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Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness.

Publication ,  Journal Article
Cox, CE; Wysham, NG; Kamal, AH; Jones, DM; Cass, B; Tobin, M; White, DB; Kahn, JM; Hough, CL; Carson, SS
Published in: Am J Crit Care
July 2016

BACKGROUND: Web-based electronic patient-reported outcomes (ePRO) measures are increasingly used to facilitate patient-centered health assessments. However, it is unknown if ePRO completion is feasible for recently ill intensive care unit (ICU) survivors and their families. OBJECTIVE: To develop and evaluate the usability of a novel ePRO system (ePRO to Support People and Enhance Recovery [ePROSPER]) among ICU survivors and their families within an ongoing clinical trial. METHODS: Paper-based PROs were iteratively adapted to electronic forms (ePROs). Then, the usability of ePROSPER was assessed among 60 patients, their family members, and PRO and programming experts via questionnaires (eg, Systems Usability Scale), "think aloud" open-ended feedback, task completion times, and error rates. RESULTS: Input from patients and their families was used to incorporate user-experience modifications into ePROSPER. This feedback also led to inclusion of automated reminders for questionnaire completion and real-time alerts for staff triggered by high symptom levels. Median usability scores increased over testing cycles from 40 to 73 to 95, nearing the maximum score and showing excellent usability. All users completed ePROSPER within 20 minutes; 87% preferred it to a written version. ePROSPER was then implemented in a clinical trial without data errors. CONCLUSIONS: Automated ePRO systems can be successfully integrated in a post-ICU clinical trial setting. The value of integrating such systems in direct clinical care should be assessed in future studies.

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Published In

Am J Crit Care

DOI

EISSN

1937-710X

Publication Date

July 2016

Volume

25

Issue

4

Start / End Page

340 / 349

Location

United States

Related Subject Headings

  • User-Computer Interface
  • Survivors
  • Surveys and Questionnaires
  • Patient Reported Outcome Measures
  • Nursing
  • Middle Aged
  • Male
  • Internet
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Cox, C. E., Wysham, N. G., Kamal, A. H., Jones, D. M., Cass, B., Tobin, M., … Carson, S. S. (2016). Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness. Am J Crit Care, 25(4), 340–349. https://doi.org/10.4037/ajcc2016952
Cox, Christopher E., Nicholas G. Wysham, Arif H. Kamal, Derek M. Jones, Brian Cass, Maria Tobin, Douglas B. White, Jeremy M. Kahn, Catherine L. Hough, and Shannon S. Carson. “Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness.Am J Crit Care 25, no. 4 (July 2016): 340–49. https://doi.org/10.4037/ajcc2016952.
Cox CE, Wysham NG, Kamal AH, Jones DM, Cass B, Tobin M, et al. Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness. Am J Crit Care. 2016 Jul;25(4):340–9.
Cox, Christopher E., et al. “Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness.Am J Crit Care, vol. 25, no. 4, July 2016, pp. 340–49. Pubmed, doi:10.4037/ajcc2016952.
Cox CE, Wysham NG, Kamal AH, Jones DM, Cass B, Tobin M, White DB, Kahn JM, Hough CL, Carson SS. Usability Testing of an Electronic Patient-Reported Outcome System for Survivors of Critical Illness. Am J Crit Care. 2016 Jul;25(4):340–349.

Published In

Am J Crit Care

DOI

EISSN

1937-710X

Publication Date

July 2016

Volume

25

Issue

4

Start / End Page

340 / 349

Location

United States

Related Subject Headings

  • User-Computer Interface
  • Survivors
  • Surveys and Questionnaires
  • Patient Reported Outcome Measures
  • Nursing
  • Middle Aged
  • Male
  • Internet
  • Humans
  • Female