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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >DELIVERY OF COMMON KNEE PATIENT-REPORTED OUTCOME INSTRUMENTS BY AUTOMATED MOBILE PHONE TEXT MESSAGING IN PEDIATRIC SPORTS MEDICINE
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DELIVERY OF COMMON KNEE PATIENT-REPORTED OUTCOME INSTRUMENTS BY AUTOMATED MOBILE PHONE TEXT MESSAGING IN PEDIATRIC SPORTS MEDICINE

机译：儿科运动医学中自动手机短信传递普通膝关节患者报告的结局指标

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Background: Patient-reported outcome (PRO) instruments measure a patient’s health status in a variety of domains, including physical, mental and social well-being. The delivery of such instruments has become an integral part of healthcare, commonly employed to assess treatment efficacy and outcomes in sports medicine. With the proliferation of mobile phones, administration of PROs across patient-friendly platforms (e.g. apps, text messaging) may increase completion rates, particularly among younger patients. The purpose of this study was to validate the collection of common knee PROs with text messaging in sports medicine, by correlating text messaging responses with traditional paper delivery in adolescents and young adults. Methods: Patients presenting to a hospital-based pediatric orthopaedic sports medicine clinic with a knee injury were enrolled in this prospective investigation. Patients were excluded if they were undergoing a same-day office procedure, underwent surgery within the previous 90 days, and/or had no access to a mobile phone. Paper versions of the Pediatric International Knee Documentation Committee (Pedi-IKDC) Subjective Knee Evaluation Form and the Pediatric Functional Activity Brief Scale (Pedi-Fab Scale) questionnaires were completed during the patients’ initial clinic visit. Over the next 72 hours, the patients subsequently completed the mobile phone portion of the study outside of the clinic (Figure 1), which included text message delivery of the Pedi-IKDC and Pedi-Fab Scale, assigned in a random order. Correlations between paper and text message delivery of the two PROs were assessed. Secondary analyses were conducted to examine overall completion time and associations between patient demographics and text compliance. Results: Of the 91 patients (Age M=16.0 ±2.0 years; 48% female) initially enrolled in the study, 55 (60.4%) completed the text Pedi-Fab Scale, 48 (52.7%) completed the text Pedi-IKDC, and 39 (42.9%) completed both PROs. Among the evaluable sample, the intraclass correlation coefficient (ICC) between the paper and mobile phone delivery of the Pedi-Fabs was 0.95 (95% CI, 0.91-0.97). The ICC between the paper and mobile phone delivery of the Pedi-IKDC was 0.96 (95% CI, 0.93-0.98). Average Pedi-Fab scores on paper (M=12.7) and mobile phone (M=12.3) were not significantly different (p=0.52). Similarly, average Pedi-IKDC scores on paper (M=68.8) and mobile phone (M=67.7) were not significantly different (p=0.41). A Bland-Altman plot and linear regression revealed there was no proportional bias between the mean and difference for the Pedi-Fab scores (p=0.55) and Pedi-IKDC scores (p=0.56). The average completion time for the text delivered Pedi-Fab and Pedi-IKDC were 102±224 minutes and 159±155 minutes, respectively. For Pedi-Fab, there were no patient demographics that were significantly associated with text completion. However, high school students (p=0.025), female sex (p=0.036), and race (p=0.002), were significantly associated with the text completion of Pedi-IKDC. In addition, order of the delivery of the questionnaires and paper scores were not associated with text completion for either survey. Conclusion: Text message delivery using mobile phones permits valid assessment of Pedi-IKDC and Pedi-Fabs scores in this prospective observational study. Questionnaire delivery by automated text messaging allows asynchronous response and may increase compliance among high school students while also reducing the labor cost of collecting PROs.
机译：背景：患者报告结局（PRO）仪器可在包括身体，心理和社会福祉在内的多个领域中衡量患者的健康状况。此类仪器的交付已成为医疗保健不可或缺的一部分，通常用于评估运动医学的治疗功效和疗效。随着手机的普及，跨患者友好平台（例如应用程序，短信）管理PRO可能会提高完成率，尤其是在年轻患者中。这项研究的目的是通过将短信响应与青少年和年轻人中的传统纸张传递相关联，来验证运动医学中短信传递对普通膝关节PRO的收集。方法：该前瞻性研究招募了就诊于医院的儿科骨科运动医学诊所的膝关节损伤患者。如果患者正在接受当日办公室手术，在过去90天内进行过手术和/或无法使用手机，则被排除在外。在患者初次就诊期间，完成了儿童国际膝关节文献委员会（Pedi-IKDC）主观膝关节评估表和儿童功能活动简要量表（Pedi-Fab量表）的纸质版本。在接下来的72小时内，患者随后在诊所外完成了研究的手机部分（图1），其中包括以随机顺序分配的Pedi-IKDC和Pedi-Fab量表的文本消息传递。评估了两个PRO的纸质和短信传递之间的相关性。进行了次要分析，以检查总体完成时间以及患者人口统计信息与文本顺应性之间的关联。结果：最初纳入研究的91名患者（年龄M = 16.0±2.0岁;女性48％）中，有55名（60.4％）完成了Pedi-Fab量表，48名（52.7％）完成了Pedi-IKDC，和39个（42.9％）完成了两个PRO。在可评估的样本中，Pedi-Fabs的纸张和手机交付之间的类内相关系数（ICC）为0.95（95％CI，0.91-0.97）。 Pedi-IKDC在纸质和手机交付之间的ICC为0.96（95％CI，0.93-0.98）。纸上（M = 12.7）和手机（M = 12.3）的Pedi-Fab平均得分没有显着差异（p = 0.52）。同样，纸上（M = 68.8）和手机（M = 67.7）的Pedi-IKDC平均得分也没有显着差异（p = 0.41）。 Bland-Altman图和线性回归显示，Pedi-Fab得分（p = 0.55）和Pedi-IKDC得分（p = 0.56）的平均值和差异之间没有比例偏差。文本交付的Pedi-Fab和Pedi-IKDC的平均完成时间分别为102±224分钟和159±155分钟。对于Pedi-Fab，没有患者的人口统计学特征与文本的完成度显着相关。但是，高中生（p = 0.025），女性（p = 0.036）和种族（p = 0.002）与Pedi-IKDC的文字完成率显着相关。此外，问卷的交付顺序和纸质分数与两项调查的文字完成都不相关。结论：在这项前瞻性观察研究中，使用手机发送短信可以有效评估Pedi-IKDC和Pedi-Fabs得分。通过自动文本消息传送问卷可以实现异步响应，并可以提高高中生的依从性，同时还可以减少收集PRO的人工成本。

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