Online Patient-Reported Outcome Measure Engagement Is Dependent on Demographics and Locality: Findings From an Observational Cohort

Mark Yates; Katie Bechman; Maryam A. Adas; Hannah Wright; Mark Russell; Deepak Nagra; Ben Clarke; Joanna Ledingham; Sam Norton; James Galloway

doi:10.3899/jrheum.2021-1410

Online Patient-Reported Outcome Measure Engagement Is Dependent on Demographics and Locality: Findings From an Observational Cohort

Mark Yates, Katie Bechman, Maryam A. Adas, Hannah Wright, Mark Russell, Deepak Nagra, Ben Clarke, Joanna Ledingham, Sam Norton, James Galloway^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Objective. Online patient-reported outcome measures (PROMs) enable remote collection of perceptions of health status, function, and well-being. We aimed to explore patterns of PROM completion in patients with early inflammatory arthritis (EIA) recruited to the National Early Inflammatory Arthritis Audit (NEIAA). Methods. NEIAA is an observational cohort study design; we included adults from this cohort with a new diagnosis of EIA from May 2018 to March 2020. The primary outcome was PROM completion at baseline, 3 months, and 12 months. Mixed effects logistic regression and spatial regression models were used to identify associations between demographics (age, gender, ethnicity, deprivation, smoking, and comorbidity), clinical commissioning groups, and PROM completion. Results. Eleven thousand nine hundred eighty-six patients with EIA were included, of whom 5331 (44.5%) completed at least 1 PROM. Patients from ethnic minority backgrounds were less likely to return a PROM (adjusted odds ratio [aOR] 0.57, 95% CI 0.48-0.66). Greater deprivation (aOR 0.73, 95% CI 0.64-0.83), male gender (aOR 0.86, 95% CI 0.78-0.94), higher comorbidity burden (aOR 0.95, 95% CI 0.91-0.99), and current smoker status (aOR 0.73, 95% CI 0.64-0.82) also reduced odds of PROM completion. Spatial analysis identified 2 regions with high (North of England) and low (Southeast of England) PROM completion. Conclusion. We define key patient characteristics (including ethnicity) that influence PROM engagement using a national clinical audit. We observed an association between locality and PROM completion, with varying response rates across regions of England. Completion rates could benefit from targeted education for these groups.

Original language	English
Pages (from-to)	1178-1184
Number of pages	7
Journal	Journal of Rheumatology
Volume	50
Issue number	9
DOIs	https://doi.org/10.3899/jrheum.2021-1410
Publication status	Published - 29 Sept 2023

Keywords

inflammatory arthritis
National Early Inflammatory Arthritis Audit (NEIAA)
patient-reported outcomes

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10.3899/jrheum.2021-1410

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@article{6b07e19b1d8c465ca3cbade1f88a1ba6,

title = "Online Patient-Reported Outcome Measure Engagement Is Dependent on Demographics and Locality: Findings From an Observational Cohort",

abstract = "Objective. Online patient-reported outcome measures (PROMs) enable remote collection of perceptions of health status, function, and well-being. We aimed to explore patterns of PROM completion in patients with early inflammatory arthritis (EIA) recruited to the National Early Inflammatory Arthritis Audit (NEIAA). Methods. NEIAA is an observational cohort study design; we included adults from this cohort with a new diagnosis of EIA from May 2018 to March 2020. The primary outcome was PROM completion at baseline, 3 months, and 12 months. Mixed effects logistic regression and spatial regression models were used to identify associations between demographics (age, gender, ethnicity, deprivation, smoking, and comorbidity), clinical commissioning groups, and PROM completion. Results. Eleven thousand nine hundred eighty-six patients with EIA were included, of whom 5331 (44.5%) completed at least 1 PROM. Patients from ethnic minority backgrounds were less likely to return a PROM (adjusted odds ratio [aOR] 0.57, 95% CI 0.48-0.66). Greater deprivation (aOR 0.73, 95% CI 0.64-0.83), male gender (aOR 0.86, 95% CI 0.78-0.94), higher comorbidity burden (aOR 0.95, 95% CI 0.91-0.99), and current smoker status (aOR 0.73, 95% CI 0.64-0.82) also reduced odds of PROM completion. Spatial analysis identified 2 regions with high (North of England) and low (Southeast of England) PROM completion. Conclusion. We define key patient characteristics (including ethnicity) that influence PROM engagement using a national clinical audit. We observed an association between locality and PROM completion, with varying response rates across regions of England. Completion rates could benefit from targeted education for these groups.",

