Journal of
AIDS and HIV Research

  • Abbreviation: J. AIDS HIV Res.
  • Language: English
  • ISSN: 2141-2359
  • DOI: 10.5897/JAHR
  • Start Year: 2009
  • Published Articles: 288

Full Length Research Paper

“You’re almost glancing behind a curtain”: HIV care provider perceptions regarding integration and value of pre-visit electronic tablet-based patient-reported outcomes data collection in two North American clinics

Rob Fredericksen
  • Rob Fredericksen
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Duncan Short
  • Duncan Short
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Emma Fitzsimmons
  • Emma Fitzsimmons
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Divya Korlipara
  • Divya Korlipara
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Shivali Suri
  • Shivali Suri
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Brenda Jacobs
  • Brenda Jacobs
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Jean Bacon
  • Jean Bacon
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Abigail Kroch
  • Abigail Kroch
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Alexandra Musten
  • Alexandra Musten
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Vincent Hodge
  • Vincent Hodge
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Moti Ramgopal
  • Moti Ramgopal
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Darrell Tan
  • Darrell Tan
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Jeff Berry
  • Jeff Berry
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Deborah Yoong
  • Deborah Yoong
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Mark Naccarato
  • Mark Naccarato
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Kevin Gough
  • Kevin Gough
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Justin Mcreynolds
  • Justin Mcreynolds
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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William Lober
  • William Lober
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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Heidi Crane
  • Heidi Crane
  • Division of Allergy and Infectious Diseases, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, Box 359931, USA.
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  •  Accepted: 12 March 2022
  •  Published: 30 June 2022

Abstract

This study was conducted to assess provider perceptions regarding value of tablet-based patient-reported outcome (PRO) assessments in routine care. Patients self-administered a brief PRO assessment of several clinical domains on-site prior to HIV clinic visits. Providers were given succinct summary results. 1:1 interviews were conducted with providers regarding PROs utility and their integration into care, and coded interview transcripts into thematic areas. Providers described how PROs helped prioritize topics for discussion during the visit, and facilitated their identification and ability to address sensitive issues, particularly depression/suicidality, sexual behavior, and intimate partner violence. PROs further facilitated comprehensive identification of other issues and concerns which led to an additional but manageable workflow impact, regarded as a valuable tradeoff. Integration of PROs into workflows met with initial challenges that were easily resolved. Providers found PROs with results delivery prior to patient appointments valuable for routine HIV care and feasible for integration into clinic workflow.

Key words: Patient-reported outcomes, physician-patient relations.