Feasibility of Collecting Patient-Reported Outcomes for Inpatient Rehabilitation Quality Reporting.
Ontology highlight
ABSTRACT: Objective
To evaluate rehabilitation inpatients' willingness and ability to complete patient-reported outcomes (PROs) and the burden of completion on patients and staff.Data sources/study setting
Two inpatient rehabilitation facilities.Study design
Patients with neurological disorders were assigned randomly to receive a nominal monetary incentive during or 1 month after the stay.Data collection
Patients responded using a tablet computer or paper.Principal findings
Of the 1,055 admissions, 74 percent were eligible, and 51 percent of eligible patients completed the survey. Most answered without assistance. A majority completed the survey 1 month after discharge; incentive timing was unrelated to postdischarge completion. Half of the 285 follow-up respondents required at least two reminder calls.Conclusions
Collection of PROs from rehabilitation patients is feasible. Results inform policy makers regarding feasibility of PRO data in evaluating rehabilitation quality.
SUBMITTER: Heinemann AW
PROVIDER: S-EPMC5980389 | biostudies-literature | 2018 Jun
REPOSITORIES: biostudies-literature
Publications
Feasibility of Collecting Patient-Reported Outcomes for Inpatient Rehabilitation Quality Reporting.
Heinemann Allen Walter AW Deutsch Anne A Cella David D Cook Karon Frances KF Foster Linda L Miskovic Ana A Davis Katharine K Goldsmith Arielle A
Health services research 20170615 3
<h4>Objective</h4>To evaluate rehabilitation inpatients' willingness and ability to complete patient-reported outcomes (PROs) and the burden of completion on patients and staff.<h4>Data sources/study setting</h4>Two inpatient rehabilitation facilities.<h4>Study design</h4>Patients with neurological disorders were assigned randomly to receive a nominal monetary incentive during or 1 month after the stay.<h4>Data collection</h4>Patients responded using a tablet computer or paper.<h4>Principal find ...[more]
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Project description:PurposePatient-reported outcome (PRO) measures are increasingly important in evaluating medical care. The increased integration of technology within the healthcare systems allows for collection of PROs electronically. The objectives of this study were to Ashley et al. J Med Internet Res (2013) implement an electronic assessment of PROs in inpatient cancer care and test its feasibility for patients and Dawson et al. BMJ (2010) determine the equivalence of the paper and electronic assessment.MethodsWe analyzed two arms from a study that was originally designed to be an interventional, three-arm, and multicenter inpatient trial. A self-administered questionnaire based on validated PRO-measures was applied and completed at admission, 1 week after, and at discharge. For this analysis - focusing on feasibility of the electronic assessment - the following groups will be considered: Group A (intervention arm) received a tablet version, while group B (control arm) completed the questionnaire on paper. A feasibility questionnaire, that was adapted from Ashley et al. J Med Internet Res (2013), was administered to group A.ResultsWe analyzed 103 patients that were recruited in oncology wards. ePRO was feasible to most patients, with 84% preferring the electronic over paper-based assessment. The feasibility questionnaire contained questions that were answered on a scale ranging from "1" (illustrating non achievement) to "5" (illustrating achieving goal). The majority (mean 4.24, SD .99) reported no difficulties handling the electronic tool and found it relatively easy finding time for filling out the questionnaire (mean 4.15, SD 1.05). There were no significant differences between the paper and the electronic assessment regarding the PROs.ConclusionResults indicate that electronic PRO assessment in inpatient cancer care is feasible.
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