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Evaluating the Feasibility of Electronic Patient-Reported Outcomes for a Population Receiving Specific Health
Hiroshi Yano1,2,3, Naoki Hosogaya1,4, Shotaro Ide5,6
1Clinical Research Center, Nagasaki University Hospital, Nagasaki 852-8501, Japan.
Healthcare (Basel, Switzerland)
|January 28, 2026
Summary
This study found that while initial setup of electronic patient-reported outcome (ePRO) systems can be challenging, sustained monthly reporting is feasible for healthy older adults in preventive checkups.
Area of Science:
- Digital Health
- Geriatric Medicine
- Health Informatics
Background:
- Electronic patient-reported outcome (ePRO) systems collect patient self-assessments via devices like smartphones.
- Previous ePRO research primarily focused on younger individuals or those with severe illnesses.
- Limited data exists on ePRO adoption in healthy middle-aged and older adult populations.
Purpose of the Study:
- To assess the usability and response continuity of an ePRO system in healthy adults aged 40-74.
- To identify potential barriers and facilitators for ePRO system implementation in this demographic.
Main Methods:
- Prospective observational study involving participants aged 40-74 undergoing health checkups.
- System Usability Scale (SUS) measured ePRO usability.
- Monthly EuroQol 5-Dimensional 5-Level (EQ-5D-5L) responses collected for up to 3 months.
Main Results:
- Eleven participants (aged 47-73) completed the study.
- Mean SUS score was 59.1, below the "useful" threshold of 70.
- High response continuity observed, with all participants reporting at 3 months post-support.
Conclusions:
- Usability findings (SUS score) require descriptive interpretation due to small sample size.
- Initial onboarding presented implementation challenges.
- Sustained monthly ePRO reporting is conditionally feasible for this population with adequate support.
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