Hernar Ingvild, Graue Marit, Richards David, Strandberg Ragnhild B, Nilsen Roy M, Tell Grethe S, Haugstvedt Anne
1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, P.O. Box 7030, N-5020 Bergen, Norway.
2Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Pilot Feasibility Stud. 2019 Feb 20;5:29. doi: 10.1186/s40814-019-0419-4. eCollection 2019.
Living with type 1 diabetes (T1D) is demanding, and emotional problems may impair ability for diabetes self-management. Thus, diabetes guidelines recommend regular assessment of such problems. Using patient-reported outcome measures (PROMs) to assess diabetes-related distress and psychological well-being is considered useful. It has been proposed that future work should examine the use of PROMs to support the care of individual patients and improve the quality of health services. To our knowledge, the use of PROMs has not been systematically evaluated in diabetes care services in Norway. Electronically captured PROMs can be directly incorporated into electronic patient records. Thus, the study's overall aim was to examine the feasibility and acceptability of capturing PROMs electronically on a touchscreen computer in clinical diabetes practice.
Adults with T1D age ≥ 40 years completed PROMs on a touchscreen computer at Haukeland University Hospital's diabetes outpatient clinic. We included 46 items related to diabetes-related distress, self-perceived diabetes competence, awareness of hypoglycaemia, occurrence of hyperglycaemia, hypoglycaemia and fluctuating glucose levels, routines for glucose monitoring, general well-being and health-related quality of life. Participants subsequently completed a paper-based questionnaire regarding comprehension and relevance of the PROMs, acceptance of the number of items and willingness to complete electronic PROMs annually. We wrote field notes in the outpatient clinic based on observations and comments from the invited participants.
During spring 2017, 69 participants (50.7% men), age 40 to 74 years, were recruited. Generally, the touchscreen computer functioned well technically. Median time spent completing the PROMs was 8 min 19 s. Twenty-nine (42.0%) participants completed the PROMs without missing items, with an 81.4% average instrument completion rate. Participants reported that the PROMs were comprehensible ( = 62) and relevant ( = 46) to a large or very large degree, with an acceptable number of items ( = 51). Moreover, 54 were willing to complete PROMs annually. Participants commented that the focus on living with diabetes was valued.
Capturing PROMs on a touchscreen computer in an outpatient clinic was technically and practically feasible. The participants found the PROMs to be relevant and acceptable with a manageable number of items, and reported willingness to complete PROMs annually.
1型糖尿病（T1D）患者的生活要求很高，情绪问题可能会损害糖尿病自我管理能力。因此，糖尿病指南建议定期评估此类问题。使用患者报告结局量表（PROMs）来评估糖尿病相关困扰和心理健康状况被认为是有用的。有人提出，未来的工作应研究使用PROMs来支持个体患者的护理并提高卫生服务质量。据我们所知，挪威的糖尿病护理服务中尚未对PROMs的使用进行系统评估。电子采集的PROMs可直接纳入电子病历。因此，该研究的总体目标是检验在临床糖尿病实践中通过触摸屏计算机电子采集PROMs的可行性和可接受性。
年龄≥40岁的成年T1D患者在豪克兰大学医院糖尿病门诊通过触摸屏计算机完成PROMs。我们纳入了46项与糖尿病相关困扰、自我感知的糖尿病能力、低血糖意识、高血糖、低血糖及血糖水平波动的发生情况、血糖监测常规、总体幸福感和健康相关生活质量有关的项目。参与者随后完成了一份纸质问卷，内容涉及PROMs的理解程度和相关性、对项目数量的接受程度以及每年完成电子PROMs的意愿。我们根据受邀参与者的观察和评论在门诊撰写了现场记录。
2017年春季，招募了69名参与者（男性占50.7%），年龄在40至74岁之间。总体而言，触摸屏计算机在技术上运行良好。完成PROMs的中位时间为8分19秒。29名（42.0%）参与者完整完成了PROMs，仪器平均完成率为81.4%。参与者报告称，PROMs在很大或非常大程度上是可理解的（n = 62）且相关的（n = 46），项目数量可接受（n = 51）。此外，54人愿意每年完成PROMs。参与者评论说，关注糖尿病患者的生活很有价值。
在门诊通过触摸屏计算机采集PROMs在技术和实践上是可行的。参与者认为PROMs相关且可接受，项目数量可控，并表示愿意每年完成PROMs。
