Pyke-Grimm Kimberly A, Kelly Katherine P, Stewart Janet L, Meza Jane
Rady Children's Hospital, San Diego, CA, USA.
Oncol Nurs Forum. 2011 Jul;38(4):428-35. doi: 10.1188/11.ONF.428-435.
PURPOSE/OBJECTIVES: To determine the feasibility of Web-based, multisite data collection using electronic instruments and the feasibility, acceptability, and usability of that data collection method to parents of children with cancer.
Prototype development and feasibility study.
Three Children's Oncology Group centers in the United States.
20 parents of children with cancer who made a treatment decision within the previous six months.
Eight instruments were translated from print to electronic format and deployed using a secure Web-based server. Parents completed printed versions of two of the instruments to assess comparability of the two formats. A post-survey interview focused on parents' computer experiences and the acceptability and ease of use of the instruments.
Time to orient parent to Web site, time to complete instruments, investigators' field notes, and postsurvey questionnaire.
Eighty percent of parents preferred the Web-based data collection and found it at least as easy as completing paper-and-pencil instruments. All parents, regardless of their computer expertise, were comfortable with the electronic data collection system. Statistical analysis demonstrated no evidence of systematic or clinically significant bias.
The Web-based data collection was feasible, reliable, and preferred by most study participants. The authors will use this strategy in future intervention trials of parents making treatment decisions.
Web-based data entry is feasible and acceptable to parents of children with cancer. Future multicenter collaborative studies should develop and test nursing interventions to support parents making treatment decisions.
目的/目标:确定使用电子工具进行基于网络的多中心数据收集的可行性,以及该数据收集方法对于癌症患儿家长的可行性、可接受性和易用性。
原型开发与可行性研究。
美国的三个儿童肿瘤学组中心。
20名在过去6个月内做出治疗决策的癌症患儿家长。
将8种工具从纸质形式转换为电子形式,并通过安全的基于网络的服务器进行部署。家长们完成了其中两种工具的纸质版本,以评估两种形式的可比性。一项调查后访谈聚焦于家长的计算机使用经验以及工具的可接受性和易用性。
家长熟悉网站的时间、完成工具的时间、研究者的现场记录以及调查后问卷。
80%的家长更喜欢基于网络的数据收集方式,并认为其至少与完成纸笔工具一样容易。所有家长,无论其计算机专业知识如何,都对电子数据收集系统感到满意。统计分析表明没有系统的或临床显著偏差的证据。
基于网络的数据收集是可行、可靠且为大多数研究参与者所偏爱的。作者将在未来针对做出治疗决策的家长的干预试验中使用这一策略。
基于网络的数据录入对于癌症患儿家长是可行且可接受的。未来的多中心合作研究应开发并测试护理干预措施,以支持家长做出治疗决策。