Patient acceptability and usability of a self-administered electronic patient-reported outcome assessment in HIV care
Relationship with health behaviors and outcomes
Bibliographic Data
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
Helpfulness · Patient satisfaction · Physical therapy · Usability · Demography · HIV/AIDS Research and Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Pregnancy and Medication Impact · Psychology · Internal Medicine · Surgery
Correlates of Intimate Partner Violence, Including Psychological Partner Violence, in a Multisite U.S. Cohort of People in HIV Care
Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics
Healthcare provider perspectives on Patient Reported Outcome (PRO) use in Danish HIV care – A qualitative focus group study
Diagnostic and Statistical Manual of Mental Disorders
Measuring Quality of Life in Routine Oncology Practice Improves Communication and Patient Well-Being
Responses to a 1 month self-report on adherence to antiretroviral therapy are consistent with electronic data and virological treatment outcome
Two Brief Alcohol-Screening Tests From the Alcohol Use Disorders Identification Test (Audit)
Development and validation of a self-completed HIV symptom index
Health-Related Quality-of-Life Assessments and Patient-Physician Communication
Adherence to Protease Inhibitor Therapy and Outcomes in Patients with HIV Infection
The Audit Alcohol Consumption Questions (Audit-C) An Effective Brief Screening Test for Problem Drinking
The PHQ-9
Validation and Utility of a Self-report Version of PRIME-MD The PHQ Primary Care Study
Provider perceptions of the value of same-day, electronic patient-reported measures for use in clinical HIV care
Self-reported adherence to antiretroviral medications among participants in HIV clinical trials
HIV Provider Documentation and Actions Following Patient Reports of At-risk Behaviors and Conditions When Identified by a Web-Based Point-of-Care Assessment
Optimal Recall Period and Response Task for Self-Reported HIV Medication Adherence
Patient-based health status measurement in clinical practice
Evaluation of point-of-care PRO assessment in clinic settings
| Citations per year | 0.75 |
|---|---|
| Citation span | 2022 - 2025 (4) |
| Highly cited | No |