Evidence map›Paper›PMID 39515868›Full record

Trial reportBMJ open2024

Patient and clinician perspectives of an eHealth intervention for supporting cancer treatment in the UK: mixed methods evaluation of the eRAPID randomised controlled trial.

Lorraine Warrington, Marie Holmes, Andrea Gibson, Rosemary Peacock, Zoe Rogers, Sarah Dickinson, Patricia Holch, Jenny Hewison, Claire Hulme, Bryony Dawkins and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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

16 authors.

Lorraine WarringtonPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.ORCID 0000-0002-8389-6134
Marie HolmesPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Andrea GibsonPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Rosemary PeacockPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Zoe RogersPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Sarah DickinsonPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Patricia HolchPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Jenny HewisonDivision of Health Services Research, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0003-3026-3250
Claire HulmeDepartment of Health and Community Sciences, University of Exeter Medical School, Exeter, UK.
Bryony DawkinsAcademic Unit of Health Economics, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Barbara WoroncowPatient Representative, UK.
Virginia CucchiPatient Representative, UK.
Eleanor Mae HudsonLeeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.ORCID 0000-0001-8758-7163
Julia BrownLeeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Galina VelikovaPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK.
Kate AbsolomPatient Centred Outcomes Research, Leeds Institute of Medical Research, University of Leeds, Leeds, UK k.l.absolom@leeds.ac.uk.ORCID 0000-0002-5477-6643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDuring 2015-2018, a randomised controlled trial (RCT) evaluated eRAPID, an eHealth intervention designed to capture patient-reported symptoms online during cancer treatment. eRAPID provides patients with advice on when to self-manage or seek medical support. Clinicians accessed symptom reports within electronic patient records. 508 participants starting systemic cancer treatment were recruited and followed for 18 weeks. The intervention group (n=256) was asked to access eRAPID and complete weekly online symptom reports. Clinicians received training on accessing and interpreting symptom reports. Overall, eRAPID had a positive impact on patients' symptoms, quality of life and self-efficacy, particularly early in treatment and for patients with early-stage disease. Using mixed methods, we aimed to gather insight from patients and clinicians on how eRAPID worked to facilitate the interpretation of RCT findings.

methodsFollowing a concurrent triangulation design, patient experiences of eRAPID were gathered via end-of-study interviews (n=45) and questionnaires (n=186). Clinician experiences were obtained by end-of-study interviews (n=18) and completion, throughout the trial, of feedback questionnaires (n=787 from n=55 clinicians). Framework analysis was applied to examine qualitative data and close-ended questions were descriptively summarised. Findings were mapped against results from the RCT.

settingMedical oncology services, UK cancer centre.

resultsPatient feedback indicated eRAPID was easy to use. Adherence to weekly reporting was influenced by health status, reminders, perceived value and clinical use. Patient-reported benefits of eRAPID included an enhanced connection with the hospital, provision of practical advice and personal monitoring, which provided reassurance and empowerment. Clinicians were positive about the potential for online symptom monitoring but had mixed levels of direct experience with using eRAPID during the trial. Patients echoed this and recommended more explicit clinician use of symptom data.

conclusionsThe mixed-method approach to capturing patient and clinician opinions provided valuable insight into the eRAPID intervention and complementary information on how the intervention was received and functioned.

Indexed as

NeoplasmsQuality of LifeTelemedicineAdultAgedAttitude of Health PersonnelFemaleHumansMaleMiddle AgedSelf EfficacySurveys and QuestionnairesUnited KingdomOncologyPatient Reported Outcome MeasuresQualitative researchQuality of LifeSurveys and QuestionnairesTelemedicine

Identifiers

PMID39515868
PMCPMC11552561

What OpenQuestion holds

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Registered trials

None linked

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.