Implementation of Computer-Based Quality-of-Life Monitoring in Brain Tumor Outpatients in Routine Clinical Practice

Erharter, Astrid; Giesinger, Johannes M.; Kemmler, Georg; Schauer-Maurer, Gabriele; Stockhammer, Guenter; Muigg, Armin; Hutterer, Markus; Rumpold, Gerhard; Sperner‐Unterweger, Barbara; Holzner, Bernhard

doi:10.1016/j.jpainsymman.2009.06.015

Cited by 80 publications

(89 citation statements)

References 24 publications

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“…Thus, routine screening for these and other symptom problems using Patient-Reported Outcomes Measures (PROMs) has emerged as a standard of care in many cancer organizations. [20][21][22][23] To date, most PROMs have been implemented as a rapid screening maneuver using brief, single dimension severity scales such as the Distress Thermometer or the Edmonton Symptom Assessment System (ESAS). 24,25 Unidimensional measures do not capture the multidimensional nature of these problems and thus may lack precision in estimating severity and detecting responsiveness to change in individuals.…”

Section: Accepted Articlementioning

confidence: 99%

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Leung

Brown

Cosio

et al. 2016

Cancer

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This is the author manuscript accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version record. Please cite this article as doi:10.1002/cncr.30134.This article is protected by copyright. All rights reserved. Accepted Article2 of the study, ethics application, recruitment, data management), Dobriyal A (conceptualization of the study, recruitment), Malik N (conceptualization of the study, recruitment, data collection), Pat V (recruitment, data collection, data analysis), Irwin M (recruitment, data management, data analysis), Tomasini P (conceptualization of the study, recruitment, data collection, data analysis), Liu G ( There is no conflict of interest declared. Page 2 of 44 CancerThis article is protected by copyright. All rights reserved. Accepted Article 3Abstract (word limit: 250; word count: 246)

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Section: Accepted Articlementioning

confidence: 99%

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Leung

Brown

Cosio

et al. 2016

Cancer

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“…The nurses in the current study also mentioned that these issues were difficult to discuss with the patients. Training of the staff's communications skills is highlighted as a crucial point in interpreting feedback from the patients through electronic systems [42,43]. Heaven et al point out that clinical supervision is essential to effectively transfer skills learned during communication training into clinical practice [44].…”

Section: Compatibilitymentioning

confidence: 99%

Nurses’ experiences of using an interactive tailored patient assessment tool one year past implementation

Børøsund

Ruland

Moore

et al. 2014

International Journal of Medical Informatics

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Please cite this article in press as: E. Børøsund, et al., Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation, Int. J. No. of Pages 12 i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s x x x ( 2 0 1 3 ) xxx-xxx j o u r n a l h o m e p a g e : w w w . i j m i j o u r n a l . c o m Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation Objective: To explore nurses' experiences of the benefits of and barriers to using an ITPA called Choice, in cancer care one year after its implementation. ARTICLE IN PRESSMethods: This investigation is a part of a larger study examining the use of Choice in cancer care. Four focus group interviews were conducted with 20 nurses experienced in using the Choice application. The data were analyzed using qualitative content analysis.Results: Three themes and nine sub-themes emerged: (1) "Choice as facilitator for shared understanding and engagement in patients' own care," with three sub-themes: preparing both patient and nurse for communication, shared engagement in care planning, and giving the patients a voice; (2) "enhancing the patients' strengths," with two sub-themes: releasing patient's internal strengths and confirming "normalcy" for the patient; and (3) "new challenges for the nurse," with four sub-themes: organizational challenges, interactions with technology, a need for training in communication skills, and new ethical challenges. Conclusions: Findings suggest that, from nurses' perspectives, integration of ITPAs suchas Choice in clinical practice offers many benefits that can contribute to patient-centered care. However, to reap these benefits, use of such tools must receive equal priority as other routines, and require sufficient time, space and competence. Choice also challenged nurses' professional roles and created dilemmas such as nurses' ambivalence regarding patients' levels of disclosure of sensitive issues and the nurses' ability to respond to

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“…Frequently discussed problems in assessing electronic PRO data include patient age and related computer literacy [10,[21][22][23][24], as well as the additional time and burden for the patient and healthcare institutions in supplying electronic devices and giving instruction on their use [22,[25][26][27][28][29]. However, this study showed that age was not a factor.…”

Section: Discussionmentioning

confidence: 80%

“…Electronic questionnaire administration is not yet common in the orthopedic field, but more experience and relevant literature are available in the field of oncology where data collection was introduced in the 1990s [23,26,27,[30][31][32]. Study populations in oncology are often comparable to arthroplasty populations in terms of age and computer literacy.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported outcome assessment after total joint replacement: comparison of questionnaire completion times on paper and tablet computer

Kesterke

Egeter

Erhardt

et al. 2015

Arch Orthop Trauma Surg

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Implementation of Computer-Based Quality-of-Life Monitoring in Brain Tumor Outpatients in Routine Clinical Practice

Cited by 80 publications

References 24 publications

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

Nurses’ experiences of using an interactive tailored patient assessment tool one year past implementation

Patient-reported outcome assessment after total joint replacement: comparison of questionnaire completion times on paper and tablet computer

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