Table 2.
Patient preferences, perceived benefits, general feedback, and suggestions for improvement identified from the semistructured interviews (N=25).
| Survey items | Value, n (%) | ||
| Interface choice | |||
|
|
Used SAYSa first | 13 (52) | |
|
|
Used STEPb first | 12 (48) | |
| Interface preference | |||
|
|
SAYS | 14 (56) | |
|
|
STEP | 11 (44) | |
| Interest in future use | |||
|
|
Would use mPROSc on ad hoc basis depending on symptom changes | 13 (52) | |
|
|
Would use mPROS on regular basis | 12 (48) | |
| Perceived benefits of mPROS | |||
|
|
Ability to record and recall symptoms over time | 14 (56) | |
|
|
Assistance with recording symptoms over time | 9 (36) | |
|
|
Will assist treatment team | 7 (28) | |
| Most liked feature | |||
|
|
SAYS chatbot | 9 (36) | |
|
|
Specifying body areas | 6 (24) | |
|
|
Speed/convenience of completing symptom reporting using the app versus completing it in the doctor's office | 5 (20) | |
|
|
Ability to choose between methods of reporting symptoms | 3 (12) | |
|
|
No response | 2 (8) | |
| Least liked feature | |||
|
|
mPROS not recognizing symptom | 7 (28) | |
|
|
Confusion over when to swipe/tap “next” to enter more attributes | 6 (24) | |
|
|
Texting | 4 (16) | |
|
|
No response | 8 (32) | |
| Patient suggestions to make mPROS more useful | |||
|
|
Ability to send reports directly to clinicians | 8 (32) | |
|
|
Ability to enter medications, treatments, diet, mental health, and exercise | 7 (28) | |
|
|
Alert system for very severe symptoms | 4 (16) | |
|
|
Less verbose questions/chat language | 4 (16) | |
|
|
Spell-check for SAYS chatbot | 3 (12) | |
|
|
Ability to upload skin photos | 3 (12) | |
|
|
SAYS confirmation of symptom entry | 2 (8) | |
|
|
Inclusion of legal language before reporting symptoms | 2 (8) | |
|
|
Send confirmation/read receipt to clinicians | 1 (4) | |
|
|
Specifying skin tone for skin-related symptoms | 1 (4) | |
|
|
Use of a 1-5 scale rather than asking patients to type verbal descriptions | 1 (4) | |
|
|
Additional safety features for logging into the app | 1 (4) | |
| Severity image feedback | |||
|
|
Binary skin tone (ie, light versus dark) insufficient | 18 (72) | |
|
|
Images generally helpful | 17 (68) | |
|
|
Not relevant due to lack of burns or not representing healthy skin color | 6 (24) | |
| General feedback and issues | |||
|
|
Confused about right-swipe navigation of attribute questions | 18 (72) | |
|
|
Helpful completion icons | 9 (36) | |
|
|
Attempted to enter symptoms not associated with mPROS radiation sites | 7 (28) | |
|
|
Struggled with text entry | 6 (24) | |
|
|
Body areas too large to show where symptoms occurred | 3 (12) | |
|
|
Problems finding home screen | 2 (8) | |
aSAYS: Say All Your Symptoms.
bSTEP: Symptom Tracking Entry Program.
cmPROS: Mobile Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events Administration System.