Trial Outcomes & Findings for Behavioral Economic Strategies to Improve PRO Adherence (NCT NCT06013176)
NCT ID: NCT06013176
Last Updated: 2025-12-29
Results Overview
The primary outcome will be PRO adherence, measured at the patient level as the proportion of expected PRO questionnaires completed per patient.
COMPLETED
NA
476 participants
3 months
2025-12-29
Participant Flow
Participant milestones
| Measure |
Usual Practice
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO Monitoring
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO Monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Overall Study
STARTED
|
171
|
144
|
161
|
|
Overall Study
Completed at least one questionnaire
|
115
|
106
|
118
|
|
Overall Study
COMPLETED
|
171
|
144
|
161
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Behavioral Economic Strategies to Improve PRO Adherence
Baseline characteristics by cohort
| Measure |
Usual Practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO Monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO Monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Total
n=476 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=174 Participants
|
0 Participants
n=166 Participants
|
0 Participants
n=167 Participants
|
0 Participants
n=164 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
69 Participants
n=174 Participants
|
51 Participants
n=166 Participants
|
64 Participants
n=167 Participants
|
184 Participants
n=164 Participants
|
|
Age, Categorical
>=65 years
|
102 Participants
n=174 Participants
|
93 Participants
n=166 Participants
|
97 Participants
n=167 Participants
|
292 Participants
n=164 Participants
|
|
Sex: Female, Male
Female
|
66 Participants
n=174 Participants
|
58 Participants
n=166 Participants
|
55 Participants
n=167 Participants
|
179 Participants
n=164 Participants
|
|
Sex: Female, Male
Male
|
105 Participants
n=174 Participants
|
86 Participants
n=166 Participants
|
106 Participants
n=167 Participants
|
297 Participants
n=164 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
161 Participants
n=174 Participants
|
135 Participants
n=166 Participants
|
154 Participants
n=167 Participants
|
450 Participants
n=164 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
4 Participants
n=174 Participants
|
6 Participants
n=166 Participants
|
2 Participants
n=167 Participants
|
12 Participants
n=164 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
6 Participants
n=174 Participants
|
3 Participants
n=166 Participants
|
5 Participants
n=167 Participants
|
14 Participants
n=164 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=174 Participants
|
0 Participants
n=166 Participants
|
0 Participants
n=167 Participants
|
1 Participants
n=164 Participants
|
|
Race (NIH/OMB)
Asian
|
5 Participants
n=174 Participants
|
7 Participants
n=166 Participants
|
10 Participants
n=167 Participants
|
22 Participants
n=164 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1 Participants
n=174 Participants
|
0 Participants
n=166 Participants
|
1 Participants
n=167 Participants
|
2 Participants
n=164 Participants
|
|
Race (NIH/OMB)
Black or African American
|
44 Participants
n=174 Participants
|
27 Participants
n=166 Participants
|
36 Participants
n=167 Participants
|
107 Participants
n=164 Participants
|
|
Race (NIH/OMB)
White
|
110 Participants
n=174 Participants
|
102 Participants
n=166 Participants
|
104 Participants
n=167 Participants
|
316 Participants
n=164 Participants
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=174 Participants
|
3 Participants
n=166 Participants
|
0 Participants
n=167 Participants
|
4 Participants
n=164 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
9 Participants
n=174 Participants
|
5 Participants
n=166 Participants
|
10 Participants
n=167 Participants
|
24 Participants
n=164 Participants
|
|
Region of Enrollment
United States
|
171 participants
n=174 Participants
|
144 participants
n=166 Participants
|
161 participants
n=167 Participants
|
476 participants
n=164 Participants
|
PRIMARY outcome
Timeframe: 3 monthsThe primary outcome will be PRO adherence, measured at the patient level as the proportion of expected PRO questionnaires completed per patient.
Outcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
PRO Adherence
|
50.0 pct. assigned questionnaires completed
Interval 43.9 to 56.1
|
56.9 pct. assigned questionnaires completed
Interval 50.4 to 63.4
|
34.9 pct. assigned questionnaires completed
Interval 29.8 to 40.0
|
SECONDARY outcome
Timeframe: 3 monthsOutcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Percent of Patients With at Least One Note Documenting PROs During Study Period
|
67 Participants
|
82 Participants
|
96 Participants
|
SECONDARY outcome
Timeframe: 3 monthsOutcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Percent of Patients With at Least One Note Documenting PROs Per Month During Study Period
|
20 Participants
|
16 Participants
|
32 Participants
|
SECONDARY outcome
Timeframe: 3 monthsPopulation: Clinical teams documented responses to patients' questionnaire submissions within the electronic health record.
Outcome measures
| Measure |
Usual practice
n=113 Responses to questionnaire submissions
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=176 Responses to questionnaire submissions
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Time to Alert Response (for Arms 2 and 3 Only)
|
1.24 days
Standard Deviation 1.06
|
1.20 days
Standard Deviation 1.01
|
—
|
SECONDARY outcome
Timeframe: 3 monthsOutcome measures
| Measure |
Usual practice
n=144 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=161 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Percent of Patients Who Trigger an Alert for Triage Nurses (for Arms 2 and 3 Only)
|
71 Participants
|
84 Participants
|
—
|
SECONDARY outcome
Timeframe: 3 monthsPercent of patients with an emergency department visit or hospitalization
Outcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Acute Care Utilization
|
48 Participants
|
45 Participants
|
51 Participants
|
SECONDARY outcome
Timeframe: 3 monthsPercent of patients with a treatment modification
Outcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Treatment Modifications
|
43 Participants
|
35 Participants
|
29 Participants
|
SECONDARY outcome
Timeframe: 3 monthsAverage duration of therapy during the study period
Outcome measures
| Measure |
Usual practice
n=171 Participants
This arm will consist of encounter-based PRO monitoring, in which patients have an opportunity to complete PRO questionnaires via patient portal in advance of clinical encounters or via tablet during clinical encounters. While clinicians will be encouraged to view and discuss PROs with patients during clinical encounters, they will not be prompted to do so in real-time, nor will there be alerts for escalating symptoms.
|
Encounter-based PRO monitoring
n=144 Participants
Encounter-based PRO monitoring (usual practice) plus patient reminders and triage nurse alerts
Encounter-based PRO monitoring: This arm consists of usual practice plus the addition of patient reminders to complete PRO questionnaires and triage nurse alerts for severe symptoms. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
Remote PRO monitoring
n=161 Participants
Remote PRO monitoring plus patient reminders and triage nurse alerts
Remote PRO monitoring: This arm will consist of weekly PRO questionnaires administered via the patient portal, de-linked from clinical encounters. Patient reminders will be operationalized through the Epic patient portal. Triage nurse alerts will be routed to Epic symptom management pools in response to a patient reporting moderate or severe symptoms. Patients will have the opportunity to decline or opt-out of triage nurse support. Clinical interventions stemming from triage nurse alerts will be up to the discretion of clinical teams - i.e., clinical responses will be neither prescriptive nor mandatory. Notably, the entry point for triage nurse alerts (i.e., Epic symptom management pools), as well as resultant clinical responses, are existing standard operating procedures/practices for patients reporting symptoms by phone.
|
|---|---|---|---|
|
Duration of Therapy
|
56.82 days
Standard Deviation 31.67
|
55.94 days
Standard Deviation 33.91
|
53.66 days
Standard Deviation 32.62
|
Adverse Events
Usual Practice
Encounter-based PRO Monitoring
Remote PRO Monitoring
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place