Implementing Individualized Patient Reported Outcome Measures in Routine Care of Patients With Coronary Artery Disease: a Pilot Study

What this Trial Is About

Researchers are evaluating the feasibility and acceptability of the APPROACH electronic patient reported outcome (ePROM) Survey and Clinician Report tools among patients with known or suspected coronary artery disease and their cardiologists. This pilot interventional study aims to determine whether using these tools in routine outpatient cardiology care supports effective communication and management of symptoms, and to prepare for a larger clinical trial. The study includes both patients and cardiologists in Alberta outpatient cardiology practices. The study has two main periods: a control period where patients attend cardiology appointments as usual without the ePROM survey, and an intervention period where patients complete the APPROACH ePROM survey before their visit. Cardiologists receive training on using the ePROM Clinician Report during the intervention period, which summarizes patient survey results to aid clinical care. The intervention period lasts approximately four months or until 30 patients per practice are enrolled. Patients complete a single clinic visit during the study without long-term follow-up. Participants will be screened and recruited before their outpatient cardiology visit, providing baseline demographic and clinical information. During the intervention period, patients complete the ePROM survey online at least 72 hours before their appointment, with support and reminders provided. After visits, patients complete surveys assessing communication and satisfaction, and clinicians provide feedback on the report's acceptability and utility. The study collects usage data and patient and clinician perceptions to assess the intervention's impact on care processes and communication over about eight months.

Implementing Individualized Patient Reported Outcome Measures in Routine Care of Patients With Coronary Artery Disease