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Patient acceptability and usability of a self-administered electronic patient-reported outcome assessment in HIV care: relationship with health behaviors and outcomes
- Source :
- AIDS care, vol 33, iss 9, AIDS Care
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- 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 version of the 6-item 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 to be less acceptable, overall, patients found self-administered, tablet-based PRO assessments to be highly acceptable and easy to use.
- Subjects :
- Male
medicine.medical_specialty
Health (social science)
Social Psychology
Health Behavior
Human immunodeficiency virus (HIV)
Patient characteristics
HIV Infections
medicine.disease_cause
Article
03 medical and health sciences
0302 clinical medicine
Quality of life
Clinical Research
acceptability
Behavioral and Social Science
medicine
Humans
Psychology
Patient Reported Outcome Measures
030212 general & internal medicine
Patient reported outcomes
Depression (differential diagnoses)
electronic PRO administration
030505 public health
Depression
business.industry
Public Health, Environmental and Occupational Health
Multiple sex partners
Usability
Middle Aged
Electronic patient-reported outcome
Brain Disorders
Mental Health
Good Health and Well Being
Helpfulness
Quality of Life
Public Health and Health Services
Physical therapy
HIV/AIDS
Female
Public Health
Electronics
HIV care
0305 other medical science
business
Subjects
Details
- ISSN :
- 13600451 and 09540121
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- AIDS Care
- Accession number :
- edsair.doi.dedup.....b77108cb6a7d123a3c101170b81a2955
- Full Text :
- https://doi.org/10.1080/09540121.2020.1845288