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Development and user experience testing of an electronic system for routine collection and use of electronic patient-reported outcome measures

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Electronic collection of patient-reported outcomes (e-PROM) allows accurate recording of data. They also enable the visualization of longitudinal trends in domain-specific scores for a patient, and may improve patient-physician communication. Several commercial offerings are available but deploying them in countries like India is challenging due to language barriers and literacy levels. Additionally, costs involved remain a major problem. We propose to develop an open-source tool to serve the same purpose. After an exhaustive requirement analysis for a minimum viable product, we decided to proceed with developing the system using an open-source content management system. Additional contributed modules like Webform and Media were used to provide additional functionality. Three tiers of user roles with role-specific privileges were defined. A preliminary user experience testing was done for the patient role. All requirements identified in the requirement analysis section have been met. The system allows users with a patient role to fill in questionnaires presented to them. To ensure that diverse groups of patients can be accommodated, patients are grouped according to disease groups. Health care workers can visualize the results of the questionnaire as well as develop new questionnaires using a graphical interface. Initial user experience testing shows that 85.7% of the users (playing the role of patients) were able to use the website without additional help. An open-source system to collect electronic PROM has been developed with localization in Indian languages. We aim to continue developing, validating and extending the system in the future.

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We would like to thank all the persons who had expressed their interest in participating in the user experience testing. The full list is available at Additionally, we would like to thank the developers of the Drupal CMS and the contributed modules, whose contribution allowed us to develop this system with minimal coding.



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Correspondence to Santam Chakraborty.

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All participants consented to participate in the study voluntarily and signed an electronic consent.

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Research involving human and animal participants

No animals were involved in the study. Participants in the user experience testing were volunteers who responded to our request on social media as mentioned above. No identifying information was collected during the testing process. The instructions for the testing process were sent to participants individually as a document. The English version of this instruction is provided as an Appendix (Appendix II) with this manuscript. As this study was not performed on patients or healthy volunteers registered at the institute, an institutional review board was not applicable.

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Chakraborty, S., Mallick, I., Bhattacharyya, T. et al. Development and user experience testing of an electronic system for routine collection and use of electronic patient-reported outcome measures. Health Technol. 12, 443–452 (2022).

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