Feasibility and performance of smartphone-based daily micro-surveys among patients recovering from cancer surgery.

Autor: van den Berg L; Patient-Reported Outcomes, Value & Experience (PROVE) Center, Brigham and Women's Hospital, Boston, USA.; Department of Plastic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands., Brouwer P; Patient-Reported Outcomes, Value & Experience (PROVE) Center, Brigham and Women's Hospital, Boston, USA. p.h.brouwer@icloud.com.; Department of Plastic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands. p.h.brouwer@icloud.com., Panda N; Ariadne Labs, Brigham and Women's Hospital, Harvard. T.H. School of Public Health, Boston, USA.; Department of Surgery, Massachusetts General Hospital, Boston, USA., Hoogbergen MM; Department of Plastic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands., Solsky I; Department of Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, USA., Onnela JP; Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, USA., Haynes AB; Department of Surgery, Massachusetts General Hospital, Boston, USA.; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas At Austin, Austin, USA., Sidey-Gibbons CJ; Patient-Reported Outcomes, Value & Experience (PROVE) Center, Brigham and Women's Hospital, Boston, USA.; Department of Symptom Research, Center for Integrative Systems for Patient-Reported Data (INSPiRED) in Cancer Care, Houston, USA.
Jazyk: angličtina
Zdroj: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2022 Feb; Vol. 31 (2), pp. 579-587. Date of Electronic Publication: 2021 Jul 20.
DOI: 10.1007/s11136-021-02934-x
Abstrakt: Aims: Daily micro-surveys, or the high-frequency administration of patient-reported outcome measures (PROMs), may provide real-time, unbiased assessments of health-related quality of life (HRQoL). We evaluated the feasibility and accuracy of daily micro-surveys using a smartphone platform among patients recovering from cancer surgery.
Methods: In a prospective study (2017-2019), patients undergoing cancer surgery downloaded a smartphone application that administered daily micro-surveys comprising five randomly selected items from the Short Form-36 (SF-36). Micro-surveys were administered without replacement until the entire SF-36 was administered weekly. The full-length SF-36 was also administered preoperatively and 4, 12, and 24 weeks postoperatively. We assessed response and completion rates between the micro-surveys and full-length SF-36, as well as agreement of responses using Bland-Altman (B&A) analyses.
Results: Ninety-five patients downloaded the application and were followed for a mean of 131 days [SD ± 85]. Response rates for the full-length SF-36 and micro-surveys was 76% [95%CI 69, 83], and 34% [95%CI 26, 39]. Despite lower response rates, more SF-36 surveys were collected using the daily micro-surveys compared to the intermittent full-length SF-36 (9.9 [95%CI 8.4, 12.6] vs. 3.0 [95%CI 2.8, 3.3], respectively). B&A analyses demonstrated lack of agreement between micro-surveys and SF-36. However, agreement improved with higher micro-survey completion rate. Eighty-five percent of participants reported that daily micro-surveys were not burdensome.
Conclusion: This study suggests that collection of daily micro-surveys among patients recovering from cancer surgery is feasible using smartphones in the early postoperative period. Future implementation of daily micro-surveys may more granularly describe momentary HRQoL changes through a greater volume of self-reported survey data.
(© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)
Databáze: MEDLINE
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