Developing, Piloting and Evaluating a Patient Support Portal for Men With Prostate Cancer in Victoria: An Action Research Study

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health Expectations Pub Date : 2025-01-19 DOI:10.1111/hex.70149
Benjamin Shemesh, Jacinta L. Opie, Rodney L. Dunn, Garth Mclaughlin, Vivek Argawal, Amanda Pomery, Chris Mac Manus, Colin O'Brien, Katrina Lewis, Max Shub, Paula Wilton, Prassannah Satasivam, Melanie Evans, Jeremy Millar, Sue M. Evans
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Abstract

Introduction

Men with prostate cancer (PCa) and their support providers face challenges in accessing high-quality, impartial information tailored to their specific needs to enhance their overall care and decision-making. We describe the development, piloting and evaluation of the co-designed web portal ‘BroSupPORT’.

Methods

IT teams developed and integrated BroSupPORT into the Victorian Prostate Cancer Outcomes Registry (PCOR-Vic) electronic patient-reported outcome follow-up process. A comparator tool was built enabling men to compare their patient-reported outcome results against men of similar age, risk profile and after the same treatment. PCOR-Vic participants were invited to access BroSupPORT after 12 months of follow-up patient-reported outcome measure completion. Factors associated with consent to BroSupPORT were determined using logistic regression. Portal access data were gathered from PCOR-Vic data extracts and Google Analytics. A survey on portal exit and 2 weeks after consent was used to collect feedback.

Results

Over a 4-month pilot, 331/583 (57%) men consented to accessing BroSupPORT. Among those men who accessed the portal, the majority (209/331 =63%) were diagnosed in a private hospital and resided in a major city (214/331=65%). On average, men spent 3:20 min on the portal, with sexual function aspects receiving the most attention. Twenty-three percent of men revisited the portal during the pilot. Most men found the portal easy to use, reassuring and informative, while 9% found the patient-reported comparisons difficult to interpret.

Conclusion

A patient portal—enabling men to compare their patient-reported outcomes with other similar men and providing access to information and resources—may be a scalable solution in addressing the complex supportive care needs of men with PCa on a population basis.

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开发,试点和评估维多利亚州男性前列腺癌患者支持门户:一项行动研究。
前列腺癌(PCa)患者和他们的支持提供者面临着获取高质量、公正的信息的挑战,这些信息是为他们的特定需求量身定制的,以增强他们的整体护理和决策。我们描述了共同设计的门户网站“BroSupPORT”的开发、试点和评估。方法:IT团队开发并将BroSupPORT集成到维多利亚前列腺癌结局登记处(PCOR-Vic)电子患者报告的结果随访过程中。建立了一个比较工具,使男性能够将患者报告的结果与年龄、风险概况和相同治疗后的男性进行比较。PCOR-Vic的参与者在随访12个月后被邀请访问BroSupPORT,患者报告的结果测量完成。使用逻辑回归确定与同意使用BroSupPORT相关的因素。门户访问数据是从PCOR-Vic数据摘录和谷歌Analytics收集的。通过门户出口调查和同意后2周收集反馈。结果:在4个月的试点中,331/583(57%)的男性同意使用BroSupPORT。在访问门户网站的男性中,大多数(209/331 =63%)是在主要城市的私立医院诊断的(214/331=65%)。男性在门户网站上平均花费3分20秒,其中性功能方面受到的关注最多。23%的男性在试播期间重新访问了门户网站。大多数男性认为门户网站易于使用,令人放心且信息丰富,而9%的男性认为患者报告的比较难以解释。结论:患者门户——使男性能够将其患者报告的结果与其他类似男性进行比较,并提供信息和资源的访问——可能是解决人群基础上PCa男性复杂的支持性护理需求的可扩展解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Expectations
Health Expectations 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.20
自引率
9.40%
发文量
251
审稿时长
>12 weeks
期刊介绍: Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.
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