Increasing Completion of Daily Patient-Reported Outcomes in Psychotherapies for Late-Life Depression through User-Centered Design.

IF 2.1 2区 医学 Q4 MEDICAL INFORMATICS
Applied Clinical Informatics Pub Date : 2024-10-01 Epub Date: 2024-11-20 DOI:10.1055/s-0044-1790545
Emily Carter, Natalie Benda, Soohyun Kim, Yuqing Qiu, Zilong Yu, Faith Gunning, Dimitris Kiosses, Jo Anne Sirey, George Alexopoulos, Samprit Banerjee
{"title":"Increasing Completion of Daily Patient-Reported Outcomes in Psychotherapies for Late-Life Depression through User-Centered Design.","authors":"Emily Carter, Natalie Benda, Soohyun Kim, Yuqing Qiu, Zilong Yu, Faith Gunning, Dimitris Kiosses, Jo Anne Sirey, George Alexopoulos, Samprit Banerjee","doi":"10.1055/s-0044-1790545","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> Treatment of depressive symptoms in older adults is a growing public health concern. Collecting patient-reported outcomes (PROs) may facilitate efficiently scaling psychotherapy for older adults but user-specific tailoring is needed to improve completion.</p><p><strong>Objectives: </strong> This study investigates (1) the effect of updating PRO collection tools for middle-aged and older adults with depressive symptoms through a user-centered design process on user completion of PRO questions, (2) what sociodemographic factors correspond with participant completion, and (3) how completion of PRO questions change during the course of a psychotherapy intervention.</p><p><strong>Methods: </strong> Analysis was conducted on 139 middle-aged and older adults with depressive symptoms from three clinical trials at the Weill Cornell ALACRITY Center. Overall response percentages to daily PRO questionnaires were compared before and after the implementation of findings from a multiphase user-centered design process. Grouped least absolute shrinkage and selection operator (LASSO) was employed to examine which baseline factors correspond with patient completion and linear regression was conducted to explore the association. Changes in daily dichotomized completion over time were analyzed with mixed-effect logistic regression.</p><p><strong>Results: </strong> After user-centered updates, there was a significantly higher (<i>p</i> < 0.001) percentage of completion (mean [standard deviation (SD)] percentage, 67.0 [35.6]%) than before (mean [SD] percentage, 24.9 [28.9]%). Additional years of education, age, and total annual household income greater than $25,000 were significant with completion percentage. Mixed-effects logistic regression showed that the odds of high completion increased each day (OR = 1.019 [95% CI: 1.014, 1.023; <i>p</i> < 0.001]).</p><p><strong>Conclusion: </strong> This study has shown that user-centered technology tailoring may be associated with increased PRO completion among middle-aged and older adults with depressive symptoms. PRO-supported psychotherapies are promising for middle-aged and older adults with depressive symptoms. Likewise, this study has demonstrated the potential benefits of employing a rigorous user-centered design process with PRO technology.</p>","PeriodicalId":48956,"journal":{"name":"Applied Clinical Informatics","volume":"15 5","pages":"986-996"},"PeriodicalIF":2.1000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578666/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Clinical Informatics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/s-0044-1790545","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/20 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICAL INFORMATICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background:  Treatment of depressive symptoms in older adults is a growing public health concern. Collecting patient-reported outcomes (PROs) may facilitate efficiently scaling psychotherapy for older adults but user-specific tailoring is needed to improve completion.

Objectives:  This study investigates (1) the effect of updating PRO collection tools for middle-aged and older adults with depressive symptoms through a user-centered design process on user completion of PRO questions, (2) what sociodemographic factors correspond with participant completion, and (3) how completion of PRO questions change during the course of a psychotherapy intervention.

Methods:  Analysis was conducted on 139 middle-aged and older adults with depressive symptoms from three clinical trials at the Weill Cornell ALACRITY Center. Overall response percentages to daily PRO questionnaires were compared before and after the implementation of findings from a multiphase user-centered design process. Grouped least absolute shrinkage and selection operator (LASSO) was employed to examine which baseline factors correspond with patient completion and linear regression was conducted to explore the association. Changes in daily dichotomized completion over time were analyzed with mixed-effect logistic regression.

Results:  After user-centered updates, there was a significantly higher (p < 0.001) percentage of completion (mean [standard deviation (SD)] percentage, 67.0 [35.6]%) than before (mean [SD] percentage, 24.9 [28.9]%). Additional years of education, age, and total annual household income greater than $25,000 were significant with completion percentage. Mixed-effects logistic regression showed that the odds of high completion increased each day (OR = 1.019 [95% CI: 1.014, 1.023; p < 0.001]).

Conclusion:  This study has shown that user-centered technology tailoring may be associated with increased PRO completion among middle-aged and older adults with depressive symptoms. PRO-supported psychotherapies are promising for middle-aged and older adults with depressive symptoms. Likewise, this study has demonstrated the potential benefits of employing a rigorous user-centered design process with PRO technology.

通过以用户为中心的设计,提高晚年抑郁症心理疗法中每日患者报告结果的完成率。
背景:老年人抑郁症状的治疗是一个日益严重的公共卫生问题。收集患者报告的结果(PROs)可促进有效推广针对老年人的心理治疗,但需要根据用户的具体情况量身定制,以提高完成率:本研究调查:(1)通过以用户为中心的设计过程更新针对有抑郁症状的中老年人的PRO收集工具对用户完成PRO问题的影响;(2)哪些社会人口学因素与参与者的完成情况相对应;以及(3)在心理治疗干预过程中PRO问题的完成情况如何变化:对威尔康奈尔 ALACRITY 中心三项临床试验中 139 名有抑郁症状的中老年人进行了分析。在实施以用户为中心的多阶段设计过程的结果之前和之后,对每日PRO问卷的总回复率进行了比较。采用分组最小绝对收缩和选择算子(LASSO)来检查哪些基线因素与患者的完成情况相对应,并进行线性回归来探讨两者之间的关联。混合效应逻辑回归分析了每日二分法完成情况随时间的变化:结果:以用户为中心的更新后,患者的完成度明显提高(p p 结论:以用户为中心的更新能显著提高患者的完成度:这项研究表明,以用户为中心的技术定制可能会提高有抑郁症状的中老年人的PRO完成率。对于有抑郁症状的中老年人来说,PRO 支持的心理疗法很有前景。同样,本研究也证明了以用户为中心的严格设计流程对PRO技术的潜在益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Applied Clinical Informatics
Applied Clinical Informatics MEDICAL INFORMATICS-
CiteScore
4.60
自引率
24.10%
发文量
132
期刊介绍: ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信