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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
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Patient and staff experiences with an EHR-Integrated Symptom Management Program (eSyM) in oncology.
Christine M Cronin1, Fiona Barrett2, Samira Dias2
1Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA. Christine_Cronin@dfci.harvard.edu.
Summary
Most cancer patients and staff found the electronic symptom management program (eSyM) valuable and easy to use. However, staff underestimated patient engagement, highlighting a need for deeper understanding to ensure successful ePRO system implementation in oncology.
Area of Science:
- Implementation Science
- Digital Health in Oncology
- Patient-Reported Outcomes
Background:
- Electronic patient-reported outcomes (ePROs) integration into routine oncology practice is crucial.
- An electronic symptom management program (eSyM) was developed and implemented across six cancer centers.
- A stepped-wedge hybrid effectiveness-implementation study was conducted.
Purpose of the Study:
- To understand and compare patient and staff experiences with the eSyM intervention.
- To identify barriers and facilitators to ePRO usage in routine oncology care.
- To inform the successful implementation of ePRO systems.
Main Methods:
- Qualitative interviews were conducted with 79 staff and 14 patients.
- Semi-structured interview guides, informed by the Consolidated Framework for Implementation Research (CFIR), were used.
- Interview transcripts underwent dual-coding and thematic analysis.
Main Results:
- Patients and staff generally agreed on eSyM's compatibility, communication benefits, and prioritization.
- Most perceived eSyM as user-friendly and improving communication.
- Competing demands hindered utilization, and staff underestimated patient receptivity to technology.
Conclusions:
- eSyM was perceived as valuable and easy to navigate by most patients and staff.
- Staff underestimation of patient receptivity to eSyM was noted.
- Understanding implementation facilitators and barriers is key for successful ePRO system adoption in cancer care.
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