دورية أكاديمية

Feasibility of Weekly Integrated Palliative Care Outcome Scale (IPOS) Within a Stepped Care Model.

التفاصيل البيبلوغرافية
العنوان: Feasibility of Weekly Integrated Palliative Care Outcome Scale (IPOS) Within a Stepped Care Model.
المؤلفون: Yang GM; Division of Supportive and Palliative Care (G.M.Y., Y.K., P.S.H.N., Y.B.), National Cancer Centre Singapore, Singapore; Lien Centre for Palliative Care (G.M.Y., Y.K., P.S.H.N., Y.B.), Duke-NUS Medical School, Singapore, Singapore; Programme in Health Services and Systems Research (G.M.Y., Y.K., P.S.H.N., Y.B.), Duke-NUS Medical School, Singapore, Singapore. Electronic address: grace.yang.m.j@singhealth.com.sg., Lee Y; Duke-NUS Medical School (Y.L.), Singapore, Singapore., Ke Y; Division of Supportive and Palliative Care (G.M.Y., Y.K., P.S.H.N., Y.B.), National Cancer Centre Singapore, Singapore., Neo PSH; Division of Supportive and Palliative Care (G.M.Y., Y.K., P.S.H.N., Y.B.), National Cancer Centre Singapore, Singapore., Cheung YB; Programme in Health Services and Systems Research (G.M.Y., Y.K., P.S.H.N., Y.B.), Duke-NUS Medical School, Singapore, Singapore; Centre for Quantitative Medicine (Y.B.C.), Duke-NUS Medical School, Singapore, Singapore; Tampere Center for Child (Y.B.C.), Adolescent and Maternal Health Research, Tampere University, Tampere, Finland.
المصدر: Journal of pain and symptom management [J Pain Symptom Manage] 2024 Sep; Vol. 68 (3), pp. e174-e182. Date of Electronic Publication: 2024 Jun 13.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 8605836 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6513 (Electronic) Linking ISSN: 08853924 NLM ISO Abbreviation: J Pain Symptom Manage Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Elsevier
Original Publication: [Madison, WI : Dept. of Anesthesiology, University of Wisconsin--Madison, 1986-
مواضيع طبية MeSH: Palliative Care*/methods , Feasibility Studies* , Neoplasms*/therapy, Humans ; Male ; Female ; Middle Aged ; Aged ; Patient Reported Outcome Measures ; Surveys and Questionnaires ; Ambulatory Care ; Adult
مستخلص: Context: Patients with advanced cancer may experience symptoms and concerns that are inadequately identified by the healthcare team, leading to calls for patient-reported symptom monitoring.
Objectives: Assess the feasibility of administering weekly patient-reported online Integrated Palliative care Outcome Scale (IPOS) questionnaires within the context of a stepped care model in the outpatient care setting.
Methods: Analysis of intervention group data in a randomized controlled trial to assess the effectiveness of a stepped care model of palliative care for patients with advanced cancer. Patients in the intervention group were invited to complete the IPOS weekly for 16 weeks through a remotely-administered online questionnaire. At the end of the 16-week period, patients were invited to complete a feedback survey. Multivariable logistic regression was used to assess factors associated with more versus less than 70% completion of weekly questionnaires.
Results: Among 111 patients who survived more than 16 weeks, the mean number of questionnaires completed was 9.2/16 (58%). A total of 53 out of the 111 patients (48%) completed more than 70% of the questionnaires. Higher education level was found to be associated with higher completion of the questionnaires. A total of 79 out of 111 (71%) patients responded to the feedback survey, of which 67 (85%) felt comfortable with completing the online questionnaire and 11 (14%) felt it was troublesome to complete it on a weekly basis.
Conclusion: In our study, there was suboptimal completion of patient-reported IPOS questionnaire. Further research is needed to improve the uptake of patient-reported outcomes in real-world clinical settings.
(Copyright © 2024 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Palliative Care; cancer; feasibility studies; patient reported outcome measures; symptom screening; telemedicine
تواريخ الأحداث: Date Created: 20240615 Date Completed: 20240812 Latest Revision: 20240826
رمز التحديث: 20240827
DOI: 10.1016/j.jpainsymman.2024.06.004
PMID: 38878909
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-6513
DOI:10.1016/j.jpainsymman.2024.06.004