| Title: |
Patient acceptability and usability of a self-administered electronic patient-reported outcome assessment in HIV care: relationship with health behaviors and outcomes |
| Authors: |
Fredericksen, RJ; Harding, BN; Ruderman, SA; McReynolds, J; Barnes, G; Lober, WB; Fitzsimmons, E; Nance, RM; Whitney, BM; Delaney, JAC; Mathews, WC; Willig, J; Crane, PK; Crane, HM |
| Source: |
AIDS Care, vol 33, iss 9 |
| Publisher Information: |
eScholarship, University of California |
| Publication Year: |
2021 |
| Collection: |
University of California: eScholarship |
| Subject Terms: |
4203 Health Services and Systems (for-2020); 42 Health Sciences (for-2020); Mental Illness (rcdc); HIV/AIDS (rcdc); Infectious Diseases (rcdc); Minority Health (rcdc); Brain Disorders (rcdc); Sexually Transmitted Infections (rcdc); Depression (rcdc); Health Disparities (rcdc); Mental Health (rcdc); Clinical Research (rcdc); Behavioral and Social Science (rcdc); 3 Good Health and Well Being (sdg); Electronics (mesh); Female (mesh); HIV Infections (mesh); Health Behavior (mesh); Humans (mesh); Male (mesh); Middle Aged (mesh); Patient Reported Outcome Measures (mesh); Quality of Life (mesh); Patient reported outcomes; HIV care; electronic PRO administration; acceptability; 1117 Public Health and Health Services (for) |
| Time: |
1167 - 1177 |
| Description: |
We assessed acceptability/usability of tablet-based patient-reported outcome (PRO) assessments among patients in HIV care, and relationships with health outcomes using a modified Acceptability E-Scale (AES) within a self-administered PRO assessment. Using multivariable linear regression, we measured associations between patient characteristics and continuous combined AES score. Among 786 patients (median age=48; 91% male; 49% white; 17% Spanish-speaking) overall mean score was 26/30 points (SD: 4.4). Mean scores per dimension (max 5, 1=lowest acceptability, 5=highest): ease of use 4.7, understandability 4.7, time burden 4.3, overall satisfaction 4.3, helpfulness describing symptoms/behaviors 4.2, and enjoyability 3.8. Higher overall score was associated with race/ethnicity (+1.3 points/African-American patients (95%CI:0.3-2.3); +1.6 points/Latino patients (95%CI:0.9-2.3) compared to white patients). Patients completing PROs in Spanish scored +2.4 points on average (95%CI:1.6-3.3). Higher acceptability was associated with better quality of life (0.3 points (95%CI:0.2-0.5)) and adherence (0.4 points (95%CI:0.2-0.6)). Lower acceptability was associated with: higher depression symptoms (-0.9 points (95%CI:-1.4 to -0.4)); recent illicit opioid use (-2.0 points (95%CI:-3.9 to -0.2)); multiple recent sex partners (-0.8 points (95%CI:-1.5 to -0.1)). While patients endorsing depression symptoms, recent opioid use, condomless sex, or multiple sex partners found PROs less acceptable, overall, patients found the assessments highly acceptable and easy to use. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
qt5fr1w95b; https://escholarship.org/uc/item/5fr1w95b; https://escholarship.org/content/qt5fr1w95b/qt5fr1w95b.pdf |
| DOI: |
10.1080/09540121.2020.1845288 |
| Availability: |
https://escholarship.org/uc/item/5fr1w95b; https://escholarship.org/content/qt5fr1w95b/qt5fr1w95b.pdf; https://doi.org/10.1080/09540121.2020.1845288 |
| Rights: |
public |
| Accession Number: |
edsbas.1C9FB21 |
| Database: |
BASE |