Individualized Electronic Patient Reported Outcome Measures as a Communication Aid in Outpatient Cardiology Care
Author(s)
Maria Dalton, MSc1, Denise Kruger, N/A1, Tolulope Sajobi, PhD1, Danielle Southern, MSc1, Todd Wison, BSc, MSc, PhD1, Bryan Har, MPH, MD1, Michelle Graham, MD2, Stephen Wilton, MSc, MD1, Matthew James, PhD, MD1;
1University of Calgary, Calgary, AB, Canada, 2University of Alberta, Edmonton, AB, Canada
1University of Calgary, Calgary, AB, Canada, 2University of Alberta, Edmonton, AB, Canada
OBJECTIVES: Patient-reported outcomes measures (PROMs) quantify patients’ perspectives about their health and well-being, functioning (emotional, physical, mental, and social), and health-related quality of life. The Alberta Provincial Project for Outcomes Assessment (APPROACH) developed an ePROM Clinical Report which includes four validated PROM instruments (SAQ-7, PHQ-2/PHQ-9, SSS, EQ-5D) and the Self Care of Coronary Heart Disease Inventory. The primary objective of this study is to evaluate the feasibility, acceptability and efficacy of the APPROACH ePROM Clinician Report as an adjunct to the care of patients with established coronary artery disease.
METHODS: Utilizing a pre-post interventional study design, we will evaluate the APPROACH ePROM tool in four outpatient cardiology practices in Alberta over eight months. A total of 80 patients in the pre-intervention period and 120 patients in the intervention period will be recruited to participate, and each patient will contribute a single visit. Study outcomes will be evaluated using ePROM usage metrics, alongside a post-visit survey for both physicians and patients, a single exit interview for study physicians, and focus groups for patients. Outcomes will be evaluated in terms of feasibility and acceptability of the ePROMs report, as well as efficacy based on comparison of measures of physician-patient communication between groups. The pilot will allow us to better understand possible limitations and facilitators of the study to guide further evaluation (full-scale trial) and dissemination. This pilot trial is registered with Clinicaltrials.gov (NCT06164457).
RESULTS: Currently nearing the end of the control phase, we anticipate completing the intervention period by late-spring, with preliminary analysis following soon-after.
CONCLUSIONS: Integrating patient-reported outcome measures (PROMs) within routine care can improve outcomes and experiences with care, better align health services delivery, promote patient-provider communication, and support shared decision-making. Electronic PROMs platforms may ease implementation and enhance timely feedback to patients and healthcare providers, adding the patient’s voice.
METHODS: Utilizing a pre-post interventional study design, we will evaluate the APPROACH ePROM tool in four outpatient cardiology practices in Alberta over eight months. A total of 80 patients in the pre-intervention period and 120 patients in the intervention period will be recruited to participate, and each patient will contribute a single visit. Study outcomes will be evaluated using ePROM usage metrics, alongside a post-visit survey for both physicians and patients, a single exit interview for study physicians, and focus groups for patients. Outcomes will be evaluated in terms of feasibility and acceptability of the ePROMs report, as well as efficacy based on comparison of measures of physician-patient communication between groups. The pilot will allow us to better understand possible limitations and facilitators of the study to guide further evaluation (full-scale trial) and dissemination. This pilot trial is registered with Clinicaltrials.gov (NCT06164457).
RESULTS: Currently nearing the end of the control phase, we anticipate completing the intervention period by late-spring, with preliminary analysis following soon-after.
CONCLUSIONS: Integrating patient-reported outcome measures (PROMs) within routine care can improve outcomes and experiences with care, better align health services delivery, promote patient-provider communication, and support shared decision-making. Electronic PROMs platforms may ease implementation and enhance timely feedback to patients and healthcare providers, adding the patient’s voice.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
HSD107
Topic
Health Service Delivery & Process of Care
Disease
SDC: Cardiovascular Disorders (including MI, Stroke, Circulatory)