Feasibility and value of PatientViewpoint: A web system for patient-reported outcomes assessment in clinical practice

Claire F. Snyder, Amanda L. Blackford, Antonio C. Wolff, Michael A. Carducci, Joseph M. Herman, Albert W. Wu

Research output: Contribution to journalArticle

Abstract

Background The PatientViewpoint website collects patient-reported outcomes and links them with the electronic health record to aid patient management. This pilot test evaluated PatientViewpoint's use, usefulness, and acceptability to patients and clinicians. Methods This was a single-arm prospective study that enrolled breast and prostate cancer patients undergoing treatment and the clinicians who managed them. Patients completed patient-reported outcomes every 2 weeks, and clinicians could access the results for patient visits. Scores that were poor relative to norms or substantially worse than the previous assessment were highlighted. After three on-study visits, we assessed patient and clinician perspectives on PatientViewpoint using close-ended and open-ended questions. Results Eleven out of 12 eligible clinicians (92%) and 52/76 eligible patients (68%) enrolled. Patients completed a median of 71% of assigned questionnaires; clinicians reported using the information for 79% of patients, most commonly as a source of additional information (51%). At the median, score reports identified three potential issues, of which 1 was discussed during the visit. Patients reported the system was easy to use (92%), useful (70%), aided recall of symptoms/side effects (72%), helped them feel more in control of their care (60%), improved discussions with their provider (49%), and improved care quality (39%). Patients and clinicians desired more information on score interpretation and minor adjustments to site navigation. Conclusions These results support the feasibility and value of PatientViewpoint. An ongoing study is using a continuous quality improvement approach to further refine PatientViewpoint. Future studies will evaluate its impact on patient care and outcomes.

Original languageEnglish (US)
Pages (from-to)895-901
Number of pages7
JournalPsycho-Oncology
Volume22
Issue number4
DOIs
StatePublished - Apr 1 2013

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Keywords

  • cancer
  • clinical practice
  • electronic data collection
  • oncology
  • patient-reported outcomes

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

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