Usability testing of EirV3—a computer-based tool for patient-reported outcome measures in cancer

Krogstad, Hilde; Sundt-Hansen, Stine Marie; Hjermstad, Marianne Jensen; Hågensen, Liv Ågot; Kaasa, Stein; Loge, Jon Håvard; Raj, Sunil Xavier; Steinsbekk, Aslak; Sand, Kari

doi:10.1007/s00520-018-4435-3

Cited by 8 publications

(8 citation statements)

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“…The application enables patients to digitally complete and return PROMs via a tablet. 15 It consists of various modules, including the modules "Eir-patient" and "Eir-doctor." The content in the Eir-patient module is based on literature reviews, clinical experience, evidence-based guidelines, and well-validated forms.…”

Section: Methodsmentioning

confidence: 99%

“…The application enables patients to digitally complete and return PROMs via a tablet 15 . It consists of various modules, including the modules “Eir-patient” and “Eir-doctor.” The content in the Eir-patient module is based on literature reviews, clinical experience, evidence-based guidelines, and well-validated forms 15,27–29 . The Eir-doctor module provides HCPs with an instant overview of the patient’s health status, 15 which enables them to address and treat symptoms highlighted by the patients themselves.…”

Section: Study Settingmentioning

confidence: 99%

“…Eir is developed in Norway by the European Palliative Care Research Centre at the Norwegian University of Science and Technology and Trondheim University Hospital. The application enables patients to digitally complete and return PROMs via a tablet 15 . It consists of various modules, including the modules “Eir-patient” and “Eir-doctor.” The content in the Eir-patient module is based on literature reviews, clinical experience, evidence-based guidelines, and well-validated forms 15,27–29 .…”

Section: Study Settingmentioning

confidence: 99%

“…In recent decades, multiple electronic PROMs (ePROMs) have been developed 4 . Several studies have focused on both the feasibility of ePROM tools 15–17 and the validity of clinical outcomes 2,5 . There is increasing evidence that ePROMs have several possible advantages compared with pen-and-paper assessments, such as facilitating clinical decision making and symptom management, 5 improving patient-provider communication and patient engagement, 4,5 and prolonging overall survival 2,16,18 …”

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confidence: 99%

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Barriers and Facilitators When Implementing Electronic Patient-Reported Outcome Measures at a Municipal Cancer Care Unit

et al. 2022

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Background: Few qualitative studies of barriers and facilitators when implementing electronic patient-reported outcome measure (ePROM) in municipal cancer care exist within the large body of symptom assessment research. Such data, gathered from healthcare professionals' (HCPs) perspective, are central to the development and design of sustainable interventions aiming for a systematic and patient-centered symptom assessment to patients with cancer. Objective: The aim of this study was to identify and explore barriers and facilitators, as described by HCPs, in the implementation of the ePROM application "Eir" at a municipal cancer care unit in Norway. Methods: The study applies a qualitative method, conducting an inductive data inquiry of semistructured individual interviews and focus groups with 14 Norwegian HCPs. Analysis was inspired by thematic analysis as described by Braun and Clarke. Results: The analysis revealed 3 main themes affecting the implementation of ePROM in municipal cancer care: "achieving patient-centered care," "crucial management and training," and "technological barriers." Conclusion: The results from this study suggest that HCPs' motivation plays a significant role when implementing ePROM. Motivation of HCPs was strongly influenced by whether the application added value to previously used symptom assessment. Hands-on management and a multiprofessional approach enabled the

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Section: Methodsmentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

Section: Study Settingmentioning

confidence: 99%

mentioning

confidence: 99%

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Barriers and Facilitators When Implementing Electronic Patient-Reported Outcome Measures at a Municipal Cancer Care Unit

et al. 2022

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“…The interviews were conducted using a semi-structured interview guide developed by all of the researchers [26]. Three of the researchers (BA, KS, ATB) had experience from the participant population and from previous qualitative research [27][28][29][30][31]. The questions in the interview guide addressed informants' experiences and thoughts from caring for the family member at home at the end of life, the experiences and interaction with healthcare services and what made them feel secure or not ( Table 1).…”

