Implementation of Patient-Reported Outcomes in a Medical Oncology Setting (the iPROMOS Study):Type II Hybrid Implementation Study

被引:0
作者
Roberts, Natasha Anne [1 ,2 ,3 ]
Pelecanos, Anita [4 ]
Alexander, Kimberly [5 ]
Wyld, David [6 ,7 ]
Janda, Monika [1 ]
机构
[1] Univ Queensland, Ctr Clin Res, Herston Rd, Herston 4029, Australia
[2] Surg Treatment & Rehabil Serv Metro North Hlth, Herston, Australia
[3] Univ Queensland, Herston, Australia
[4] QIMR Berghofer Med Res Inst, Herston, Australia
[5] Queensland Univ Technol, Sch Nursing, Kelvin Grove, Australia
[6] Royal Brisbane & Womens Hosp, Canc Care Serv, Herston, Australia
[7] Univ Queensland, Clin Sch, St Lucia, Australia
关键词
implementation science; iPARIHS; intervention; implementation; facilitator; facilitation; patient-reportedoutcomes; patient-reported outcome measures; oncology; clinical practice; symptoms; symptom; detection; services; investigate; clinics; service; clinic; Australia; binary logistic models; regression model; regression models; patient; patients; supportive care; CANCER; CARE;
D O I
10.2196/55841
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background:<bold> </bold>Clinical trials have demonstrated that patient-reported outcome measures (PROMs) can improve mortality and morbidity outcomes when used in clinical practice. Objective:<bold> </bold>This study aimed to prospectively investigate the implementation of PROMs in routine oncology. Outcomes measured included improved symptom detection, clinical response to symptom information, and health service outcomes. Methods:<bold> </bold>Two of 12 eligible clinics were randomized to implement symptom PROMs in a medical oncology outpatient department in Australia. Randomization was carried out at the clinic level. Patients in control clinics continued with usual care; those in intervention clinics completed a symptom PROM at presentation. This was a pilot study investigating symptom detection, using binary logistic models, and clinical response to PROMs investigated using multiple regression models. Results: A total of 461 patient encounters were included, consisting of 242 encounters in the control and 222 in the intervention condition. Patients in these clinics most commonly had head and neck, lung, prostate, breast, or colorectal cancer and were seen in the clinic for surveillance and oral or systemic treatments for curative, metastatic, or palliative cancer care pathways. Compared with control encounters, the proportion of symptoms detected increased in intervention encounters (odds ratio 1.05, 95% CI 0.99-1.11; P=.08). The odds of receiving supportive care, demonstrated by nonroutine allied health review, increased in the intervention compared with control encounters (odds ratio 3.54, 95% CI 1.26-9.90; P=.02). Conclusions:<bold> </bold>Implementation of PROMs in routine care did not significantly improve symptom detection but increased the likelihood of nonroutine allied health reviews for supportive care. Larger studies are needed to investigate health service outcomes.
引用
收藏
页数:9
相关论文
共 50 条
[31]   The utility of the implementation science framework “Integrated Promoting Action on Research Implementation in Health Services” (i-PARIHS) and the facilitator role for introducing patient-reported outcome measures (PROMs) in a medical oncology outpatient department [J].
Natasha A. Roberts ;
Monika Janda ;
Angela M. Stover ;
Kimberly E. Alexander ;
David Wyld ;
Alison Mudge .
Quality of Life Research, 2021, 30 :3063-3071
[32]   The utility of the implementation science framework "Integrated Promoting Action on Research Implementation in Health Services" (i-PARIHS) and the facilitator role for introducing patient-reported outcome measures (PROMs) in a medical oncology outpatient department [J].
Roberts, Natasha A. ;
Janda, Monika ;
Stover, Angela M. ;
Alexander, Kimberly E. ;
Wyld, David ;
Mudge, Alison .
QUALITY OF LIFE RESEARCH, 2021, 30 (11) :3063-3071
[33]   A Framework to Promote Implementation of Patient-Reported Outcomes in Institutions Caring for Vulnerable and Underserved Cancer Populations [J].
