当前位置: X-MOL 学术Health Qual. Life Outcomes › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Implementation analysis of patient reported outcomes (PROs) in oncological routine care: an observational study protocol.
Health and Quality of Life Outcomes ( IF 3.6 ) Pub Date : 2020-01-02 , DOI: 10.1186/s12955-019-1262-2
Mirja Gianna Görlach 1 , Theresa Schrage 1 , Carsten Bokemeyer 2 , Nicolaus Kröger 3 , Volkmar Müller 4 , Cordula Petersen 5 , Christian Stephan Betz 6 , Andreas Krüll 5 , Holger Schulz 1 , Christiane Bleich 1
Affiliation  

BACKGROUND The successful implementation of patient-reported outcomes (PROs) in clinical routine faces many challenges, first and foremost the lack of consideration thereof in the patient care process. The aim of this study will be to first identify relevant barriers and facilitators and then design suitable implementation strategies which will be evaluated to improve the effectiveness of a PRO measure assessment in inpatient and outpatient cancer routine care. METHODS During the preparation phase, interviews with oncological patients (N = 28) and medical staff (N = 4) as well as focus groups with medical staff (N = 18) across five different departments caring for cancer patients were conducted. On the basis of these, qualitative content analysis revealed relevant barriers and facilitators for implementation of PROs in cancer care. Subsequently, implementation strategies and a model of implementation were developed. In the study phase, implementation strategies will be evaluated based on nine different implementation outcomes in five different oncological clinics. Evaluation of the implementation process will take place during three months in each clinic and data will be conducted pre, while and post implementation of the PRO measure. Therefore a sample size of 60 participants of whom 30 staff members and 30 participants will be questioned using existing and newly developed implementation outcome evaluation instruments. DISCUSSION Key to improving the effectiveness of PRO assessment in the time-critical clinical environment is the utilization of easy-to-use, electronic PRO questionnaires directly linked to patients' records thereby improving consideration of PROs in patient care. In order to validate the effectiveness of this implementation process further, an evaluation parallel to implementation following an observational study design with a mixed-methods approach will be conducted. This study could contribute to the development of adequate evaluation processes of implementation of PROs to foster sustainable integration of PRO measures into routine cancer care. TRIAL REGISTRATION This study was registered at Open Science Framework (https://osf.io/y7xce/).

中文翻译:

在肿瘤常规护理中对患者报告的结局(PRO)进行实施分析:一项观察性研究方案。

背景技术在临床常规中成功实施患者报告结果(PRO)面临许多挑战,首先是在患者护理过程中缺乏考虑。这项研究的目的是首先确定相关的障碍和促进因素,然后设计合适的实施策略,对这些策略进行评估,以提高住院和门诊癌症常规护理中PRO措施评估的有效性。方法在准备阶段,对五个癌症部门的肿瘤科患者(N = 28)和医务人员(N = 4)以及医务人员(N = 18)的焦点小组进行了访谈。在此基础上,定性内容分析揭示了在癌症护理中实施PRO的相关障碍和促进因素。随后,制定了实施策略和实施模型。在研究阶段,将基于五家不同肿瘤诊所的九种不同实施结果对实施策略进行评估。每个诊所将在三个月内对实施过程进行评估,并在实施PRO措施之前,之后和之后进行数据评估。因此,将使用现有和新开发的实施成果评估工具对60名参与者的样本量进行质疑,其中30名工作人员和30名参与者。讨论在时间紧迫的临床环境中提高PRO评估有效性的关键是利用易于使用的电子PRO问卷直接与患者记录相关联,从而改善对PRO进行患者护理的考虑。为了进一步验证该实施过程的有效性,将在采用混合方法的观察性研究设计之后进行与实施并行的评估。这项研究可能有助于制定适当的PRO实施评估流程,以促进PRO措施可持续纳入常规癌症治疗。试用注册本研究已在开放科学框架(https://osf.io/y7xce/)上注册。这项研究可能有助于制定适当的PRO实施评估流程,以促进PRO措施可持续纳入常规癌症治疗。试用注册本研究已在开放科学框架(https://osf.io/y7xce/)上注册。这项研究可能有助于制定适当的PRO实施评估流程,以促进PRO措施可持续纳入常规癌症治疗。试用注册本研究已在开放科学框架(https://osf.io/y7xce/)上注册。
更新日期:2020-01-02
down
wechat
bug