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Clinical Trial
. 2016 Mar;25(3):585-94.
doi: 10.1007/s11136-015-1219-9. Epub 2016 Jan 20.

Implementation of the Kids-CAT in clinical settings: a newly developed computer-adaptive test to facilitate the assessment of patient-reported outcomes of children and adolescents in clinical practice in Germany

D Barthel  1 , K I Fischer  2 , S Nolte  2   3 , C Otto  4 , A-K Meyrose  4 , S Reisinger  4 , M Dabs  4 , U Thyen  5 , M Klein  6 , H Muehlan  7 , T Ankermann  6 , O Walter  2 , M Rose  2   8 , U Ravens-Sieberer  4
Affiliations
Clinical Trial

Implementation of the Kids-CAT in clinical settings: a newly developed computer-adaptive test to facilitate the assessment of patient-reported outcomes of children and adolescents in clinical practice in Germany

D Barthel et al. Qual Life Res. 2016 Mar.

Abstract

Purpose: To describe the implementation process of a computer-adaptive test (CAT) for measuring health-related quality of life (HRQoL) of children and adolescents in two pediatric clinics in Germany. The study focuses on the feasibility and user experience with the Kids-CAT, particularly the patients' experience with the tool and the pediatricians' experience with the Kids-CAT Report.

Methods: The Kids-CAT was completed by 312 children and adolescents with asthma, diabetes or rheumatoid arthritis. The test was applied during four clinical visits over a 1-year period. A feedback report with the test results was made available to the pediatricians. To assess both feasibility and acceptability, a multimethod research design was used. To assess the patients' experience with the tool, the children and adolescents completed a questionnaire. To assess the clinicians' experience, two focus groups were conducted with eight pediatricians.

Results: The children and adolescents indicated that the Kids-CAT was easy to complete. All pediatricians reported that the Kids-CAT was straightforward and easy to understand and integrate into clinical practice; they also expressed that routine implementation of the tool would be desirable and that the report was a valuable source of information, facilitating the assessment of self-reported HRQoL of their patients.

Conclusions: The Kids-CAT was considered an efficient and valuable tool for assessing HRQoL in children and adolescents. The Kids-CAT Report promises to be a useful adjunct to standard clinical care with the potential to improve patient-physician communication, enabling pediatricians to evaluate and monitor their young patients' self-reported HRQoL.

Keywords: Clinical practice; Computer-adaptive test; Electronic patient-reported outcomes; Pediatrics; Quality of life; User acceptance.

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