Monitoring Quality of Life Among Prostate Cancer Survivors: The Feasibility of Automated Telephone Assessment - 30/10/12
, Margaret Holmes-Rovner c, Sarah T. Hawley a, d, Rodney L. Dunn b, Kathryn L.C. Barr e, Nancy R. Willard e, John T. Wei a, b, John D. Piette a, d, Lawrence C. An a, d, e
Reprint requests: Ted A. Skolarus, M.D., M.P.H. Department of Urology, University of Michigan, VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, 1500 E. Medical Center Drive, 3875 Taubman Center, SPC 5330, Ann Arbor, MI 48019Résumé |
Objective |
To examine the feasibility of using automated interactive voice response calls to assess prostate cancer survivor quality of life (QOL). In light of an increasing focus on patient-centered outcomes, innovative and efficient approaches to monitor QOL among prostate cancer survivors are increasingly valuable.
Methods |
Forty prostate cancer survivors less than 1 year post-treatment were enrolled at a university-based cancer center clinic from July through August 2011. We adapted the Expanded Prostate Cancer Index Composite (EPIC) survey, a prostate cancer-specific QOL instrument, for use via personal telephone with interactive voice response. We compared written vs interactive voice response EPIC scores across urinary, sexual, bowel, and vitality domains.
Results |
The median age of respondents was 63 years (range, 41-76 years) and the majority had undergone surgery (97.5%). The entire interactive voice response call was completed by 35 participants (87.5%). Over half of all interactive voice response calls were answered after 2 attempts with a median length of 11.3 minutes. On average, interactive voice response EPIC scores were slightly lower than written scores (−2.1 bowel, P = .05; −4.6 urinary incontinence, P < .01). Test-retest reliability was very high for urinary incontinence (r = .97) and sexual function domains (r = .96). Although mean scores were similar for other domains, their distributions had significant ceiling effects limiting our reliability measure interpretation.
Conclusion |
Automated interactive voice response calls are a feasible strategy for assessing prostate cancer survivor QOL. Interactive voice response could provide a low cost, sustainable, and systematic approach to measuring patient-centered outcomes, conducting comparative effectiveness research, and monitoring the quality of prostate cancer care.
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
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| Funding Support: This study was supported with funding from the Blue Cross Blue Shield of Michigan Foundation and the Prostate Cancer Income Tax Check-Off Fund, administered by the Michigan Department of Community Health. Dr. Skolarus was supported by a National Institutes of Health T32 training grant (NIH 2 T32 DK007782-06). Dr. John Piette is a VA Senior Research Career Scientist. |
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| The contents of this article do not necessarily represent the official views of the Blue Cross Blue Shield of Michigan Foundation or the Michigan Department of Community Health. |
Vol 80 - N° 5
P. 1021-1026 - novembre 2012 Retour au numéro
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