Accepted for/Published in: JMIR Human Factors
Date Submitted: Dec 10, 2020
Date Accepted: Mar 19, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Individual, organisational and technological factors impacting use of an online portal to support implementation of a clinical pathway addressing psycho-oncology care
ABSTRACT
Background:
Clinical pathways can improve patient outcomes yet can be complex to implement. Technology, such as clinical decision support (CDS) tools can facilitate their use, but requires end-user testing in clinical settings.
Objective:
This study applied the Technology Acceptance Mode model to evaluate the individual, organisational and technological contexts impacting application of a CDS (the ADAPT Portal, facilitating an anxiety and depression clinical pathway) in a metropolitan cancer service.
Methods:
Quantitative and qualitative data on portal activity, data accuracy and health professional perspectives were collected. Quantitative data were analysed descriptively and thematic analysis applied to qualitative data.
Results:
73 users, comprising 36 health professionals and 37 patients, were registered in the Portal during the pilot. Of the 37 patients registered, 16 (43%) completed screening at least once, with 7 screening positive and triaged appropriately. 34 support requests were lodged, resulting in 17 portal enhancements. Health professionals considered the ADAPT Portal easy to use and useful, however some deemed it unnecessary or burdensome in the context of the cancer service.
Conclusions:
User testing of a CDS to facilitate screening and assessment of anxiety and depression in cancer patients, highlighted the feasibility of implementing a CDS tool to facilitate Clinical Pathway use, even resulting in 17 enhancements. Our results highlight the importance of obtaining health professional feedback during piloting.
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