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医院神经发育诊所中电子数据收集的可接受性和有效性:试点问卷调查研究

The Acceptability and Efficacy of Electronic Data Collection in a Hospital Neurodevelopmental Clinic: Pilot Questionnaire Study.

作者信息

Patel Shrujna, Boulton Kelsie Ann, Redoblado-Hodge Marie Antoinette, Papanicolaou Angela, Barnett Diana, Bennett Beverley, Drevensek Suzi, Cramsie Jane, Ganesalingam Kalaichelvi, Ong Natalie, Rozsa Magdalen, Sutherland Rebecca, Williamsz Marcia, Pokorski Izabella, Song Yun Ju Christine, Silove Natalie, Guastella Adam John

机构信息

Autism Clinic for Translational Research, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.

Child Neurodevelopment and Mental Health Team, Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.

出版信息

JMIR Form Res. 2021 Jan 19;5(1):e18214. doi: 10.2196/18214.

Abstract

BACKGROUND

There is a growing need for cost-efficient and patient-centered approaches to support families in hospital- and community-based neurodevelopmental services. For such purposes, electronic data collection (EDC) may hold advantages over paper-based data collection. Such EDC approaches enable automated data collection for scoring and interpretation, saving time for clinicians and services and promoting more efficient service delivery.

OBJECTIVE

This pilot study evaluated the efficacy of EDC for the Child Development Unit, a hospital-based diagnostic assessment clinic in the Sydney Children's Hospital Network. Caregiver response rates and preference for EDC or paper-based methods were evaluated as well as the moderating role of demographic characteristics such as age, level of education, and ethnic background.

METHODS

Families were sent either a paper-based questionnaire via post or an electronic mail link for completion before attending their first on-site clinic appointment for assessment. A total of 62 families were provided a paper version of the questionnaire, while 184 families were provided the online version of the same questionnaire.

RESULTS

Completion rates of the questionnaire before the first appointment were significantly higher for EDC (164/184, 89.1%) in comparison to paper-based methods (24/62, 39%; P<.001). Within the EDC group, a vast majority of respondents indicated a preference for completing the questionnaire online (151/173, 87.3%), compared to paper completion (22/173, 12.7%; P<.001). Of the caregiver demographic characteristics, only the respondent's level of education was associated with modality preference, such that those with a higher level of education reported a greater preference for EDC (P=.04).

CONCLUSIONS

These results show that EDC is feasible in hospital-based clinics and has the potential to offer substantial benefits in terms of centralized data collation, time and cost savings, efficiency of service, and resource allocation. The results of this study therefore support the continued use of electronic methods to improve family-centered care in clinical practices.

摘要

背景

在以医院和社区为基础的神经发育服务中,越来越需要经济高效且以患者为中心的方法来支持家庭。出于此类目的,电子数据收集(EDC)可能比纸质数据收集具有优势。此类EDC方法能够实现自动数据收集以进行评分和解读,为临床医生和服务节省时间,并促进更高效的服务提供。

目的

这项试点研究评估了EDC在悉尼儿童医院网络中一家以医院为基础的诊断评估诊所——儿童发育科的效果。评估了照顾者的回复率以及对EDC或纸质方法的偏好,以及年龄、教育程度和种族背景等人口统计学特征的调节作用。

方法

在家庭首次到现场诊所预约评估之前,通过邮寄方式向他们发送纸质问卷,或发送电子邮件链接以供填写。总共62个家庭收到了问卷纸质版,而184个家庭收到了同一问卷的在线版。

结果

与纸质方法(24/62,39%)相比,首次预约前问卷的完成率在EDC组(164/184,89.1%)中显著更高(P<0.001)。在EDC组中,绝大多数受访者表示更喜欢在线填写问卷(151/173,87.3%),相比纸质填写(22/173,12.7%;P<0.001)。在照顾者的人口统计学特征中,只有受访者的教育程度与方式偏好相关,即教育程度较高的人对EDC的偏好更大(P=0.04)。

结论

这些结果表明,EDC在以医院为基础的诊所中是可行的,并且在集中数据整理、节省时间和成本、服务效率以及资源分配方面具有提供实质性益处的潜力。因此,本研究结果支持继续使用电子方法来改善临床实践中以家庭为中心的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e636/7854031/a1c653d4331f/formative_v5i1e18214_fig1.jpg

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