Table 5.
Evaluation Plan for the ePROM intervention across an integrated chronic pain network
Outcome | Definition | Measure/Indicator |
---|---|---|
Implementation outcomes | ||
Acceptability | Satisfaction with the ePROM system | Acceptability of Intervention Measure [1, 2] |
Adoption | Utilization of the ePROM system |
Adoption of Information Technology Innovation Measure % of clinicians using the ePROM system |
Appropriateness | Perceived fit of the innovation: compatibility, usability, relevance | Intervention Appropriateness Measure [1, 2] |
Compatibility | The degree of tangible fit between meaning and values attached to the intervention by involved individuals, how those align with individuals’ own norms, values, and perceived risks and needs, and how the intervention fits with existing workflows and systems [27]. |
Survey of Organizational Readiness for E-Health Open-ended questions |
Usability | How useful, usable, and satisfying a system is for the intended users to accomplish goals in the work domain by performing certain sequences of tasks [33] |
End-User Computing Satisfaction Questionnaire [3] Open-ended questions |
Relevance | The cognitive impact, as well as any use and patient health benefit associated with the information derived from PROM scores | Information Assessment Method [4] |
Feasibility | Actual fit of the innovation |
Feasibility of Intervention Measure 2] System's web analytics, administrative data Examples of indicators: % of patients to whom an ePROM link was sent % of patients that filled ePROM before appointment |
Fidelity | Innovation delivered as intended | Administrative data: % of patients admitted to the program who completed ePROM as planned |
Implementation cost | Marginal cost, cost-effectiveness, cost–benefit |
Cost of developing and implementing the ePROM system Screening for a program allocation Number of visits |
Penetration | Reach, spread, access of the service |
Administrative data Number of actual users divided by the total number of persons eligible to use the system |
Sustainability | Maintenance, continuation, durability, incorporation, integration, institutionalization, sustained use | Sustainability questionnaire |
Impact outcomes | ||
Patient-centred care | Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions | Patient Assessment of Chronic Illness Care + [5, 6] |
Workability | Work ability and productivity |
Are you working at a physically less demanding job now because of your pain? What is your current work status? How long after you received treatment for pain did you return to work? |
Health status | Individuals’ general health perceptions | EQ-5D-5L [7] VAS [8] |
Medication adherence | Adherence to prescribed medication | Morisky 8 Medication Adherence Questionnaire [9, 10] |
Global health | Individual’s physical, mental, and social health | Global health: PROMIS short form [11] |
Adherence to treatment | Adherence to clinicians’ recommendations | Single item VAS [8] |