TY - JOUR
T1 - Relevant content for a patient-reported outcomes questionnaire for use in oncology clinical practice
T2 - Putting doctors and patients on the same page
AU - Snyder, Claire F.
AU - Jensen, Roxanne E.
AU - Geller, Gail
AU - Carducci, Michael A.
AU - Wu, Albert W.
N1 - Funding Information:
Acknowledgments This research was supported by a Mentored Research Scholar Grant from the American Cancer Society (MRSG-08-011-01-CPPB; PI: Snyder). We appreciate the participation of the clinicians and patients in this study, with special thanks to the clinicians who assisted us with recruiting their patients.
Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2010/9
Y1 - 2010/9
N2 - Purpose: To investigate relevant patient-reported outcome (PRO) domains for oncology clinical practice. Methods We conducted cross-sectional semi-structured telephone interviews with patients with breast and prostate cancer and clinicians. Using open-ended questions followed by structured prompts of PRO domains, subjects were asked what they currently discuss during visits and which topics are relevant for a clinical practice PRO. For each domain, we calculated the percentage of patients and clinicians who responded positively. A qualitative thematic content analysis identified barriers and benefits of using PROs in clinical practice. Results A total of 41 patients (21 breast cancer and 20 prostate cancer) and 15 clinicians (7 medical oncologists, 5 radiation oncologists, and 3 surgeons) completed the interviews. In general, clinicians and patients reported that the topics explored were relevant. Barriers to using PROs in clinical practice include (1) time constraints, (2) varying relevance of questions, (3) value of the conversational approach, (4) decreased usefulness in established relationships, and (5) respondent burden. Benefits of PROs in clinical practice include (1) identifying problems, (2) serving as a reminder of topics to discuss, and (3) tracking changes over time. Conclusions PROs in clinical practice may help triage issues and focus discussions. Computer-adaptive tests should be explored to tailor questionnaires to patients' specific issues.
AB - Purpose: To investigate relevant patient-reported outcome (PRO) domains for oncology clinical practice. Methods We conducted cross-sectional semi-structured telephone interviews with patients with breast and prostate cancer and clinicians. Using open-ended questions followed by structured prompts of PRO domains, subjects were asked what they currently discuss during visits and which topics are relevant for a clinical practice PRO. For each domain, we calculated the percentage of patients and clinicians who responded positively. A qualitative thematic content analysis identified barriers and benefits of using PROs in clinical practice. Results A total of 41 patients (21 breast cancer and 20 prostate cancer) and 15 clinicians (7 medical oncologists, 5 radiation oncologists, and 3 surgeons) completed the interviews. In general, clinicians and patients reported that the topics explored were relevant. Barriers to using PROs in clinical practice include (1) time constraints, (2) varying relevance of questions, (3) value of the conversational approach, (4) decreased usefulness in established relationships, and (5) respondent burden. Benefits of PROs in clinical practice include (1) identifying problems, (2) serving as a reminder of topics to discuss, and (3) tracking changes over time. Conclusions PROs in clinical practice may help triage issues and focus discussions. Computer-adaptive tests should be explored to tailor questionnaires to patients' specific issues.
KW - Cancer
KW - Clinical practice
KW - Content validity
KW - Patient-reported outcomes
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U2 - 10.1007/s11136-010-9655-z
DO - 10.1007/s11136-010-9655-z
M3 - Article
C2 - 20424920
AN - SCOPUS:79951727612
VL - 19
SP - 1045
EP - 1055
JO - Quality of Life Research
JF - Quality of Life Research
SN - 0962-9343
IS - 7
ER -