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First published August 4, 2003 as JAMIA PrePrint; doi:10.1197/jamia.M1365
Journal of the American Medical Informatics Association 2003;10(6):573-579
© 2003 American Medical Informatics Association

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Submitted on March 16, 2003
Accepted on July 14, 2003

Effects of Computerized System to Support Shared Decision Making in Symptom Management of Cancer Patients: Preliminary Results

Cornelia M. Ruland RN, PhD1*, Thomas White MS, MD2, Marguerite Stevens PhD3, Gilbert Fanciullo MS, MD3, and Samir M. Khilani PhD4

Affiliation of the authors: 1 Rikshospitalet National Hospital, Oslo, Norway; DH Medical Center, Lebanon, NH; 2 Columbia University, New York, NY; 3 DH Medical Center, Lebanon, NH; 4 Rikshospitalet National Hospital, Oslo, Norway

* To whom correspondence should be addressed.

Objective (1) To evaluate preliminary effects of a computerised support system on congruence between patients' reported symptoms and preferences and those addressed in the patient consultation, and (2) to investigate the system's ease of use, time requirements and patient satisfaction.

Design 52 patients were randomly assigned to intervention or control conditions.

Measurements Cancer patients scheduled for an outpatient visit used the system on a tablet computer to report their symptoms and preferences prior to their consultation. This information was processed, printed and provided to the patient and clinician in the subsequent consultation in the experimental group, but not in the control group.

Results While patients in both groups were equivalent at baseline in symptom characteristics, there was significantly greater congruence between patients' reported symptoms and those addressed by their clinicians in the experimental group. The system scored high on ease of use. There were no significant group differences in patient satisfaction.

Conclusion This study provided beginning evidence that eliciting patients' symptoms and preferences and providing clinicians with this information prior to consultation can be an effective and feasible strategy to improve patient-centred care.




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