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Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery
PURPOSE: Complications following upper gastrointestinal (UGI) surgery are common. Symptom-monitoring following discharge is not standardized. An electronic patient-reported outcome (ePRO) system providing feedback to patients and clinicians could support patients and improve outcomes. Little is know...
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/PMC8528794/ https://www.ncbi.nlm.nih.gov/pubmed/32535864 http://dx.doi.org/10.1007/s11136-020-02539-w |
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author | Richards, H. S. Portal, A. Absolom, K. Blazeby, J. M. Velikova, G. Avery, K. N. L. |
author_facet | Richards, H. S. Portal, A. Absolom, K. Blazeby, J. M. Velikova, G. Avery, K. N. L. |
author_sort | Richards, H. S. |
collection | PubMed |
description | PURPOSE: Complications following upper gastrointestinal (UGI) surgery are common. Symptom-monitoring following discharge is not standardized. An electronic patient-reported outcome (ePRO) system providing feedback to patients and clinicians could support patients and improve outcomes. Little is known about patients’ experiences of using such systems. This qualitative sub-study explored patients’ perspectives of the benefits of using a novel ePRO system, developed as part of the mixed methods eRAPID pilot study, to support recovery following discharge after UGI surgery. METHODS: Patients completed the online ePRO symptom-report system post-discharge. Weekly interviews explored patients’ experiences of using ePRO, the acceptability of feedback generated and its value for supporting their recovery. Interviews were audio-recorded and targeted transcriptions were thematically analysed. RESULTS: Thirty-five interviews with 16 participants (11 men, mean age 63 years) were analysed. Two main themes were identified: (1) reassurance and (2) empowerment. Feelings of isolation were common; many patients felt uninformed regarding their expectations of recovery and whether their symptoms warranted clinical investigation. Participants were reassured by tailored feedback advising them to contact their care team, alleviating their anxiety. Patients reported feeling empowered by the ePRO system and in control of their symptoms and recovery. CONCLUSION: Patients recovering at home following major cancer surgery regarded electronic symptom-monitoring and feedback as acceptable and beneficial. Patients perceived that the system enhanced information provision and provided a direct link to their care team. Patients felt that the system provided reassurance at a time of uncertainty and isolation, enabling them to feel in control of their symptoms and recovery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11136-020-02539-w) contains supplementary material, which is available to authorised users. |
format | Online Article Text |
id | pubmed-8528794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-85287942021-11-01 Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery Richards, H. S. Portal, A. Absolom, K. Blazeby, J. M. Velikova, G. Avery, K. N. L. Qual Life Res Special Section: Feedback Tools PURPOSE: Complications following upper gastrointestinal (UGI) surgery are common. Symptom-monitoring following discharge is not standardized. An electronic patient-reported outcome (ePRO) system providing feedback to patients and clinicians could support patients and improve outcomes. Little is known about patients’ experiences of using such systems. This qualitative sub-study explored patients’ perspectives of the benefits of using a novel ePRO system, developed as part of the mixed methods eRAPID pilot study, to support recovery following discharge after UGI surgery. METHODS: Patients completed the online ePRO symptom-report system post-discharge. Weekly interviews explored patients’ experiences of using ePRO, the acceptability of feedback generated and its value for supporting their recovery. Interviews were audio-recorded and targeted transcriptions were thematically analysed. RESULTS: Thirty-five interviews with 16 participants (11 men, mean age 63 years) were analysed. Two main themes were identified: (1) reassurance and (2) empowerment. Feelings of isolation were common; many patients felt uninformed regarding their expectations of recovery and whether their symptoms warranted clinical investigation. Participants were reassured by tailored feedback advising them to contact their care team, alleviating their anxiety. Patients reported feeling empowered by the ePRO system and in control of their symptoms and recovery. CONCLUSION: Patients recovering at home following major cancer surgery regarded electronic symptom-monitoring and feedback as acceptable and beneficial. Patients perceived that the system enhanced information provision and provided a direct link to their care team. Patients felt that the system provided reassurance at a time of uncertainty and isolation, enabling them to feel in control of their symptoms and recovery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11136-020-02539-w) contains supplementary material, which is available to authorised users. Springer International Publishing 2020-06-13 2021 /pmc/articles/PMC8528794/ /pubmed/32535864 http://dx.doi.org/10.1007/s11136-020-02539-w Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Special Section: Feedback Tools Richards, H. S. Portal, A. Absolom, K. Blazeby, J. M. Velikova, G. Avery, K. N. L. Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title | Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title_full | Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title_fullStr | Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title_full_unstemmed | Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title_short | Patient experiences of an electronic PRO tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
title_sort | patient experiences of an electronic pro tailored feedback system for symptom management following upper gastrointestinal cancer surgery |
topic | Special Section: Feedback Tools |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528794/ https://www.ncbi.nlm.nih.gov/pubmed/32535864 http://dx.doi.org/10.1007/s11136-020-02539-w |
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