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Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment
BACKGROUND: Increasing numbers of ovarian cancer patients are living longer and requiring regular follow-up to detect disease recurrence. New models of follow-up care are needed to meet the growing number and needs of this patient group. The potential for patient-reported outcome measures (PROMs) to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453693/ https://www.ncbi.nlm.nih.gov/pubmed/32857244 http://dx.doi.org/10.1186/s41687-020-00237-2 |
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author | Shearsmith, Leanne Kennedy, Fiona Lindner, Oana C. Velikova, Galina |
author_facet | Shearsmith, Leanne Kennedy, Fiona Lindner, Oana C. Velikova, Galina |
author_sort | Shearsmith, Leanne |
collection | PubMed |
description | BACKGROUND: Increasing numbers of ovarian cancer patients are living longer and requiring regular follow-up to detect disease recurrence. New models of follow-up care are needed to meet the growing number and needs of this patient group. The potential for patient-reported outcome measures (PROMs) to capture key symptoms and online technology to facilitate long-term follow-up has been suggested. OBJECTIVES: Prior to a pilot study exploring the potential for electronic patient-reported symptom monitoring, the content of an online intervention was developed via Delphi methodology. DESIGN AND SETTING: A Delphi process was conducted aiming to obtain consensus amongst the clinicians and patients from 4 hospitals on the key aspects to monitor during follow-up after ovarian cancer treatment, and how to monitor them in an online intervention. A two round Delphi was conducted. Consensus was defined as at least 70% agreement. RESULTS: Out of 43 participants, 30 (18 patients, 12 healthcare professionals) completed round 1 and 19 (11 patients, 8 healthcare professionals) completed round 2. Consensus was reached on the key symptoms to monitor, and the importance of monitoring both duration and frequency of symptoms. Opportunity for review of psychological wellbeing and holistic needs were considered important by both groups. The frequency of online questionnaire completion, timeframe for patients to reflect on (e.g. during the past X weeks), and the choice of PROMs items to monitor symptoms did not reach the consensus threshold. CONCLUSION: It is crucial that any intervention and the selection of PROMs is fully described to ensure transparency about the development and decisions taken. In this work, a set of key symptoms and areas to monitor were agreed, which has informed the design of an online intervention and a subsequent pilot study is now underway. The proposed model of remote follow-up using electronic PROMs could be adapted and explored in other cancer sites. |
format | Online Article Text |
id | pubmed-7453693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-74536932020-08-28 Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment Shearsmith, Leanne Kennedy, Fiona Lindner, Oana C. Velikova, Galina J Patient Rep Outcomes Short Report BACKGROUND: Increasing numbers of ovarian cancer patients are living longer and requiring regular follow-up to detect disease recurrence. New models of follow-up care are needed to meet the growing number and needs of this patient group. The potential for patient-reported outcome measures (PROMs) to capture key symptoms and online technology to facilitate long-term follow-up has been suggested. OBJECTIVES: Prior to a pilot study exploring the potential for electronic patient-reported symptom monitoring, the content of an online intervention was developed via Delphi methodology. DESIGN AND SETTING: A Delphi process was conducted aiming to obtain consensus amongst the clinicians and patients from 4 hospitals on the key aspects to monitor during follow-up after ovarian cancer treatment, and how to monitor them in an online intervention. A two round Delphi was conducted. Consensus was defined as at least 70% agreement. RESULTS: Out of 43 participants, 30 (18 patients, 12 healthcare professionals) completed round 1 and 19 (11 patients, 8 healthcare professionals) completed round 2. Consensus was reached on the key symptoms to monitor, and the importance of monitoring both duration and frequency of symptoms. Opportunity for review of psychological wellbeing and holistic needs were considered important by both groups. The frequency of online questionnaire completion, timeframe for patients to reflect on (e.g. during the past X weeks), and the choice of PROMs items to monitor symptoms did not reach the consensus threshold. CONCLUSION: It is crucial that any intervention and the selection of PROMs is fully described to ensure transparency about the development and decisions taken. In this work, a set of key symptoms and areas to monitor were agreed, which has informed the design of an online intervention and a subsequent pilot study is now underway. The proposed model of remote follow-up using electronic PROMs could be adapted and explored in other cancer sites. Springer International Publishing 2020-08-28 /pmc/articles/PMC7453693/ /pubmed/32857244 http://dx.doi.org/10.1186/s41687-020-00237-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Short Report Shearsmith, Leanne Kennedy, Fiona Lindner, Oana C. Velikova, Galina Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title | Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title_full | Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title_fullStr | Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title_full_unstemmed | Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title_short | Delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
title_sort | delphi survey to inform patient-reported symptom monitoring after ovarian cancer treatment |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453693/ https://www.ncbi.nlm.nih.gov/pubmed/32857244 http://dx.doi.org/10.1186/s41687-020-00237-2 |
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