Exploring the use of tablet computer-based electronic data capture system to assess patient reported measures among patients with chronic kidney disease: a pilot study

BMC Nephrology

Research Article

Marta Novak¹  Madeline Li²  Dmitri Belenko³  Eleanor Warsmann³  Luca Ugenti³  Amanda Sissons³  Nathaniel Edwards³  Shen Cao³  Evan Tang³  Dorothy Wong³  Yalinie Kulandaivelu³  Heather Ford³  Candice Richardson³  Istvan Mucsi⁴ 

[1] Centre for Mental Health, University Health Network and Department of Psychiatry, University of Toronto, Toronto, Canada;Department of Supportive Care, Princess Margaret Hospital, Toronto, ON, Canada;Division of Nephrology, Multi-Organ Transplant Program, University Health Network and University of Toronto, Toronto, Canada;Division of Nephrology, Multi-Organ Transplant Program, University Health Network and University of Toronto, Toronto, Canada;Multi-Organ Transplant Program, Toronto General Hospital, University Health Network, 585 University Avenue, 11-PMB-188, M5G 2N2, Toronto, ON, Canada;

关键词: Patient reported outcome measures (PROMs);    Tablet computers;    CKD;    Diabetes;    Electronic data capture;    Self-administered questionnaires;    Pilot study;   

DOI  :  10.1186/s12882-017-0771-7

 received in 2017-06-05, accepted in 2017-11-21,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundCollecting patient reported outcome measures (PROMs) via computer-based electronic data capture system may improve feasibility and facilitate implementation in clinical care. We report our initial experience about the acceptability of touch-screen tablet computer-based, self-administered questionnaires among patients with chronic kidney disease (CKD), including stage 5 CKD treated with renal replacement therapies (RRT) (either dialysis or transplant).MethodsWe enrolled a convenience sample of patients with stage 4 and 5 CKD (including patients on dialysis or after kidney transplant) in a single-centre, cross-sectional pilot study. Participants completed validated questionnaires programmed on an electronic data capture system (DADOS, Techna Inc., Toronto) on tablet computers. The primary objective was to evaluate the acceptability and feasibility of using tablet-based electronic data capture in patients with CKD. Descriptive statistics, Fischer’s exact test and multivariable logistic regression models were used for data analysis.ResultsOne hundred and twenty one patients (55% male, mean age (± SD) of 58 (±14) years, 49% Caucasian) participated in the study. Ninety-two percent of the respondents indicated that the computer tablet was acceptable and 79% of the participants required no or minimal help for completing the questionnaires. Acceptance of tablets was lower among patients 70 years or older (75% vs. 95%; p = 0.011) and with little previous computer experience (81% vs. 96%; p = 0.05). Furthermore, a greater level of assistance was more frequently required by patients who were older (45% vs. 15%; p = 0.009), had lower level of education (33% vs. 14%; p = 0.027), low health literacy (79% vs. 12%; p = 0.027), and little previous experience with computers (52% vs. 10%; p = 0.027).ConclusionsTablet computer-based electronic data capture to administer PROMs was acceptable and feasible for most respondents and could therefore be used to systematically assess PROMs among patients with CKD. Special consideration should focus on elderly patients with little previous computer experience, since they may require more assistance with completion.

【 授权许可】

CC BY   
© The Author(s). 2017