Dalton Maria, Kruger Denise, Sajobi Tolulope T, Southern Danielle, Wilson Todd, Har Bryan J, Graham Michelle M, Wilton Stephen B, James Matthew T
Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada.
Department of Cardiac Science, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
CJC Open. 2025 Feb 18;7(5):678-685. doi: 10.1016/j.cjco.2025.02.009. eCollection 2025 May.
Patient-reported outcomes measures (PROMs) quantify patients' perspectives about their health and well-being, their functioning (emotional, physical, mental, and social), and their health-related quality-of-life. The Alberta Provincial Project for Outcomes Assessment (APPROACH) developed an ePROM clinical report that includes 4 validated PROM instruments (Seattle Angina Questionnaire, 7-item version [SAQ-7], Patient Health Questionnaire, 2-item and 9-item [PHQ-2 & PHQ-9], Medical Outcomes Study Social Support Survey [MOS SSS], EuroQol Group 5-level assessment [EQ-5D-5L] and the Self-Care of Coronary Heart Disease Inventory). The primary objective of this study is to evaluate the feasibility, acceptability, and efficacy of the APPROACH ePROM clinician report as an adjunct to the care of patients with established coronary artery disease. Utilizing a pre-post interventional study design, we evaluate the APPROACH ePROM tool in 4 outpatient cardiology practices in Alberta over 8 months. A total of 80 patients in the preintervention period and 120 patients in the intervention period will be recruited to participate, and each patient will contribute a single visit. Study outcomes will be evaluated using ePROM usage metrics, and a post-visit survey for both physicians and patients, a single exit interview for physicians, and focus groups for patients. Outcomes will be the feasibility and acceptability of the ePROMs report, as well as its efficacy, based on comparison of measures of physician-patient communication between groups. The pilot will allow us to better understand the possible limitations and facilitators of the study, to guide their further evaluation (full-scale trial) and dissemination. This pilot trial is registered with Clinicaltrials.gov (NCT06164457).
患者报告结局测量（PROMs）量化了患者对自身健康和幸福、功能（情感、身体、心理和社会方面）以及与健康相关的生活质量的看法。艾伯塔省结局评估省级项目（APPROACH）开发了一份电子PROM临床报告，其中包括4种经过验证的PROM工具（西雅图心绞痛问卷，7项版本[SAQ - 7]、患者健康问卷，2项和9项版本[PHQ - 2和PHQ - 9]、医学结局研究社会支持调查[MOS SSS]、欧洲生活质量五维度问卷[EQ - 5D - 5L]以及冠心病自我护理量表）。本研究的主要目的是评估APPROACH电子PROM临床报告作为已确诊冠心病患者护理辅助手段的可行性、可接受性和有效性。采用干预前后研究设计，我们在8个月内对艾伯塔省的4家门诊心脏病学诊所中的APPROACH电子PROM工具进行评估。预干预期将招募80名患者，干预期将招募120名患者参与，每位患者将参与一次就诊。研究结局将使用电子PROM使用指标进行评估，同时对医生和患者进行就诊后调查，对医生进行一次离职访谈，并对患者进行焦点小组访谈。基于组间医患沟通测量的比较，结局将包括电子PROM报告的可行性、可接受性及其有效性。该试点研究将使我们能够更好地了解该研究可能存在的局限性和促进因素，以指导其进一步评估（全面试验）和推广。该试点试验已在Clinicaltrials.gov（NCT06164457）注册。
