Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care
Abstract Background Information on HRQOL can enhance patient diagnosis and management but it is rarely available in routine clinical practice. This mixed-method study evaluated the feasibility and acceptability of the electronic EQ-5D-5L measurement of HRQOL in patients with chronic musculoskeletal...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-09-01
|
| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-022-02047-0 |
| _version_ | 1828373307307589632 |
|---|---|
| author | Amy Pui Pui Ng Kiki Sze Nga Liu Will Ho Gi Cheng Carlos King Ho Wong John King Yiu Cheng Joyce Sau Mei Lam Calvin Kalun Or Emily Tsui Yee Tse Cindy Lo Kuen Lam |
| author_facet | Amy Pui Pui Ng Kiki Sze Nga Liu Will Ho Gi Cheng Carlos King Ho Wong John King Yiu Cheng Joyce Sau Mei Lam Calvin Kalun Or Emily Tsui Yee Tse Cindy Lo Kuen Lam |
| author_sort | Amy Pui Pui Ng |
| collection | DOAJ |
| description | Abstract Background Information on HRQOL can enhance patient diagnosis and management but it is rarely available in routine clinical practice. This mixed-method study evaluated the feasibility and acceptability of the electronic EQ-5D-5L measurement of HRQOL in patients with chronic musculoskeletal problems in primary care. Methods In three primary care clinics, 665 patients with musculoskeletal problems completed the electronic EQ-5D-5L and Visual Analogue Scale (e-EQ-5D-5L/VAS), and a questionnaire on socio-demographics, perceived ease of use (PEOU), and perceived usefulness (PU) at baseline and two follow-ups. Patient completion and response rates, and time to complete the e-EQ-5D-5L/VAS were measured. During the same consultations, 49 doctors reviewed the e-EQ-5D-5L/VAS reports and completed a clinician questionnaire on PEOU, PU, and time spent to address each report. Individual interviews along with focus group discussions were conducted on patients, doctors, and research assistants for further exploration. Results Mean completion time reduced from baseline to first and second follow-up (120.66, 83.99, and 105.22 s, respectively). Completion and response rates were high at each follow-up visit (> 99.8% and > 91.11%, respectively). Doctors needed less than 2 min to read the report but felt the time required to address the report was a significant barrier. Some patients had difficulties using e-platforms, in understanding or answering questions; but, PEOU improved with time (p < 0.001). Most patients found the e-platforms useful (> 85.3%). Clinicians agreed a great majority of the reports were easy to use (76.0–85.1%) and useful (69.2–72.0%), particularly aiding with a holistic view of the patient's musculoskeletal problem. Conclusion The e-EQ-5D-5L/VAS is a feasible and acceptable measurement of HRQOL of patients with chronic musculoskeletal problems in routine primary care in Hong Kong which can assist real-time management decisions. Trial registration: NCT03609762. |
| first_indexed | 2024-04-14T07:15:57Z |
| format | Article |
| id | doaj.art-7564107a03774a509436ab2fb2cdbbec |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-04-14T07:15:57Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-7564107a03774a509436ab2fb2cdbbec2022-12-22T02:06:18ZengBMCHealth and Quality of Life Outcomes1477-75252022-09-0120111410.1186/s12955-022-02047-0Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary careAmy Pui Pui Ng0Kiki Sze Nga Liu1Will Ho Gi Cheng2Carlos King Ho Wong3John King Yiu Cheng4Joyce Sau Mei Lam5Calvin Kalun Or6Emily Tsui Yee Tse7Cindy Lo Kuen Lam8Department of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen HospitalDepartment of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong KongDepartment of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong KongDepartment of Industrial and Manufacturing Systems Engineering, Faculty of Engineering, The University of Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen HospitalDepartment of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen HospitalAbstract Background Information on HRQOL can enhance patient diagnosis and management but it is rarely available in routine clinical practice. This mixed-method study evaluated the feasibility and acceptability of the electronic EQ-5D-5L measurement of HRQOL in patients with chronic musculoskeletal problems in primary care. Methods In three primary care clinics, 665 patients with musculoskeletal problems completed the electronic EQ-5D-5L and Visual Analogue Scale (e-EQ-5D-5L/VAS), and a questionnaire on socio-demographics, perceived ease of use (PEOU), and perceived usefulness (PU) at baseline and two follow-ups. Patient completion and response rates, and time to complete the e-EQ-5D-5L/VAS were measured. During the same consultations, 49 doctors reviewed the e-EQ-5D-5L/VAS reports and completed a clinician questionnaire on PEOU, PU, and time spent to address each report. Individual interviews along with focus group discussions were conducted on patients, doctors, and research assistants for further exploration. Results Mean completion time reduced from baseline to first and second follow-up (120.66, 83.99, and 105.22 s, respectively). Completion and response rates were high at each follow-up visit (> 99.8% and > 91.11%, respectively). Doctors needed less than 2 min to read the report but felt the time required to address the report was a significant barrier. Some patients had difficulties using e-platforms, in understanding or answering questions; but, PEOU improved with time (p < 0.001). Most patients found the e-platforms useful (> 85.3%). Clinicians agreed a great majority of the reports were easy to use (76.0–85.1%) and useful (69.2–72.0%), particularly aiding with a holistic view of the patient's musculoskeletal problem. Conclusion The e-EQ-5D-5L/VAS is a feasible and acceptable measurement of HRQOL of patients with chronic musculoskeletal problems in routine primary care in Hong Kong which can assist real-time management decisions. Trial registration: NCT03609762.https://doi.org/10.1186/s12955-022-02047-0Health-related quality of lifeMusculoskeletal problemElectronic EQ-5D-5LFeasibilityAcceptability |
| spellingShingle | Amy Pui Pui Ng Kiki Sze Nga Liu Will Ho Gi Cheng Carlos King Ho Wong John King Yiu Cheng Joyce Sau Mei Lam Calvin Kalun Or Emily Tsui Yee Tse Cindy Lo Kuen Lam Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care Health and Quality of Life Outcomes Health-related quality of life Musculoskeletal problem Electronic EQ-5D-5L Feasibility Acceptability |
| title | Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care |
| title_full | Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care |
| title_fullStr | Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care |
| title_full_unstemmed | Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care |
| title_short | Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care |
| title_sort | feasibility and acceptability of electronic eq 5d 5l for routine measurement of hrqol in patients with chronic musculoskeletal problems in hong kong primary care |
| topic | Health-related quality of life Musculoskeletal problem Electronic EQ-5D-5L Feasibility Acceptability |
| url | https://doi.org/10.1186/s12955-022-02047-0 |
| work_keys_str_mv | AT amypuipuing feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT kikiszengaliu feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT willhogicheng feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT carloskinghowong feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT johnkingyiucheng feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT joycesaumeilam feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT calvinkalunor feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT emilytsuiyeetse feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare AT cindylokuenlam feasibilityandacceptabilityofelectroniceq5d5lforroutinemeasurementofhrqolinpatientswithchronicmusculoskeletalproblemsinhongkongprimarycare |