Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study
Abstract Background The aim of this study was to develop a web-based tool for patients with multiple chronic conditions (MCC) to communicate concerns about treatment burden to their healthcare providers. Methods Patients and providers from primary-care clinics participated. We conducted focus groups...
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BMC
2024-03-01
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| Series: | BMC Primary Care |
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| Online Access: | https://doi.org/10.1186/s12875-024-02316-5 |
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| author | David T. Eton Kathleen J. Yost Jennifer L. Ridgeway Bayly Bucknell Mike Wambua Natalie C. Erbs Summer V. Allen Elizabeth A. Rogers Roger T. Anderson Mark Linzer |
| author_facet | David T. Eton Kathleen J. Yost Jennifer L. Ridgeway Bayly Bucknell Mike Wambua Natalie C. Erbs Summer V. Allen Elizabeth A. Rogers Roger T. Anderson Mark Linzer |
| author_sort | David T. Eton |
| collection | DOAJ |
| description | Abstract Background The aim of this study was to develop a web-based tool for patients with multiple chronic conditions (MCC) to communicate concerns about treatment burden to their healthcare providers. Methods Patients and providers from primary-care clinics participated. We conducted focus groups to identify content for a prototype clinical tool to screen for treatment burden by reviewing domains and items from a previously validated measure, the Patient Experience with Treatment and Self-management (PETS). Following review of the prototype, a quasi-experimental pilot study determined acceptability of using the tool in clinical practice. The study protocol was modified to accommodate limitations due to the Covid-19 pandemic. Results Fifteen patients with MCC and 18 providers participated in focus groups to review existing PETS content. The pilot tool (named PETS-Now) consisted of eight domains (Living Healthy, Health Costs, Monitoring Health, Medicine, Personal Relationships, Getting Healthcare, Health Information, and Medical Equipment) with each domain represented by a checklist of potential concerns. Administrative burden was minimized by limiting patients to selection of one domain. To test acceptability, 17 primary-care providers first saw 92 patients under standard care (control) conditions followed by another 90 patients using the PETS-Now tool (intervention). Each treatment burden domain was selected at least once by patients in the intervention. No significant differences were observed in overall care quality between patients in the control and intervention conditions with mean care quality rated high in both groups (9.3 and 9.2, respectively, out of 10). There were no differences in provider impressions of patient encounters under the two conditions with providers reporting that patient concerns were addressed in 95% of the visits in both conditions. Most intervention group patients (94%) found that the PETS-Now was easy to use and helped focus the conversation with the provider on their biggest concern (98%). Most providers (81%) felt they had learned something new about the patient from the PETS-Now. Conclusion The PETS-Now holds promise for quickly screening and monitoring treatment burden in people with MCC and may provide information for care planning. While acceptable to patients and clinicians, integration of information into the electronic medical record should be prioritized. |
| format | Article |
| id | doaj-art-a73a8a814db344fdbbcdbb32d46ff4d0 |
| institution | OA Journals |
| issn | 2731-4553 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj-art-a73a8a814db344fdbbcdbb32d46ff4d02025-08-20T02:15:12ZengBMCBMC Primary Care2731-45532024-03-0125111610.1186/s12875-024-02316-5Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method studyDavid T. Eton0Kathleen J. Yost1Jennifer L. Ridgeway2Bayly Bucknell3Mike Wambua4Natalie C. Erbs5Summer V. Allen6Elizabeth A. Rogers7Roger T. Anderson8Mark Linzer9Outcomes Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer InstituteDepartment of Quantitative Health Sciences, Mayo ClinicDivision of Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo ClinicDepartment of Quantitative Health Sciences, Mayo ClinicHennepin Healthcare Research InstituteDepartment of Family Medicine, Mayo ClinicDepartment of Family Medicine, Mayo ClinicDepartments of Medicine and of Pediatrics, University of MinnesotaDepartment of Public Health Sciences, University of VirginiaDepartment of Medicine, Hennepin Healthcare and University of MinnesotaAbstract Background The aim of this study was to develop a web-based tool for patients with multiple chronic conditions (MCC) to communicate concerns about treatment burden to their healthcare providers. Methods Patients and providers from primary-care clinics participated. We conducted focus groups to identify content for a prototype clinical tool to screen for treatment burden by reviewing domains and items from a previously validated measure, the Patient Experience with Treatment and Self-management (PETS). Following review of the prototype, a quasi-experimental pilot study determined acceptability of using the tool in clinical practice. The study protocol was modified to accommodate limitations due to the Covid-19 pandemic. Results Fifteen patients with MCC and 18 providers participated in focus groups to review existing PETS content. The pilot tool (named PETS-Now) consisted of eight domains (Living Healthy, Health Costs, Monitoring Health, Medicine, Personal Relationships, Getting Healthcare, Health Information, and Medical Equipment) with each domain represented by a checklist of potential concerns. Administrative burden was minimized by limiting patients to selection of one domain. To test acceptability, 17 primary-care providers first saw 92 patients under standard care (control) conditions followed by another 90 patients using the PETS-Now tool (intervention). Each treatment burden domain was selected at least once by patients in the intervention. No significant differences were observed in overall care quality between patients in the control and intervention conditions with mean care quality rated high in both groups (9.3 and 9.2, respectively, out of 10). There were no differences in provider impressions of patient encounters under the two conditions with providers reporting that patient concerns were addressed in 95% of the visits in both conditions. Most intervention group patients (94%) found that the PETS-Now was easy to use and helped focus the conversation with the provider on their biggest concern (98%). Most providers (81%) felt they had learned something new about the patient from the PETS-Now. Conclusion The PETS-Now holds promise for quickly screening and monitoring treatment burden in people with MCC and may provide information for care planning. While acceptable to patients and clinicians, integration of information into the electronic medical record should be prioritized.https://doi.org/10.1186/s12875-024-02316-5Patient-reported outcomesSelf-managementQuality of health carePrimary health careMultimorbidityQuality of life |
| spellingShingle | David T. Eton Kathleen J. Yost Jennifer L. Ridgeway Bayly Bucknell Mike Wambua Natalie C. Erbs Summer V. Allen Elizabeth A. Rogers Roger T. Anderson Mark Linzer Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study BMC Primary Care Patient-reported outcomes Self-management Quality of health care Primary health care Multimorbidity Quality of life |
| title | Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study |
| title_full | Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study |
| title_fullStr | Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study |
| title_full_unstemmed | Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study |
| title_short | Development and acceptability of PETS-Now, an electronic point-of-care tool to monitor treatment burden in patients with multiple chronic conditions: a multi-method study |
| title_sort | development and acceptability of pets now an electronic point of care tool to monitor treatment burden in patients with multiple chronic conditions a multi method study |
| topic | Patient-reported outcomes Self-management Quality of health care Primary health care Multimorbidity Quality of life |
| url | https://doi.org/10.1186/s12875-024-02316-5 |
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