Jason Izard|Andrea L. Hartzler|Daniel I. Avery|Cheryl Shih|Bruce L. Dalkin|John L. Gore
User-centered design of quality of life reports for clinical care of patients with prostate cancer
University of Washington|University of Washington|University of Washington|University of Washington|University of Washington|University of Washington
primary treatment localized prostate cancer result bothersome urinary sexual bowel symptoms yet clinical application healthrelated qualityoflife hrqol questionnaires rare employed usercentered design develop graphic dashboards questionnaire responses patients prostate cancer facilitate clinical integration hrqol measurementwe interviewed 50 prostate cancer patients 50 providers assessed literacy validated instruments rapid estimate adult literacy medicine short form subjective numeracy scale graphical literacy scale presented participants prototype dashboards display prostate cancerspecific hrqol graphic elements derived patient focus groups assessed dashboard comprehension preferences table bar line pictograph formats patient scores contextualized hrqol scores similar patients serving comparison grouphealth literacy mean score 687 numeracy mean score 456 patient participants high patients favored bar chart mean rank 18 p 12 vs line graph p 01 vs table pictograph providers demonstrated similar preference table bar line formats ranked first 30 34 34 providers respectively providers expressed unsolicited concerns presentation comparison group scores n 19 38 impact clinic efficiency n 16 32based preferences prostate cancer patients providers developed design concept dynamic hrqol dashboard permits base patientcentered report bar chart format toggled formats include error bars frame comparison group scores inclusion lower literacy patients may yield different preferences