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Remote postoperative management using Ecological Momentary Computerized Adaptive Testing (EMCAT): feasibility

Sumedh Bele1, Jeremy Rodrigues1,2, David Beard1

  • 1Surgical Intervention Trials Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Nuffield Orthopaedic Centre, Headington, Oxford, UK.

The Journal of Hand Surgery, European Volume
|September 11, 2024
PubMed
Summary

Ecological Momentary Computerized Adaptive Testing (EMCAT) is an acceptable method for surgeons to remotely collect patient-reported outcomes. Most surgeons surveyed are willing to join future trials comparing EMCAT with standard follow-up care.

Keywords:
Ecological Momentary Computerized Adaptive Testing (EMCAT)Patient-reported outcome measures (PROMs)carpal tunnel decompressionpostoperative management

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Area of Science:

  • Surgical outcomes assessment
  • Digital health technologies
  • Patient-reported outcome measures

Background:

  • Remote monitoring of surgical patients is evolving.
  • Patient-reported outcome measures (PROMs) are crucial for assessing surgical care quality.
  • Current follow-up methods may not fully capture real-world patient experiences.

Purpose of the Study:

  • To assess surgeon acceptance of Ecological Momentary Computerized Adaptive Testing (EMCAT) for remote PROM collection.
  • To gauge surgeon willingness to participate in future comparative effectiveness research.

Main Methods:

  • A survey was administered to 38 surgeons.
  • The survey assessed perceptions and willingness to participate in trials involving EMCAT.
  • Ecological Momentary Computerized Adaptive Testing (EMCAT) was described as a platform for remote PROM data collection.

Main Results:

  • 38 surgeons participated in the survey.
  • EMCAT was found to be acceptable to the surveyed surgeons.
  • 36 out of 38 surgeons expressed willingness to participate in future randomized control trials.

Conclusions:

  • EMCAT is a feasible and acceptable tool for surgeons to remotely collect PROMs.
  • Surgeons are amenable to participating in research comparing EMCAT with routine follow-up.
  • These findings support the potential integration of EMCAT into surgical practice and research.