Rausch-Koster T P, van der Aa H P A, Verbraak F D, van Rens G H M B, van Nispen R M A
Amsterdam UMC location Vrije Universiteit Amsterdam, Ophthalmology, De Boelelaan, Amsterdam, The Netherlands.
Amsterdam Public Health, Quality of Care, Aging and Later Life, Amsterdam, The Netherlands.
Transl Vis Sci Technol. 2024 Mar 1;13(3):6. doi: 10.1167/tvst.13.3.6.
The CAT-EyeQ is a computer adaptive test (CAT) which measures vision-related quality of life in patients having exudative retinal diseases. The aim of this study is to investigate the usability of the CAT-EyeQ in clinical practice and identify potential barriers and facilitators for implementation (problem analysis).
Patients and health care professionals participated in the study regarding the usability of the CAT-EyeQ, and clinic managers and health care professionals were included in the problem analysis for implementation. In total, we conducted 18 semi-structured interviews. The Consolidated Framework for Implementation Research (CFIR) was used to develop the interview guides and to structure results.
Six themes were derived from the usability study and problem analysis: (1) quality of the CAT-EyeQ and the applicability to patients' needs and preferences, (2) embedding the CAT-EyeQ in current practice, (3) implementation climate of the eye hospitals, (4) attitude of professionals, (5) engaging and encouraging professionals, and (6) integration of the CAT-EyeQ in health care - needs after piloting.
Patients and professionals mentioned that the CAT-EyeQ improved insight into the impact of eye diseases on a patient's daily life, it allowed for more attention on the patient perspective and the structured measurement of vision-related quality of life. The main perceived barriers mentioned by professionals for using the CAT-EyeQ were lack of time and the integration of the patient-reported outcome measure (PROM) results within the electronic patient record (EPR).
The CAT-EyeQ, accompanied by an overview of stakeholder perspectives resulting from this implementation study, can now be used in clinical practice.
CAT-EyeQ是一种计算机自适应测试（CAT），用于测量渗出性视网膜疾病患者与视力相关的生活质量。本研究的目的是调查CAT-EyeQ在临床实践中的可用性，并确定实施过程中的潜在障碍和促进因素（问题分析）。
患者和医疗保健专业人员参与了关于CAT-EyeQ可用性的研究，诊所管理人员和医疗保健专业人员参与了实施问题分析。我们总共进行了18次半结构化访谈。采用实施研究综合框架（CFIR）来制定访谈指南并构建结果。
可用性研究和问题分析得出了六个主题：（1）CAT-EyeQ的质量及其对患者需求和偏好的适用性，（2）将CAT-EyeQ融入当前实践，（3）眼科医院的实施氛围，（4）专业人员的态度，（5）吸引和鼓励专业人员，以及（6）试点后将CAT-EyeQ整合到医疗保健需求中。
患者和专业人员提到，CAT-EyeQ提高了对眼部疾病对患者日常生活影响的认识，使人们能够更多地关注患者的观点以及与视力相关生活质量的结构化测量。专业人员提到使用CAT-EyeQ的主要感知障碍是时间不足以及将患者报告结局测量（PROM）结果整合到电子病历（EPR）中。
CAT-EyeQ以及本实施研究得出的利益相关者观点概述，现在可用于临床实践。
