Engaging Patients and Clinicians in Online Reporting of Adverse Effects During Chemotherapy for Cancer

心理干预 医学 可用性 干预(咨询) 不利影响 临床试验 梅德林 患者安全 质量管理 生活质量(医疗保健) 医疗急救 医疗保健 重症监护医学 护理部 管理制度 内科学 经济 政治学 管理 法学 人机交互 计算机科学 经济增长
作者
Kate Absolom,Andrea Gibson,Galina Velikova
出处
期刊:Medical Care [Lippincott Williams & Wilkins]
卷期号:57 (Suppl 1): S59-S65 被引量:28
标识
DOI:10.1097/mlr.0000000000001085
摘要

Introduction: During cancer treatment the timely detection and management of adverse events is essential for patient safety and maintaining the quality of life. Electronic patient self-Reporting of Adverse events: Patient Information and aDvice (eRAPID) was devised to support oncology practice, by allowing patients to self-report symptoms online at home during and beyond cancer treatment. Fundamentally the eRAPID intervention delivers immediate severity-tailored feedback directly to patients to guide self-management strategies or hospital contact. Patient data are available in electronic health records for hospital staff to access and review as part of clinical assessments. Methods for Interpreting and Addressing Patient-Reported Outcome (PRO) Scores: The eRAPID intervention has 5 main interconnecting components (clinical integration into standard care pathways, patient symptom reports, self-management advice, information technology, and staff/patient training). Following guidance for the development of complex interventions and using a mixed methods approach, eRAPID was created through a number of stages and tested in a series of usability settings before undergoing systematic evaluation in a randomized controlled trial. These developmental stages are described here with a focus on how decisions were made to enhance patient and professional engagement with symptom reports and encourage interpretation and clinical utilization of the data. Discussion: Clinically embedded PRO interventions involve a number of elements and stakeholders with different requirements. Following extensive developmental work eRAPID was pragmatically designed to fit into current oncology practices for reviewing and managing chemotherapy-related toxicities.
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