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Related Experiment Videos

Patient preference for health status screening instruments

A M Holmes1, M L Parchman, H Bang

  • 1School of Public and Environmental Affairs, Indiana University-Purdue University at Indianapolis, USA.

Family Practice
|March 1, 1995
PubMed
Summary

Patients did not significantly prefer either the Dartmouth Primary Care Cooperative Information Project (COOP) charts or the mini-Duke-UNC Health Profile (DUHP) instrument. Ease of use was the primary factor, though neither tool was easier for all patients.

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Area of Science:

  • Primary Care Research
  • Health Outcomes Assessment
  • Patient-Reported Outcomes

Background:

  • The Dartmouth Primary Care Cooperative Information Project (COOP) charts and mini-Duke-UNC Health Profile (DUHP) are patient-screening instruments used in clinical settings.
  • Understanding patient preferences for these health status instruments is crucial for effective implementation in family practice.

Purpose of the Study:

  • To determine patient preferences between the COOP charts and the DUHP in a university-based family practice clinic.
  • To identify factors influencing patient preference, such as perceived accuracy and ease of use.

Main Methods:

  • A sample of 203 consenting patients received both the COOP charts and the DUHP.
  • Patients completed a questionnaire to indicate their preferred instrument and the reasons for their choice.

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  • Statistical analysis examined relationships between patient demographics, perceived accuracy, ease of use, and instrument preference.

    • Main Results:

    • Neither the COOP nor the DUHP was significantly preferred by the overall patient sample.
    • Ease of use was a more significant factor in preference than perceived accuracy.
    • The COOP was perceived as more accurate by elderly patients with lower quality of life, but neither instrument was easier for this demographic.

    Conclusions:

    • Patient preference for health status screening instruments is primarily driven by ease of use.
    • Neither the COOP nor the DUHP demonstrated a consistent advantage in ease of use across all patient groups.
    • Specific patient subgroups, like the elderly with poor quality of life, may perceive differential accuracy, warranting further investigation.