دورية أكاديمية
Feasibility of Weekly Integrated Palliative Care Outcome Scale (IPOS) Within a Stepped Care Model.
العنوان: | Feasibility of Weekly Integrated Palliative Care Outcome Scale (IPOS) Within a Stepped Care Model. |
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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 |
تدمد: | 1873-6513 |
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DOI: | 10.1016/j.jpainsymman.2024.06.004 |