PMID- 36767367 OWN - NLM STAT- MEDLINE DCOM- 20230214 LR - 20230316 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 20 IP - 3 DP - 2023 Jan 21 TI - Cancer Care Team's Management of Clinical Alerts Generated by Electronically Collected Patient Reported Outcomes: We Could Do Better. LID - 10.3390/ijerph20032001 [doi] LID - 2001 AB - Electronically administered patient-reported outcome measures (ePROMs) are effective digital health tools for informing clinicians about cancer patients' symptoms and facilitating timely patient-centred care. This paper describes the delivery of healthcare activities supported by the PROMPT-Care model, including ePROMs generated clinical alerts, cancer care team (CCT) response to alerts, and patients' perceptions of the CCT response and ePROMs system. This mixed-methods study includes cancer patients from four cancer therapy centres in New South Wales, Australia. Quantitative and qualitative data were collected regarding clinical alert activity, CCT response, and patient perceptions of the CCT responses and ePROMs system. Qualitative data were thematically analysed. Of the 328 participants whose care was informed by the digital health tool, 70.8% (n = 233) generated at least one alert during the trial period, with 877 alerts generated in total. Although 43.7% (n = 383) were actioned by the CCT, at least 80% of participants found follow-up CCT phone calls beneficial, with multiple benefits confirmed in interviews. The cancer care delivery arm of the PROMPT-Care trial involving clinical alerts to the CCT was positively perceived by most participants, resulting in a diverse range of benefits. However, further work is required, informed by implementation science, to improve the percentage of actioned clinical alerts. FAU - Rincones, Orlando AU - Rincones O AUID- ORCID: 0000-0001-9727-7871 AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. FAU - Bamgboje-Ayodele, Adeola AU - Bamgboje-Ayodele A AUID- ORCID: 0000-0002-5629-1236 AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. AD - Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia. FAU - Arnold, Anthony AU - Arnold A AUID- ORCID: 0000-0003-4866-8125 AD - Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia. FAU - Delaney, Geoff P AU - Delaney GP AUID- ORCID: 0000-0002-1829-396X AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. AD - Liverpool Cancer Therapy Centre, South Western Sydney Local Health District, Liverpool, NSW 2170, Australia. FAU - Durcinoska, Ivana AU - Durcinoska I AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. FAU - Avery, Sandra AU - Avery S AUID- ORCID: 0000-0003-3444-573X AD - Liverpool Cancer Therapy Centre, South Western Sydney Local Health District, Liverpool, NSW 2170, Australia. FAU - Sandell, Tiffany AU - Sandell T AD - Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia. FAU - Della-Fiorentina, Stephen A AU - Della-Fiorentina SA AUID- ORCID: 0000-0003-1017-5595 AD - School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia. AD - Macarthur Cancer Therapy Centre, Campbelltown Hospital, Campbelltown, NSW 2116, Australia. FAU - Pearson, Joanne AU - Pearson J AD - Liverpool Cancer Therapy Centre, South Western Sydney Local Health District, Liverpool, NSW 2170, Australia. FAU - The Prompt-Care Co-Authorship Group AU - The Prompt-Care Co-Authorship Group AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. AD - Wollongong Hospital, Illawarra Shoalhaven Local Health District, Wollongong, NSW 2500, Australia. AD - Liverpool Cancer Therapy Centre, South Western Sydney Local Health District, Liverpool, NSW 2170, Australia. AD - Macarthur Cancer Therapy Centre, Campbelltown Hospital, Campbelltown, NSW 2116, Australia. FAU - Girgis, Afaf AU - Girgis A AD - Ingham Institute for Applied Medical Research, South West Sydney Clinical Campuses, UNSW Medicine & Health, University of New South Wales, Liverpool, NSW 2170, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230121 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Humans MH - *Neoplasms/therapy MH - Delivery of Health Care MH - Patient Reported Outcome Measures MH - Australia MH - Patient Care Team PMC - PMC9915302 OTO - NOTNLM OT - cancer OT - cancer care coordinators OT - clinical alerts OT - eHealth OT - electronic patient reported outcome measures (ePROMs) OT - patient-centred care OT - referrals OT - symptom screening COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/15 06:00 PMCR- 2023/01/21 CRDT- 2023/02/11 01:12 PHST- 2022/11/30 00:00 [received] PHST- 2023/01/15 00:00 [revised] PHST- 2023/01/17 00:00 [accepted] PHST- 2023/02/11 01:12 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/15 06:00 [medline] PHST- 2023/01/21 00:00 [pmc-release] AID - ijerph20032001 [pii] AID - ijerph-20-02001 [pii] AID - 10.3390/ijerph20032001 [doi] PST - epublish SO - Int J Environ Res Public Health. 2023 Jan 21;20(3):2001. doi: 10.3390/ijerph20032001.