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A new checkbox format for electronic patient-reported outcomes (ePROs) significantly boosted patient engagement and reduced survey time after surgery. This improved format enhances data quality and patient experience in routine clinical practice.

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Area of Science:

  • Health Informatics
  • Patient Reported Outcomes
  • Surgical Recovery Monitoring

Background:

  • Electronic patient-reported outcomes (ePROs) are linked to better patient outcomes.
  • Optimal ePRO design for routine clinical practice requires further investigation.
  • Postoperative symptom assessment is crucial for surgical recovery.

Purpose of the Study:

  • To evaluate the impact of a novel checkbox format for postoperative symptom-assessment ePRO tools.
  • To determine if a conditional checkbox design improves patient engagement and data quality.
  • To compare the performance of a checkbox ePRO format against traditional methods.

Main Methods:

  • An interrupted time-series design was employed to compare ePRO formats.
  • Patients undergoing various surgeries (prostatectomy, mastectomy, etc.) were included.
  • A novel checkbox (yes/no) format was compared to a traditional severity rating format for ePRO symptom assessment.

Main Results:

  • The checkbox format increased patient completion rates by 13% (adjusted absolute difference).
  • Mean completion time for ePROs decreased by 44 seconds with the checkbox format.
  • Symptom scores were lower and showed better correlation with predictors in the checkbox group.

Conclusions:

  • A conditional checkbox format enhances patient engagement and reduces survey burden in ePROs.
  • This format is associated with improved psychometric properties for symptom assessment.
  • The checkbox format is recommended for routine ePRO delivery, especially post-surgery.