.org/0000-0002-0220-5005Laura Lozzahttps://orcid.org/0000-0002-7413-7427Morena Shkodrahttps://orcid.org/0000-0001-6543-7738Giacomo Massahttps://orcid.org/0000-0003-4637-9821Daniele Loiaconohttps://orcid.org/0000-0002-5355-0634Giovanni Apolonehttps://orcid.org/0000-0001-5179-104X Background“Patient Voices” is a software developed to promote the systematic collection of electronic patient-reported outcome measures (ePROMs) in routine oncology clinical practice. ObjectiveThis study aimed to assess compliance with and feasibility of the Patient Voices ePROM system and analyze patient-related barriers in an Italian comprehensive cancer center. MethodsConsecutive patients with cancer attending 3 outpatient clinics and 3 inpatient wards were screened for eligibility (adults, native speakers, and being able to fill in the ePROMs) and enrolled in a quantitative and qualitative multimethod study. Compliance, reasons for not administering the ePROMs, patients’ interaction needs, and patient-perceived System Usability Scale (range 0-100) were collected; semistructured interviews were carried out in a subsample of patients. ResultsFrom June 2020 to September 2021, a total of 435 patients were screened, 421 (96.7%) were eligible, and 309 completed the ePROMs (309/421, 73.4%; 95% CI 69.8%-77.5%; mean age 63.3, SD 13.7 years). Organization problems and patient refusal were the main reasons for not administering the ePROMs (outpatients: 40/234, 17.1% and inpatients: 44/201, 21.9%). Help for tablet use was needed by 27.8% (47/169) of outpatients and 10.7% (15/140) of inpatients, while the support received for item interpretation was similar in the 2 groups (outpatients: 36/169, 21.3% and inpatients: 26/140, 18.6%). Average System Usability Scale scores indicated high usability in both groups (outpatients: mean 86.8, SD 15.8 and inpatients: mean 83.9, SD 18.8). Overall, repeated measurement compliance was 76.9% (173/225; outpatients only). Interviewed patients showed positive attitudes toward ePROMs. However, there are barriers to implementation related to the time and cognitive effort required to complete the questionnaires. There is also skepticism about the usefulness of ePROMs in interactions with health care professionals. ConclusionsThis study provides useful information for future ePROM implementation strategies, aimed at effectively supporting the routine clinical management and care of patients with cancer. In addition, these findings may be relevant to other organizations willing to systematically collect PROMs or ePROMs in their clinical routines. Trial RegistrationClinicalTrials.gov NCT03968718; https://clinicaltrials.gov/study/NCT03968718https://cancer.jmir.org/2025/1/e56625 |
| spellingShingle | Cinzia Brunelli Sara Alfieri Emanuela Zito Marco Spelta Laura Arba Linda Lombi Luana Caselli Augusto Caraceni Claudia Borreani Anna Roli Rosalba Miceli Gabriele Tine' Ernesto Zecca Marco Platania Giuseppe Procopio Nicola Nicolai Luigi Battaglia Laura Lozza Morena Shkodra Giacomo Massa Daniele Loiacono Giovanni Apolone Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center JMIR Cancer |
| title | Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center |
| title_full | Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center |
| title_fullStr | Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center |
| title_full_unstemmed | Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center |
| title_short | Patient Voices: Multimethod Study on the Feasibility of Implementing Electronic Patient-Reported Outcome Measures in a Comprehensive Cancer Center |
| title_sort | patient voices multimethod study on the feasibility of implementing electronic patient reported outcome measures in a comprehensive cancer center |
| url | https://cancer.jmir.org/2025/1/e56625 |
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