Section: Data Collection and Managementmentioning

confidence: 99%

A qualitative study of bereaved family caregivers: feeling of security, facilitators and barriers for rural home care and death for persons with advanced cancer

et al. 2021

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Background For cancer patients and their family, an important factor that determines the choice to die at home is the caregivers’ feeling of security when caring for the patient at home. Support to caregivers from healthcare professionals is important for the feeling of security. In rural areas, long distances and variable infrastructure may influence on access to healthcare services. This study explored factors that determined the security of caregivers of patients with advanced cancer who cared for the patients at home at the end of life in the rural region of Sogn og Fjordane in Norway, and what factors that facilitated home death. Methods A qualitative study using semi-structured in-depth interviews with bereaved with experience from caring for cancer patients at home at the end of life was performed. Meaning units were extracted from the transcribed interviews and divided into categories and subcategories using Kvale and Brinkmann’s qualitative method for analysis. Results Ten bereaved caregivers from nine families where recruited. Five had lived together with the deceased. Three main categories of factors contributing to security emerged from the analysis: “Personal factors”, “Healthcare professionals” and “Organization” of healthcare. Healthcare professionals and the organization of healthcare services contributed most to the feeling of security. Conclusion Good competence in palliative care among healthcare professionals caring for patients with advanced cancer at home and well- organized palliative care services with defined responsibilities provided security to caregivers caring for advanced cancer patients at home in Sogn og Fjordane.

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Assessing a nurse-assisted eHealth intervention posthospital discharge in adult patients with non-communicable diseases: a protocol for a feasibility study

et al. 2023

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IntroductionA growing number of patients with non-communicable diseases (NCDs), such as heart failure (HF) and colorectal cancer (CRC), are prone to comorbidity, a high rate of readmissions and complex healthcare needs. An eHealth intervention, however, could potentially ameliorate the increasing burdens associated with NCDs by helping to smoothen patient transition from hospital to home and by reducing the number of readmissions. This feasibility study therefore aims to assess the feasibility of a nurse-assisted eHealth intervention posthospital discharge among patients with HF and CRC, while also examining the preliminary clinical and behavioural outcomes of the intervention before initiating a full-scale randomised controlled trial. The recruitment ended in January 2023.Methods and analysisTwenty adult patients with HF and 10 adult patients with CRC will be recruited from two university hospitals in Norway. Six hospital-based nurse navigators (NNs) will offer support during the transition phase from hospital to home by using a solution for digital remote care, Dignio Connected Care. The patients will use the MyDignio application uploaded to an iPad for 30 days postdischarge. The interactions between patients and NNs will then be assessed through direct observation and qualitative interviews in line with a think-aloud protocol. Following the intervention, semistructured interviews will be used to explore patients’ experiences of eHealth support and NNs’ experiences of eHealth delivery. The feasibility testing will also comprise a post-test of the Post-System Usability Questionnaire and pretesting of patient-reported outcomes questionnaires, as well as an inspection of user data collected from the software.Ethics and disseminationThe study has been approved by the Norwegian Centre for Research Data (ID.NO: 523386). All participation is based on informed, written consent. The results of the study will be published in open-access, peer-reviewed journals and presented at international and national scientific conferences and meetings.

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Usability testing of EirV3—a computer-based tool for patient-reported outcome measures in cancer

Abstract: In the updated Eir version, issues in the severe and moderate categories have been changed, to optimize the usability of using real-time PROMs in clinical practice.

Cited by 8 publications

References 34 publications

Barriers and Facilitators When Implementing Electronic Patient-Reported Outcome Measures at a Municipal Cancer Care Unit

Barriers and Facilitators When Implementing Electronic Patient-Reported Outcome Measures at a Municipal Cancer Care Unit

A qualitative study of bereaved family caregivers: feeling of security, facilitators and barriers for rural home care and death for persons with advanced cancer

Assessing a nurse-assisted eHealth intervention posthospital discharge in adult patients with non-communicable diseases: a protocol for a feasibility study

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