keywords = "inflammatory arthritis, National Early Inflammatory Arthritis Audit (NEIAA), patient-reported outcomes",

author = "Mark Yates and Katie Bechman and Adas, {Maryam A.} and Hannah Wright and Mark Russell and Deepak Nagra and Ben Clarke and Joanna Ledingham and Sam Norton and James Galloway",

note = "Funding Information: NEIAA is funded by the Healthcare Quality Improvement Partnership (HQIP). MY{\textquoteright}s salary is funded by grants from the British Society for Rheumatology and Versus Arthritis. 1M. Yates, PhD, K. Bechman, PhD, M. Russell, MB BChir, D. Nagra, MBBS, B. Clarke, MBBS, S. Norton, PhD, J. Galloway, PhD, Centre for Rheumatic Diseases, King{\textquoteright}s College London, London, UK; 2M.A. Adas, MSc, Centre for Rheumatic Disease, King{\textquoteright}s College London, London, UK, and Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia; 3H. Wright, MSc, Healthcare Quality Improvement Partnership, London, UK; 4J. Ledingham, PhD, Portsmouth Hospitals University NHS Trust – Rheumatology Portsmouth, Portsmouth, UK. M. Yates and K. Bechman contributed equally to this work. JG has received honoraria from AbbVie, Celgene, Chugai, Galapagos, Gilead, Janssen, Lilly, Pfizer, Roche, and UCB. MY and BC have received honoraria from AbbVie. The remaining authors declare no conflicts of interest relevant to this article. Address correspondence to Dr. J. Galloway, Centre for Rheumatic Disease, Weston Education Centre, King{\textquoteright}s College London, London SE5 9RJ, UK. Email: [email protected]. Accepted for publication April 27, 2023. Publisher Copyright: {\textcopyright} 2023 The Journal of Rheumatology.",

year = "2023",

month = sep,

day = "29",

doi = "10.3899/jrheum.2021-1410",

language = "English",

volume = "50",

pages = "1178--1184",

journal = "Journal of Rheumatology",

issn = "0315-162X",

publisher = "Journal of Rheumatology",

number = "9",

}

TY - JOUR

T1 - Online Patient-Reported Outcome Measure Engagement Is Dependent on Demographics and Locality

T2 - Findings From an Observational Cohort

AU - Yates, Mark

AU - Bechman, Katie

AU - Adas, Maryam A.

AU - Wright, Hannah

AU - Russell, Mark

AU - Nagra, Deepak

AU - Clarke, Ben

AU - Ledingham, Joanna

AU - Norton, Sam

AU - Galloway, James

N1 - Funding Information: NEIAA is funded by the Healthcare Quality Improvement Partnership (HQIP). MY’s salary is funded by grants from the British Society for Rheumatology and Versus Arthritis. 1M. Yates, PhD, K. Bechman, PhD, M. Russell, MB BChir, D. Nagra, MBBS, B. Clarke, MBBS, S. Norton, PhD, J. Galloway, PhD, Centre for Rheumatic Diseases, King’s College London, London, UK; 2M.A. Adas, MSc, Centre for Rheumatic Disease, King’s College London, London, UK, and Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia; 3H. Wright, MSc, Healthcare Quality Improvement Partnership, London, UK; 4J. Ledingham, PhD, Portsmouth Hospitals University NHS Trust – Rheumatology Portsmouth, Portsmouth, UK. M. Yates and K. Bechman contributed equally to this work. JG has received honoraria from AbbVie, Celgene, Chugai, Galapagos, Gilead, Janssen, Lilly, Pfizer, Roche, and UCB. MY and BC have received honoraria from AbbVie. The remaining authors declare no conflicts of interest relevant to this article. Address correspondence to Dr. J. Galloway, Centre for Rheumatic Disease, Weston Education Centre, King’s College London, London SE5 9RJ, UK. Email: [email protected]. Accepted for publication April 27, 2023. Publisher Copyright: © 2023 The Journal of Rheumatology.

