Evidence map›Paper›PMID 33851926›Full record

ArticleJMIR human factors2021

Impact of Individual, Organizational, and Technological Factors on the Implementation of an Online Portal to Support a Clinical Pathway Addressing Psycho-Oncology Care: Mixed Methods Study.

Lindy Masya, Heather L Shepherd, Phyllis Butow, Liesbeth Geerligs, Karen C Allison, Colette Dolan, Gabrielle Prest, ADAPT Program Group, Joanne Shaw

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR human factors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lindy MasyaPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0003-0807-711X
Heather L ShepherdPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-3350-1325
Phyllis ButowPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0003-3562-6954
Liesbeth GeerligsPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-7217-6502
Karen C AllisonPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-5411-4252
Colette DolanThe Kinghorn Cancer Centre, Sydney, Australia.ORCID 0000-0001-8863-4515
Gabrielle PrestAustralian College of Nursing, Sydney, Australia.ORCID 0000-0001-6222-0787
ADAPT Program Group *see Acknowledgments, .
Joanne ShawPsycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.ORCID 0000-0002-9543-7066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical pathways (CPs) can improve patient outcomes but can be complex to implement. Technologies, such as clinical decision support (CDS) tools, can facilitate their use, but require end-user testing in clinical settings.

objectiveThis study applied the Technology Acceptance Model to evaluate the individual, organizational, and technological contexts impacting application of a portal to facilitate a CP for anxiety and depression (the ADAPT Portal) in a metropolitan cancer service. The ADAPT Portal triggers patient screening on patient reported outcomes, alerts staff to high scores, recommends evidence-based management, and triggers review and rescreening at set intervals.

methodsQuantitative and qualitative data on portal activity, data accuracy, and health service staff perspectives were collected. Quantitative data were analyzed descriptively, and thematic analysis was applied to qualitative data.

resultsOverall, 15 (100% of those invited) health service staff agreed to be interviewed. During the pilot, 73 users (36 health service staff members and 37 patients) were registered on the ADAPT Portal. Of the 37 patients registered, 16 (43%) completed screening at least once, with seven screening positive and triaged appropriately. In total, 34 support requests were lodged, resulting in 17 portal enhancements (technical issues). Health service staff considered the ADAPT Portal easy to use and useful; however, some deemed it unnecessary or burdensome (individual issues), particularly in a busy cancer service (organizational issues).

conclusionsUser testing of a CDS to facilitate screening and assessment of anxiety and depression in cancer patients highlighted some technological issues in implementing the ADAPT CDS, resulting in 17 enhancements. Our results highlight the importance of obtaining health service staff feedback when piloting specialized CDS tools and addressing contextual factors when implementing them.

Indexed as

clinical decision makingclinical pathwaysdecision support systemshealth informaticshealth services researchpsycho-oncology

Identifiers

PMID33851926
PMCPMC8082382

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.