Integration of Patient-reported Outcome Measures in Pediatric Hematology: A Qualitative Methods Study
Johann M I Graham1,2, Selina X Dong3, Julia Y Kinahan3
1Lanaudière Regional Centre Hospital, Saint-Charles-Borromée.
Insights
Pediatric hematology patients and families strongly prefer disease-specific patient-reported outcome measures (PROMs) and support electronic integration into clinical practice for better health evaluations.
Area of Science:
- Pediatric Hematology
- Health Outcomes Research
- Digital Health
Background:
- Patient-reported outcome measures (PROMs) are crucial for assessing patient experiences in healthcare.
- Existing PROMs need evaluation for relevance and clinical integration in pediatric hematology.
Purpose of the Study:
- To assess the relevance of existing PROMs for pediatric hematology patients.
- To evaluate the receptivity of electronic PROM integration into clinical practice.
Main Methods:
- Focus groups and interviews were conducted with pediatric patients (10), parents (19), and healthcare professionals (6).
- Participants evaluated specific and generic PROMs for various nonmalignant hematological disorders.
Main Results:
- Strong support was found for disease-specific PROMs like TranQol, CHO-KLAT, Haemo-QoL, PedsQL Sickle Cell Module, and Kids ITP Tool.
- Electronic PROM integration, particularly web-based platforms, received universal support.
- A preference for disease-specific over generic PROMs was evident.
Conclusions:
- Disease-specific PROMs are highly relevant for pediatric hematology patients.
- Electronic integration of PROMs is well-received and recommended for clinical practice.
- Future development should focus on child-friendly, web-based platforms for standardized quality-of-life assessment.
Abstract:
Patient-reported outcome measures (PROMs) are self-reported questionnaires that allow patients and families to evaluate health-related experiences without influence or oversight from health care professionals. This study aimed to rate the relevance of existing PROMs for pediatric hematology patients, as identified by a recent systematic review, as well as to evaluate the receptivity of electronic PROM integration into clinical practice. Focus groups and interviews were conducted with children (10) and parents (19) impacted by nonmalignant hematological disorders, as well as with health care professionals (6). We observed strong support for the TranQol in thalassemia (100% for both parents [P] and children [C]); the Canadian Haemophilia Outcomes-Kids' Life Assessment Tool (CHO-KLAT) (100% P, 75% C) and Haemophilia Quality of Life questionnaire (Haemo-QoL) (100% P and C) in hemophilia; the Pediatric Quality of Life Inventory (PedsQL) Sickle Cell Module (75% P, 100% C); and the Kids ITP Tool in immune thrombocytopenia (100% P, 66.7% C). Generic tools such as the PedsQL Generic were met with mixed support. Electronic PROM integration received universal support. We obtained strong support for the integration of a web-based platform into clinical practice and a preference for disease-specific PROMs over generic PROMs. Future projects may explore the development of a child-friendly Canadian web-based platform to standardize quality-of-life evaluation within the clinical encounter.
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