PY - 2023/9/29

Y1 - 2023/9/29

N2 - Objective. Online patient-reported outcome measures (PROMs) enable remote collection of perceptions of health status, function, and well-being. We aimed to explore patterns of PROM completion in patients with early inflammatory arthritis (EIA) recruited to the National Early Inflammatory Arthritis Audit (NEIAA). Methods. NEIAA is an observational cohort study design; we included adults from this cohort with a new diagnosis of EIA from May 2018 to March 2020. The primary outcome was PROM completion at baseline, 3 months, and 12 months. Mixed effects logistic regression and spatial regression models were used to identify associations between demographics (age, gender, ethnicity, deprivation, smoking, and comorbidity), clinical commissioning groups, and PROM completion. Results. Eleven thousand nine hundred eighty-six patients with EIA were included, of whom 5331 (44.5%) completed at least 1 PROM. Patients from ethnic minority backgrounds were less likely to return a PROM (adjusted odds ratio [aOR] 0.57, 95% CI 0.48-0.66). Greater deprivation (aOR 0.73, 95% CI 0.64-0.83), male gender (aOR 0.86, 95% CI 0.78-0.94), higher comorbidity burden (aOR 0.95, 95% CI 0.91-0.99), and current smoker status (aOR 0.73, 95% CI 0.64-0.82) also reduced odds of PROM completion. Spatial analysis identified 2 regions with high (North of England) and low (Southeast of England) PROM completion. Conclusion. We define key patient characteristics (including ethnicity) that influence PROM engagement using a national clinical audit. We observed an association between locality and PROM completion, with varying response rates across regions of England. Completion rates could benefit from targeted education for these groups.

AB - Objective. Online patient-reported outcome measures (PROMs) enable remote collection of perceptions of health status, function, and well-being. We aimed to explore patterns of PROM completion in patients with early inflammatory arthritis (EIA) recruited to the National Early Inflammatory Arthritis Audit (NEIAA). Methods. NEIAA is an observational cohort study design; we included adults from this cohort with a new diagnosis of EIA from May 2018 to March 2020. The primary outcome was PROM completion at baseline, 3 months, and 12 months. Mixed effects logistic regression and spatial regression models were used to identify associations between demographics (age, gender, ethnicity, deprivation, smoking, and comorbidity), clinical commissioning groups, and PROM completion. Results. Eleven thousand nine hundred eighty-six patients with EIA were included, of whom 5331 (44.5%) completed at least 1 PROM. Patients from ethnic minority backgrounds were less likely to return a PROM (adjusted odds ratio [aOR] 0.57, 95% CI 0.48-0.66). Greater deprivation (aOR 0.73, 95% CI 0.64-0.83), male gender (aOR 0.86, 95% CI 0.78-0.94), higher comorbidity burden (aOR 0.95, 95% CI 0.91-0.99), and current smoker status (aOR 0.73, 95% CI 0.64-0.82) also reduced odds of PROM completion. Spatial analysis identified 2 regions with high (North of England) and low (Southeast of England) PROM completion. Conclusion. We define key patient characteristics (including ethnicity) that influence PROM engagement using a national clinical audit. We observed an association between locality and PROM completion, with varying response rates across regions of England. Completion rates could benefit from targeted education for these groups.

KW - inflammatory arthritis

KW - National Early Inflammatory Arthritis Audit (NEIAA)

KW - patient-reported outcomes

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U2 - 10.3899/jrheum.2021-1410

DO - 10.3899/jrheum.2021-1410

M3 - Article

C2 - 37188382

AN - SCOPUS:85169624033

SN - 0315-162X

VL - 50

SP - 1178

EP - 1184

JO - Journal of Rheumatology

JF - Journal of Rheumatology

IS - 9

ER -

Online Patient-Reported Outcome Measure Engagement Is Dependent on Demographics and Locality: Findings From an Observational Cohort

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