Fariba Shahraki-Sanavi, Seyed Mohammad Nasiraldin Tabatabaei
Investigating medical student's attitudes about road accident risks: A cross-sectional study
Health science reports
digital supportive cancer care recommended improve patient outcomes portal designed embedded within electronic medical record public health portal iceland consisting symptom needs monitoring educational material messaging study aims assess 1 portal feasibility adoption engagement usability acceptability 2 potential predictors usability acceptability 3 potential impact portal patientreported outcomes singlearm beforeandafter feasibility study university hospital among patients cancer undergoing chemotherapy participation included filling edmonton symptom assessment systemrevised esasr weekly distress thermometer problem list dtpl 3 times reading educational material messaging completing study questionnaires clinical portal engagement data collected medical records data patients collected electronically baseline 7 10 days third chemotherapy round usability assessed using system usability scale score 0100 acceptability assessed using 35item survey score 15 patientreported outcome measures included esasr dtpl singleitem scale quality life family support quality care multiitem scales health literacy brief health literacy screener health engagement patient health engagement scale selfcare selfefficacy selfcare selfefficacy scale symptom interference md anderson symptom inventory knowledge expectations hospital patients knowledge expectations received knowledge hospital patients received knowledge health care professionals interviewed regarding portal feasibility portal adoption rate 72 103143 portal use rate 767 79103 mean 86 sd 27 weeks study completion rate 67 69103 combined completion rate esasr dtpl 784 685874 patients received mean 41 sd 13 information leaflets 33 2679 initiated messaging 73 5879 received messages 85 6779 received followup phone calls mean system usability scale score 723 sd 147 indicating good usability usability predicted age 45 esasr engagement 5 symptom interference 4 received knowledge 41 mean acceptability score 397 sd 05 average predicted age 31 esasr engagement 37 symptom interference 60 selfcare selfefficacy 37 received knowledge 41 esasr scores improved total symptom distress p003 cohen d036 physical symptoms p01 cohen d031 emotional symptoms p01 cohen d031 daily symptom interference increased p03 cohen d028 quality life improved p03 cohen d027 health engagement p006 cohen d035 improved knowledge expectations decreased p001 cohen d257 health care professionals positive toward portal called clearer role delineation followup study supports feasibility support portal results indicate possibility improving patient outcomes developments warranted