Wong Dorothy, Cao Shen, Ford Heather, Richardson Candice, Belenko Dmitri, Tang Evan, Ugenti Luca, Warsmann Eleanor, Sissons Amanda, Kulandaivelu Yalinie, Edwards Nathaniel, Novak Marta, Li Madeline, Mucsi Istvan
Division of Nephrology, Multi-Organ Transplant Program, University Health Network and University of Toronto, Toronto, Canada.
Centre for Mental Health, University Health Network and Department of Psychiatry, University of Toronto, Toronto, Canada.
BMC Nephrol. 2017 Dec 6;18(1):356. doi: 10.1186/s12882-017-0771-7.
Collecting 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).
We 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.
One 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).
Tablet 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.
通过基于计算机的电子数据采集系统收集患者报告的结局指标（PROMs）可能会提高可行性，并有助于在临床护理中实施。我们报告了我们在慢性肾脏病（CKD）患者中，包括接受肾脏替代治疗（RRT）（透析或移植）的5期CKD患者中，使用触摸屏平板电脑进行自我管理问卷的可接受性的初步经验。
我们在一项单中心横断面试点研究中纳入了4期和5期CKD患者（包括透析患者或肾移植后患者）的便利样本。参与者在平板电脑上完成了在电子数据采集系统（DADOS，Techna公司，多伦多）上编程的经过验证的问卷。主要目的是评估在CKD患者中使用基于平板电脑的电子数据采集的可接受性和可行性。描述性统计、费舍尔精确检验和多变量逻辑回归模型用于数据分析。
121名患者（55%为男性，平均年龄（±标准差）为58（±14）岁，49%为白种人）参与了研究。92%的受访者表示平板电脑是可接受的，79%的参与者在完成问卷时不需要或只需要很少的帮助。70岁及以上患者（75%对95%；p = 0.011）和以前几乎没有计算机经验的患者（81%对96%；p = 0.05）对平板电脑的接受度较低。此外，年龄较大（45%对15%；p = 0.009）、教育程度较低（33%对14%；p = 0.027）、健康素养较低（79%对12%；p = 0.027）以及以前几乎没有计算机经验的患者（52%对10%；p = 0.027）更经常需要更多的帮助。
基于平板电脑的电子数据采集用于管理PROMs对大多数受访者来说是可接受和可行的，因此可用于系统评估CKD患者的PROMs。应特别关注以前几乎没有计算机经验的老年患者，因为他们在完成问卷时可能需要更多帮助。
