在急性和亚急性医院环境中实施共同设计的老年人报告结果测量(PROMs)收集系统的可行性。

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Quality of Life Research Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI:10.1007/s11136-025-03931-0
David A Snowdon, Lucy Marsh, Velandai Srikanth, Richard Beare, Rebecca Barnden, Emily Parker, Nadine E Andrew
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引用次数: 0

摘要

目的:测试共同设计的住院老年人PROMs收集系统的可行性。方法:在一个急性和一个亚急性病房连续进行了为期12周的混合方法可行性研究。年龄≥60岁且出院的患者入选。在出院时和出院后3-6个月进行EQ-5D-5L测试,并增加疲劳和认知测试项目。管理是由研究助理或志愿者使用各种模式(平板电脑,电话,短信)。使用可行性框架来评估可行性,以获取需求、实现、实用性和可接受性。采用描述性统计。与志愿者进行访谈,并使用演绎内容分析进行分析。结果:完成率显示高需求(出院= 84%,n = 110/131;随访= 81%,n = 90/110)。出院时,大多数(57%)完成了药片上的prom, 9%由志愿者管理。使用片剂时需要帮助最多(67%),使用片剂的平均时间最长(17.9 min, SD = 3.3),其次是电话(8.8 min, SD = 4.4)和短信(1.3 min, SD = 0.5)。与短信(100%)相比,更少的参与者报告可接受使用平板电脑(61%)。在随访中,大多数患者在手机上完成了PROMs(82%),并且给予PROMs的平均时间少于出院时间(4.9分钟对13.4分钟)。志愿者报告说,给身体不适的病人服用PROMs是一项挑战。结论:共同设计的PROMs收集系统在住院老年人中具有可行性,其中电话和短信的可接受性最大。由志愿者管理prom是不可行的。试验注册:ACTRN12623000576628。2023年5月25日注册
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility of implementing a codesigned patient reported outcome measures (PROMs) collection system for older adults in acute and sub-acute hospital settings.

Purpose: To test the feasibility of a co-designed PROMs collection system for hospitalised older adults.

Methods: A mixed-methods feasibility study was conducted sequentially across one acute and one sub-acute ward, over a 12-week period. Patients aged ≥ 60 years who discharged from hospital were eligible. The EQ-5D-5L with added items on fatigue and cognition was administered on discharge and at 3-6 months post-discharge. Administration was by either a research assistant or volunteer using a variety of modes (tablet computer, phone, SMS). Feasibility was evaluated using a feasibility framework to capture demand, implementation, practicality, and acceptability. Descriptive statistics were applied. Interviews were conducted with volunteers and analysed using deductive content analysis.

Results: Completion rates indicated high demand (discharge = 84%, n = 110/131; follow-up = 81%, n = 90/110). At discharge, most completed PROMs on the tablet (57%) and 9% were administered by a volunteer. Most required assistance using the tablet (67%) and the average time to administer PROMs was longest for the tablet (17.9 min, SD = 3.3), followed by phone (8.8 min, SD = 4.4) and SMS (1.3 min, SD = 0.5). Fewer participants reported acceptability with using the tablet (61%) compared to SMS (100%). At follow-up, most completed PROMs on the phone (82%) and the average time to administer PROMs was less than discharge (4.9 vs. 13.4 min). Volunteers reported administering PROMs to unwell patients was challenging.

Conclusion: A co-designed PROMs collection system demonstrated feasibility in hospitalised older adults with phone and SMS having greatest acceptability. Administration of PROMs by volunteers was not feasible.

Trial registration: ACTRN12623000576628. Registered 25 May 2023.

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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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