Patient acceptability and usability of a self-administered electronic patient-reported outcome assessment in HIV care: relationship with health behaviors and outcomes
| Autor: | William C. Mathews, Joseph A.C. Delaney, Paul K. Crane, Heidi M. Crane, Brittany N. Harding, Justin McReynolds, Stephanie A. Ruderman, James H. Willig, Bridget M. Whitney, William B. Lober, Greg Barnes, Robin M. Nance, Rob J. Fredericksen, E. Fitzsimmons |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health (social science) Social Psychology Health Behavior Human immunodeficiency virus (HIV) Patient characteristics HIV Infections medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Quality of life Clinical Research acceptability Behavioral and Social Science medicine Humans Psychology Patient Reported Outcome Measures 030212 general & internal medicine Patient reported outcomes Depression (differential diagnoses) electronic PRO administration 030505 public health Depression business.industry Public Health Environmental and Occupational Health Multiple sex partners Usability Middle Aged Electronic patient-reported outcome Brain Disorders Mental Health Good Health and Well Being Helpfulness Quality of Life Public Health and Health Services Physical therapy HIV/AIDS Female Public Health Electronics HIV care 0305 other medical science business |
| Zdroj: | AIDS care, vol 33, iss 9 AIDS Care |
| ISSN: | 1360-0451 0954-0121 |
| Popis: | We assessed acceptability/usability of tablet-based patient-reported outcome (PRO) assessments among patients in HIV care, and relationships with health outcomes using a modified version of the 6-item Acceptability E-Scale (AES) within a self-administered PRO assessment. Using multivariable linear regression, we measured associations between patient characteristics and continuous combined AES score. Among 786 patients (median age=48; 91% male; 49% white; 17% Spanish-speaking) overall mean score was 26/30 points (SD: 4.4). Mean scores per dimension (max 5, 1=lowest acceptability, 5=highest): ease of use 4.7, understandability 4.7, time burden 4.3, overall satisfaction 4.3, helpfulness describing symptoms/behaviors 4.2, and enjoyability 3.8. Higher overall score was associated with race/ethnicity (+1.3 points/African-American patients (95%CI:0.3-2.3); +1.6 points/Latino patients (95%CI:0.9-2.3) compared to white patients). Patients completing PROs in Spanish scored +2.4 points on average (95%CI:1.6-3.3). Higher acceptability was associated with better quality of life (0.3 points (95%CI:0.2-0.5)) and adherence (0.4 points (95%CI:0.2-0.6)). Lower acceptability was associated with: higher depression symptoms (−0.9 points (95%CI:-1.4 to −0.4)); recent illicit opioid use (−2.0 points (95%CI:-3.9 to −0.2)); multiple recent sex partners (−0.8 points (95%CI:−1.5 to −0.1)). While patients endorsing depression symptoms, recent opioid use, condomless sex, or multiple sex partners found PROs to be less acceptable, overall, patients found self-administered, tablet-based PRO assessments to be highly acceptable and easy to use. |
| Databáze: | OpenAIRE |
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