Cargando…
Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study
BACKGROUND: Collecting patient reported outcome measures (PROMs) via computer-based electronic data capture system may improve feasibility and facilitate implementation in clinical care. We report our initial experience about the acceptability of touch-screen tablet computer-based, self-administered...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719517/ https://www.ncbi.nlm.nih.gov/pubmed/29212466 http://dx.doi.org/10.1186/s12882-017-0771-7 |
_version_ | 1783284504999231488 |
---|---|
author | Wong, Dorothy Cao, Shen Ford, Heather Richardson, Candice Belenko, Dmitri Tang, Evan Ugenti, Luca Warsmann, Eleanor Sissons, Amanda Kulandaivelu, Yalinie Edwards, Nathaniel Novak, Marta Li, Madeline Mucsi, Istvan |
author_facet | Wong, Dorothy Cao, Shen Ford, Heather Richardson, Candice Belenko, Dmitri Tang, Evan Ugenti, Luca Warsmann, Eleanor Sissons, Amanda Kulandaivelu, Yalinie Edwards, Nathaniel Novak, Marta Li, Madeline Mucsi, Istvan |
author_sort | Wong, Dorothy |
collection | PubMed |
description | BACKGROUND: Collecting patient reported outcome measures (PROMs) via computer-based electronic data capture system may improve feasibility and facilitate implementation in clinical care. We report our initial experience about the acceptability of touch-screen tablet computer-based, self-administered questionnaires among patients with chronic kidney disease (CKD), including stage 5 CKD treated with renal replacement therapies (RRT) (either dialysis or transplant). METHODS: We enrolled a convenience sample of patients with stage 4 and 5 CKD (including patients on dialysis or after kidney transplant) in a single-centre, cross-sectional pilot study. Participants completed validated questionnaires programmed on an electronic data capture system (DADOS, Techna Inc., Toronto) on tablet computers. The primary objective was to evaluate the acceptability and feasibility of using tablet-based electronic data capture in patients with CKD. Descriptive statistics, Fischer’s exact test and multivariable logistic regression models were used for data analysis. RESULTS: One hundred and twenty one patients (55% male, mean age (± SD) of 58 (±14) years, 49% Caucasian) participated in the study. Ninety-two percent of the respondents indicated that the computer tablet was acceptable and 79% of the participants required no or minimal help for completing the questionnaires. Acceptance of tablets was lower among patients 70 years or older (75% vs. 95%; p = 0.011) and with little previous computer experience (81% vs. 96%; p = 0.05). Furthermore, a greater level of assistance was more frequently required by patients who were older (45% vs. 15%; p = 0.009), had lower level of education (33% vs. 14%; p = 0.027), low health literacy (79% vs. 12%; p = 0.027), and little previous experience with computers (52% vs. 10%; p = 0.027). CONCLUSIONS: Tablet computer-based electronic data capture to administer PROMs was acceptable and feasible for most respondents and could therefore be used to systematically assess PROMs among patients with CKD. Special consideration should focus on elderly patients with little previous computer experience, since they may require more assistance with completion. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12882-017-0771-7) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5719517 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57195172017-12-08 Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study Wong, Dorothy Cao, Shen Ford, Heather Richardson, Candice Belenko, Dmitri Tang, Evan Ugenti, Luca Warsmann, Eleanor Sissons, Amanda Kulandaivelu, Yalinie Edwards, Nathaniel Novak, Marta Li, Madeline Mucsi, Istvan BMC Nephrol Research Article BACKGROUND: Collecting patient reported outcome measures (PROMs) via computer-based electronic data capture system may improve feasibility and facilitate implementation in clinical care. We report our initial experience about the acceptability of touch-screen tablet computer-based, self-administered questionnaires among patients with chronic kidney disease (CKD), including stage 5 CKD treated with renal replacement therapies (RRT) (either dialysis or transplant). METHODS: We enrolled a convenience sample of patients with stage 4 and 5 CKD (including patients on dialysis or after kidney transplant) in a single-centre, cross-sectional pilot study. Participants completed validated questionnaires programmed on an electronic data capture system (DADOS, Techna Inc., Toronto) on tablet computers. The primary objective was to evaluate the acceptability and feasibility of using tablet-based electronic data capture in patients with CKD. Descriptive statistics, Fischer’s exact test and multivariable logistic regression models were used for data analysis. RESULTS: One hundred and twenty one patients (55% male, mean age (± SD) of 58 (±14) years, 49% Caucasian) participated in the study. Ninety-two percent of the respondents indicated that the computer tablet was acceptable and 79% of the participants required no or minimal help for completing the questionnaires. Acceptance of tablets was lower among patients 70 years or older (75% vs. 95%; p = 0.011) and with little previous computer experience (81% vs. 96%; p = 0.05). Furthermore, a greater level of assistance was more frequently required by patients who were older (45% vs. 15%; p = 0.009), had lower level of education (33% vs. 14%; p = 0.027), low health literacy (79% vs. 12%; p = 0.027), and little previous experience with computers (52% vs. 10%; p = 0.027). CONCLUSIONS: Tablet computer-based electronic data capture to administer PROMs was acceptable and feasible for most respondents and could therefore be used to systematically assess PROMs among patients with CKD. Special consideration should focus on elderly patients with little previous computer experience, since they may require more assistance with completion. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12882-017-0771-7) contains supplementary material, which is available to authorized users. BioMed Central 2017-12-06 /pmc/articles/PMC5719517/ /pubmed/29212466 http://dx.doi.org/10.1186/s12882-017-0771-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Wong, Dorothy Cao, Shen Ford, Heather Richardson, Candice Belenko, Dmitri Tang, Evan Ugenti, Luca Warsmann, Eleanor Sissons, Amanda Kulandaivelu, Yalinie Edwards, Nathaniel Novak, Marta Li, Madeline Mucsi, Istvan Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title | Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title_full | Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title_fullStr | Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title_full_unstemmed | Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title_short | Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
title_sort | exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719517/ https://www.ncbi.nlm.nih.gov/pubmed/29212466 http://dx.doi.org/10.1186/s12882-017-0771-7 |
work_keys_str_mv | AT wongdorothy exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT caoshen exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT fordheather exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT richardsoncandice exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT belenkodmitri exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT tangevan exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT ugentiluca exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT warsmanneleanor exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT sissonsamanda exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT kulandaiveluyalinie exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT edwardsnathaniel exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT novakmarta exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT limadeline exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy AT mucsiistvan exploringtheuseoftabletcomputerbasedelectronicdatacapturesystemtoassesspatientreportedmeasuresamongpatientswithchronickidneydiseaseapilotstudy |