Implementing AI-Assisted, Patient-Friendly Imaging Report Summaries to Enhance Oncology Care Delivery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- Proportion of Patient Participants who report the information presented in their results is "Somewhat easy to understand" or "Very easy to understand" when reviewed by themselves
研究概览
简要总结
The implementation of the AI-assisted radiology summary tool into clinical workflows is being conducted as part of a standard-of-care quality improvement (QI) initiative at UW Health. The evaluation of this tool's impact via structured feedback from patients and providers is being undertaken as a prospective research study.
详细描述
Patient groups: Mixed-method approach to evaluate patient understanding of, and anxiety about, imaging results and communication experience regarding the results before and after implementation of AI-assisted, patient-friendly imaging report summaries that accompany the imaging results.
Provider group: Quasi-experimental staircase approach to sequentially roll out the tool to three provider cohorts. All hematology/oncology and gynecology oncology attending providers will be randomized by disease group into three relatively similar-sized cohorts based on group-level scan volumes, regardless of individual provider characteristics or communication style. Subsequent cohorts will be added every two months.
Surveys will be the main method of feedback collection at baseline and after implementation of the AI-assisted, patient-friendly imaging report summaries. Interviews will be conducted in a small subset of subjects.
Primary Objective:
- To evaluate patient comprehension of, and anxiety about, imaging results and communication experience regarding the results before and after implementation of AI-assisted, patient-friendly imaging report summaries that accompany the imaging results.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(Patient Participants):
- •Age 18 years or older
- •Having a current or prior cancer diagnosis (any cancer type)
- •Has active access to the UW Health MyChart patient portal.
- •Receiving care at UW Health within the Division of Hematology, Medical Oncology and Palliative Care or Department of Gynecologic Oncology.
- •Undergoing imaging studies (such as CT, MRI, or PET scans) as part of routine cancer care.
- •Willing and able to complete electronic REDCap surveys.
- •For interview participation: willing to participate in a 30-45-minute phone or video interview.
- •Inclusion Criteria (Provider Participants): Cancer care providers will be eligible to participate in this study if they meet all of the following criteria:
- •Faculty physician (MD or DO) practicing in the Division of Hematology, Medical Oncology and Palliative Care or Department of Gynecologic Oncology at UW Health.
- •Involved in reviewing, discussing, or sharing imaging results with patients.
- •Planned to gain access to the AI-assisted, patient-friendly imaging summary tool as part of clinical implementation.
- •Willing and able to complete electronic surveys or participate in a brief interview (~30 minutes).
排除标准
- •(Patients):
- •Are unable to provide informed consent due to cognitive impairment or other limitations, as determined by the clinical or study team.
- •Enrolled in an active interventional clinical trial. Patients on biospecimen, registry, or non-interventional studies are eligible.
- •For the Patient Interview group only: Patients with radiographic disease progression will be excluded.
研究组 & 干预措施
Patient Participants
- Patient Baseline Survey (pre-implementation, at least 330 participants, up to 1900)
- Patient Interviews (10-20 participants)
- Patient Summary Feedback Survey (post-implementation, at least 330 participants, up to 1900)
Provider Participants
- Provider Surveys (baseline, 1 month and 3 month post-implementation, 60 participants)
- Provider Interviews (up to 20 participants)
结局指标
主要结局
Proportion of Patient Participants who report the information presented in their results is "Somewhat easy to understand" or "Very easy to understand" when reviewed by themselves
时间窗: up to 15 minutes
Baseline data collected in a 10-15 minute survey from patient participants pre-implementation and in a 10-15 minute survey from patient participants post-implementation.
Perceived impact of scan-result-related patient queries on Provider Participant workload
时间窗: baseline, 3 months
Scored from 1 (no impact) to 5 (very frequently), higher scores indicate higher impact on workload. Data collected at baseline (pre-implementation) and 3 months (post-implementation).
次要结局
未报告次要终点