title: Computerized symptom and quality-of-life assessment for patients with cancer part II: acceptability and usability.
abstract: OBJECTIVE
  To determine the acceptability and usability of a computerized quality-of-life (QOL) and symptom assessment tool and the graphically displayed QOL and symptom output in an ambulatory radiation oncology clinic.
  
  
  METHODS
  Descriptive, cross-sectional.
  
  
  METHODS
  Radiation oncology clinic located in an urban university medical center.
  
  
  METHODS
  45 patients with cancer being evaluated for radiation therapy and 10 clinicians, who submitted 12 surveys.
  
  
  METHODS
  Acceptability of the computerized assessment was measured with an online, 16-item, Likert-style survey delivered as 45 patients undergoing radiation therapy completed a 25-item QOL and symptom assessment. Usability of the graphic output was assessed with clinician completion of a four-item paper survey.
  
  
  METHODS
  Acceptability and usability of computerized patient assessment.
  
  
  RESULTS
  The patient acceptability survey indicated that 70% (n = 28) liked computers and 10% (n = 4) did not. The program was easy to use for 79% (n = 26), easy to understand for 91% (n = 30), and enjoyable for 71% (n = 24). Seventy-six percent (n = 25) believed that the amount of time needed to complete the computerized survey was acceptable. Sixty-six percent (n = 21) responded that they were satisfied with the program, and none of the participants chose the very dissatisfied response. Eighty-three percent (n = 10) of the clinicians found the graphic output helpful in promoting communication with patients, 75% (n = 9) found the output report helpful in identifying appropriate areas of QOL deficits or concerns, and 83% (n = 10) indicated that the output helped guide clinical interactions with patients.
  
  
  CONCLUSIONS
  The computer-based QOL and symptom assessment tool is acceptable to patients, and the graphically displayed QOL and symptom output is useful to radiation oncology nurses and physicians.
  
  
  CONCLUSIONS
  Wider application of computerized patient-generated data can continue in various cancer settings and be tested for clinical and organizational outcomes.
authors.affiliation: Palliative Care Service, Department of Veterans Affairs, VA Puget Sound Health Care System, Seattle, WA, USA. kmullen@u.washington.edu
authors.forename: Kristin H
authors.initials: KH
authors.lastname: Mullen
authors.forename: Donna L
authors.initials: DL
authors.lastname: Berry
authors.forename: Brenda K
authors.initials: BK
authors.lastname: Zierler
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D000368:Aged; D003197:Computer Literacy; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing / Q000523:psychology* / Q000532:radiotherapy; D010147:Pain Measurement; D010865:Pilot Projects; D011788:Quality of Life; D018787:Radiation Oncology; D011878:Radiotherapy / Q000451:nursing / Q000523:psychology*; D012647:Self-Assessment; D012984:Software; D012985:Software Design; D011795:Surveys and Questionnaires; D014861:Washington