Schuster, Anne L. R. ;
Crossnohere, Norah L. ;
Boakye, Eric Adjei ;
Angove, Rebekah ;
Baldwin, Billie ;
Barreto, Esteban A. ;
Chen, Ronald C. ;
Gillespie, Theresa W. ;
Hamilton, Betty ;
McCleary, Nadine Jackson ;
Karmo, Maimah ;
Kaufmann, Tara ;
Lee, William ;
Mehta, Vikas ;
Meyer, Larissa ;
Mittal, Kriti ;
Owens, Leah ;
Peterson, Rachel ;
Pusic, Andrea ;
Rainey, Anne Marie ;
Richardson, Angelique ;
Shapiro, Lauren ;
Sibbitt, Bethany ;
Smith, Cardinale ;
Vargo, Mary ;
Vickers, Andrew ;
Brundage, Michael ;
Snyder, Claire .
PATIENT-PATIENT CENTERED OUTCOMES RESEARCH, 2025, 18 (01) :89-95
[34]   Oncology team perspectives on distress screening: a multisite study of a well-established use of patient-reported outcomes for clinical assessment [J].
Tenbroeck G. Smith ;
Asher E. Beckwitt ;
Lonneke V. van de Poll-Franse ;
Jeuneviette E. Bontemps-Jones ;
Ted A. James ;
Ryan M. McCabe ;
Amanda B. Francescatti ;
Neil K. Aaronson .
Supportive Care in Cancer, 2022, 30 :1261-1271
[35]   Involving children and adolescents with type 1 diabetes in health care: a qualitative study of the use of patient-reported outcomes [J].
Lassen, Rikke Bjerre ;
Abild, Caroline Bruun ;
Kristensen, Kurt ;
Kristensen, Lene Juel ;
Horluck, Jens Thusgard ;
Jensen, Annesofie Lunde .
JOURNAL OF PATIENT-REPORTED OUTCOMES, 2023, 7 (01)
[36]   Electronic Patient-Reported Outcome-Driven Symptom Management by Oncology Pharmacists in a Majority-Minority Population: An Implementation Study [J].
Chan, Alexandre ;
Ng, Ding Quan ;
Arcos, Daniela ;
Heshmatipour, Matthew ;
Lee, Benjamin J. ;
Chen, Alison ;
Duong, Lan ;
Van, Linda ;
Nguyen, Thomas ;
Green, Vuong ;
Hoang, Daniel .
JCO ONCOLOGY PRACTICE, 2024, 20 (12) :1744-1754
[37]   Implementation analysis of patient reported outcomes (PROs) in oncological routine care: an observational study protocol [J].
Mirja Gianna Görlach ;
Theresa Schrage ;
Carsten Bokemeyer ;
Nicolaus Kröger ;
Volkmar Müller ;
Cordula Petersen ;
Christian Stephan Betz ;
Andreas Krüll ;
Holger Schulz ;
Christiane Bleich .
Health and Quality of Life Outcomes, 18
[38]   Implementation analysis of patient reported outcomes (PROs) in oncological routine care: an observational study protocol [J].
Goerlach, Mirja Gianna ;
Schrage, Theresa ;
Bokemeyer, Carsten ;
Kroeger, Nicolaus ;
Mueller, Volkmar ;
Petersen, Cordula ;
Betz, Christian Stephan ;
Kruell, Andreas ;
Schulz, Holger ;
Bleich, Christiane .
HEALTH AND QUALITY OF LIFE OUTCOMES, 2020, 18 (01)
[39]   Evaluating the Implementation of Patient-Reported Outcomes in Heart Failure Clinic: A Qualitative Assessment [J].
Brown-Johnson, Cati ;
Calma, Jamie ;
Amano, Alexis ;
Winget, Marcy ;
Harris, Sonia R. ;
Vilendrer, Stacie ;
Asch, Steve M. ;
Heidenreich, Paul ;
Sandhu, Alexander T. ;
Kalwani, Neil M. .
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2023, 16 (05) :363-372
[40]   Impact of assessment frequency of patient-reported outcomes: an observational study using an eHealth platform in cancer patients [J].
Innominato, Pasquale F. ;
Komarzynski, Sandra ;
Dallmann, Robert ;
Wreglesworth, Nicholas I. ;
Bouchahda, Mohamed ;
Karaboue, Abdoulaye ;
Ulusakarya, Ayhan ;
Subbe, Christian P. ;
Spiegel, David ;
Levi, Francis A. .
SUPPORTIVE CARE IN CANCER, 2021, 29 (11) :6167-6170