Online Health Assessment to Support Comprehensive Care
| Status: | Withdrawn |
|---|---|
| Conditions: | Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 12/15/2017 |
| Start Date: | May 2014 |
| End Date: | May 31, 2016 |
This investigation develops an online, patient self-assessment system, called "CarePrep" to
support the care and clinical research of patients with chronic pancreatic disease and
chronic pancreatic pain. This web-based assessment presents patients with questions that
address medical, psychological, social, behavioral, and quality-of-life issues that are
relevant to pancreatic disease. Patients will be given the opportunity to enter and track
their symptoms over the Internet from home or clinic. The system is also designed to gather
clues to identify neuropathic pain, which occurs when the nervous system fails to properly
regulate pain signals. Any of these factors can contribute to chronic pain and may point the
way to more effective treatment. The broad objective of this study is to extend CarePrep to
cover a full range of topics that are relevant to chronic pancreatic disease. The study team
will refine this content based on the system's accuracy in real clinical settings and direct
efforts to maximize its feasibility.
support the care and clinical research of patients with chronic pancreatic disease and
chronic pancreatic pain. This web-based assessment presents patients with questions that
address medical, psychological, social, behavioral, and quality-of-life issues that are
relevant to pancreatic disease. Patients will be given the opportunity to enter and track
their symptoms over the Internet from home or clinic. The system is also designed to gather
clues to identify neuropathic pain, which occurs when the nervous system fails to properly
regulate pain signals. Any of these factors can contribute to chronic pain and may point the
way to more effective treatment. The broad objective of this study is to extend CarePrep to
cover a full range of topics that are relevant to chronic pancreatic disease. The study team
will refine this content based on the system's accuracy in real clinical settings and direct
efforts to maximize its feasibility.
The following aims will be addressed:
Aim 1: Refine and extend CarePrep content for targeted disorders.
Working with experts at our sites, the study team will review CarePrep content in association
with current literature and established instruments. Applying this data, a comprehensive pain
assessment will be developed and content to target chronic pancreatic pain (CPP) will be
prioritized. During Phase 1 of the study, the system will be deployed, patient testing begun,
and feedback gathered to guide refinement. Patients will be asked to complete their online
CarePrep assessment before their scheduled clinic visit; the report will be delivered to
their attending physician prior to the clinic encounter. Patients who are unable to complete
their assessment at home will have access to electronic tablets which will be provided in
clinic.
Aim 2: Test with patients, gather feedback, and conduct cognitive and structured interviews
to assess validity.
Research staff will conduct individual patient interviews to assess CarePrep validity, via
the following ways: Cognitive interviews probing for CarePrep comprehension and ease of use,
as well as measuring patients' rationale for selecting their online responses; structured
interviews that will include a block of standardized questions that mirror the online
CarePrep assessment (patients' interview responses will be compared to data from their online
session to assess the sensitivity of CarePrep screening questions); and patients' ratings of
CarePrep's accuracy will be collected to improve and validate system design.
Aim 3: Assess feasibility.
In Phase II of the study, physician and patient self-reports will be used to assess
feasibility and utility. The objective of this phase is to deliver a system that supports a
comprehensive health assessment and facilitates physician-patient communication so that
physicians will adopt the system for routine care.
Aim 1: Refine and extend CarePrep content for targeted disorders.
Working with experts at our sites, the study team will review CarePrep content in association
with current literature and established instruments. Applying this data, a comprehensive pain
assessment will be developed and content to target chronic pancreatic pain (CPP) will be
prioritized. During Phase 1 of the study, the system will be deployed, patient testing begun,
and feedback gathered to guide refinement. Patients will be asked to complete their online
CarePrep assessment before their scheduled clinic visit; the report will be delivered to
their attending physician prior to the clinic encounter. Patients who are unable to complete
their assessment at home will have access to electronic tablets which will be provided in
clinic.
Aim 2: Test with patients, gather feedback, and conduct cognitive and structured interviews
to assess validity.
Research staff will conduct individual patient interviews to assess CarePrep validity, via
the following ways: Cognitive interviews probing for CarePrep comprehension and ease of use,
as well as measuring patients' rationale for selecting their online responses; structured
interviews that will include a block of standardized questions that mirror the online
CarePrep assessment (patients' interview responses will be compared to data from their online
session to assess the sensitivity of CarePrep screening questions); and patients' ratings of
CarePrep's accuracy will be collected to improve and validate system design.
Aim 3: Assess feasibility.
In Phase II of the study, physician and patient self-reports will be used to assess
feasibility and utility. The objective of this phase is to deliver a system that supports a
comprehensive health assessment and facilitates physician-patient communication so that
physicians will adopt the system for routine care.
Inclusion Criteria:
- Be a current or future patient of the Cedars-Sinai Medical Center's Pancreaticobiliary
clinic
- Read English
- Have access to a computer or touch-screen tablet to complete the online assessment
Exclusion Criteria:
- Patients unable or unwilling to complete the online assessment at home or in clinic
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