Adolescents and Young Adults with Cancer Using a Symptom Heuristics App: Provider Perceptions and Actions
| Autor: | Lauri A. Linder, Suzanne Ameringer, Kristin Stegenga, Amy Rose Newman, Jeanne M. Erickson, Ronald K. Elswick, Catherine Fiona Macpherson, John A. Charlson, Stefanie M. Thomas |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Adolescent media_common.quotation_subject Symptom assessment Tablet computer 03 medical and health sciences Young Adult 0302 clinical medicine Provider perceptions Perception Health care Medicine Heuristics Humans 030212 general & internal medicine Young adult media_common business.industry Usability Original Articles humanities Oncology 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female InformationSystems_MISCELLANEOUS business Clinical psychology |
| Zdroj: | J Adolesc Young Adult Oncol |
| ISSN: | 2156-535X |
| Popis: | Purpose: This study examined health care providers' perceptions of the usefulness and ease of use of a symptom heuristics app delivered via a tablet computer as a resource for understanding symptom experiences of adolescents and young adults (AYAs) with cancer. AYAs' app-generated symptom reports were compared with providers' documentation of AYAs' symptoms. Methods: This multisite study included responses from 86 AYAs 15–29 years of age who completed the Computerized Symptom Capture Tool (C-SCAT) before two scheduled visits for chemotherapy. After each visit, their providers completed a survey addressing their perspective of: (1) the usefulness of data provided by the C-SCAT to understand the AYAs' symptom experience, and (2) the nature of the discussion of symptoms with the AYA. An electronic health record review compared symptoms that AYAs identified by using the C-SCAT with providers' documentation of symptoms. Results: One hundred forty-four complete surveys were returned after 162 visits. Fifty percent (n = 72) of responses reported that the C-SCAT helped identify the patient's symptoms, and 53% (n = 76) reported that it helped identify the patient's priority symptoms. Providers also reported higher patient engagement and more focused discussions regarding symptoms. They reported that use of the C-SCAT facilitated the development of symptom management plans. Priority symptoms were documented more frequently than nonpriority symptoms (54% vs. 32.7%; p |
| Databáze: | OpenAIRE |
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