Improving Health Care Efficiency and Quality Using Tablet Personal Computers to Collect Research-Quality, Patient-Reported Data

Authors

  • Amy P. Abernethy,

    1. Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Box 3436, Durham, NC 27710,
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    • Address correspondence to Amy P. Abernethy, M.D., Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Box 3436, Durham, NC 27710; e-mail: amy.abernethy@duke.edu. James E. Herndon II, Ph.D., is with the Department of Biostatistics and Bioinformatics, Durham, NC. Jane Wheeler, M.S., is with the Department of Medical Oncology, Duke University Medical Center, Durham, NC. Meenal Patwardhan, M.D., is with the Duke Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC. Heather Shaw, M.D., is with the Department of Medicine, Division of Medical Oncology, Durham, NC. H. Kim Lyerly, M.D. is with the Department of Surgery, Duke Comprehensive Cancer Center, Duke University Medical Center, Durham, NC. Kevin Weinfurt, Ph.D., is with the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC.

  • James E. Herndon II,

    1. Department of Biostatistics and Bioinformatics, Durham, NC,
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  • Jane L. Wheeler,

    1. Department of Medical Oncology, Duke University Medical Center, Durham, NC,
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  • Meenal Patwardhan,

    1. Duke Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC,
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  • Heather Shaw,

    1. Department of Medicine, Division of Medical Oncology, Durham, NC,
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  • H. Kim Lyerly,

    1. Department of Surgery, Duke Comprehensive Cancer Center, Duke University Medical Center, Durham, NC,
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  • Kevin Weinfurt

    1. Duke Clinical Research Institute, Duke University Medical Center, Durham, NC
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Abstract

Objective. To determine whether e/Tablets (wireless tablet computers used in community oncology clinics to collect review of systems information at point of care) are feasible, acceptable, and valid for collecting research-quality data in academic oncology.

Data/Setting. Primary/Duke Breast Cancer Clinic.

Design. Pilot study enrolling sample of 66 breast cancer patients.

Methods. Data were collected using paper- and e/Tablet-based surveys: Functional Assessment of Cancer Therapy General, Functional Assessment of Cancer Therapy-Breast, MD Anderson Symptom Inventory, Functional Assessment of Chronic Illness Therapy (FACIT), Self-Efficacy; and two questionnaires: feasibility, satisfaction.

Principal Findings. Patients supported e/Tablets as: easy to read (94 percent), easy to respond to (98 percent), comfortable weight (87 percent). Generally, electronic responses validly reflected responses provided by standard paper data collection on nearly all subscales tested.

Conclusions. e/Tablets offer a valid, feasible, acceptable method for collecting research-quality, patient-reported outcomes data in outpatient academic oncology.

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