Department of Psychology, University of Greifswald, 17489 Greifswald, Germany.
Department of Health Care Epidemiology and Community Health, Institute of Community Medicine, University Medicine Greifswald, 17489 Greifswald, Germany.
Int J Environ Res Public Health. 2021 Oct 5;18(19):10454. doi: 10.3390/ijerph181910454.
Quality of life (QoL) is a core patient-reported outcome in healthcare research, alongside primary clinical outcomes. A conceptual, operational, and psychometric elaboration of QoL in the context of TM is needed, because standardized instruments to assess QoL do not sufficiently represent essential aspects of intended outcomes of telemedical applications (TM). The overall aim is to develop an instrument that can adequately capture QoL in TM. For that purpose, an extended working model of QoL will be derived. Subsequently, an instrument will be developed and validated that captures those aspects of QoL that are influenced by TM. The initial exploratory study section includes (a) a systematic literature review, (b) a qualitative survey for concept elicitation, and (c) pre-testings using cognitive debriefings with patients and an expert workshop. The second quantitative section consists of an online expert survey and two patient surveys for piloting and validation of the newly developed instrument. The resulting questionnaire will assess central experiences of patients regarding telemedical applications and its impact on QoL more sensitively. Its use as adjunct instrument will lead to a more appropriate evaluation of TM and contribute to the improvement of care tailored to patients' individual needs.
生活质量（QoL）是医疗保健研究中核心的患者报告结果之一，与主要临床结果并列。需要对 TM 背景下的 QoL 进行概念、操作和心理计量学的阐述，因为评估 QoL 的标准化工具不能充分代表远程医疗应用（TM）预期结果的重要方面。总体目标是开发一种能够充分捕捉 TM 中 QoL 的工具。为此，将推导出扩展的 QoL 工作模型。随后，将开发和验证一种工具，以捕捉受 TM 影响的 QoL 方面。初始探索性研究部分包括：（a）系统文献综述；（b）用于概念提取的定性调查；（c）使用患者认知剖析和专家研讨会进行预测试。第二部分定量研究包括在线专家调查和两项患者调查，以对新开发的工具进行试点和验证。由此产生的问卷将更敏感地评估患者对远程医疗应用的核心体验及其对 QoL 的影响。将其作为辅助工具使用将导致对 TM 的更恰当评估，并有助于根据患者的个体需求改善护理。
