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Published on: August 1, 2019
Using electronic patient reported outcomes (ePROs) to improve supportive care in ambulatory oncology care: a
Eden R Brauer1,2, Roshan Bastani3, Eric Cheng3,4
1University of California, Los Angeles (UCLA), Los Angeles, USA. erbrauer@mednet.ucla.edu.
Journal of Patient-Reported Outcomes
|July 21, 2026
Summary
A formative evaluation of an electronic patient-reported outcome system for head and neck cancer patients showed strong user readiness. Findings informed design, addressing barriers like time constraints for better supportive care delivery.
Area of Science:
- Implementation Science
- Health Informatics
- Oncology Supportive Care
Background:
- Electronic patient-reported outcomes (ePROs) can enhance oncology symptom assessment and supportive care.
- Implementation challenges often stem from overlooking end-user needs and organizational context.
- A formative evaluation was conducted to guide the design and implementation of an ePRO supportive care screening system in ambulatory oncology.
Purpose of the Study:
- To conduct a pre-implementation formative evaluation for an electronic patient-reported outcome (ePRO) supportive care screening system.
- To inform the design and implementation strategy for ambulatory oncology care, focusing on head and neck cancer patients.
- To identify barriers, facilitators, and contextual factors influencing system adoption.
Main Methods:
- A prospective mixed-methods observational study utilizing semi-structured interviews.
- Inclusion of clinical staff and head and neck cancer patients as target users.
- Application of the Consolidated Framework for Implementation Research (CFIR) and analysis of qualitative and quantitative data on acceptability, appropriateness, feasibility, and usability.
Main Results:
- Forty-six participants (20 clinical staff, 26 patients) identified current symptom assessment as inadequate.
- Electronic health record integration was favored, but time constraints and alert fatigue were noted barriers.
- High pre-implementation readiness scores for acceptability, appropriateness, feasibility, and usability were reported by both groups.
Conclusions:
- Pre-implementation formative evaluation effectively identified barriers and facilitators, shaping the intervention and implementation approach.
- High readiness scores suggest significant organizational buy-in and perceived value for the ePRO system.
- The user-informed development process offers a replicable model for optimizing ePRO systems prior to deployment.
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