eIMPAQc System for Cancer Care
(eIMPAQc Trial)
Trial Summary
What is the purpose of this trial?
Purpose: The Electronic Implementation of Patient and Caregiver Reported Outcomes across cancer centres in Quebec project, or e-IMPAQc, was launched in 2017. e-IMPAQc's goal is to actively engage patients, their caregivers, healthcare professionals (HCPs), managers, policy makers, researchers and IT personnel to co-develop, implement, and evaluate an evidence-informed electronic patient-reported outcomes (e-PRO) screening and management program across Quebec.Methods: e-IMPAQc built on the Improving Patient Experience and Health Outcomes Collaborative (iPEHOC) project, the first initiative in the province to implement e-PRO screening and was rolled out in three phases. e-IMPAQc has five main components: 1) primary and secondary standardized e-PRO questionnaires and algorithm; 2) summary report for clinicians with alert system; 3) summary report for patients, with tailored notifications regarding symptom severity; 4) self-management fact sheets library; and 5) clinical dashboard. Phase 1 included initiating change management and the co-development of the e-PRO algorithm with patients, their caregivers, HCPs, managers, policy makers, researchers and IT personnel (herein collectively referred as stakeholders) across seven cancer centres. The iPEHOC algorithm was used as a starting point given its successful implementation in one of the participating cancer centres for several years. Phase 1 also included feasibility work to establish a caregiver-reported outcomes (CROs) algorithm as well as the identification and configuration of appropriate electronic platforms on which to house e-IMPAQc. In Phase 2 the focus was on preparing for imminent implementation through workflow mapping and putting in place implementation support (e.g., site coordinators). A pilot of e-IMPAQc (excluding CROs) was also undertaken at one of the participating centres. In Phase 3, e-IMPAQc is being sequentially rolled out to as many cancer centres as possible and then evaluated. Qualitative and quantitative methods are used to document the process of implementation, patient and caregiver, and knowledge transfer (KT) outcomes.
Eligibility Criteria
This trial is for cancer patients receiving care at specific centers in Quebec. Participants must be able to speak English or French and use email and the internet.Inclusion Criteria
Exclusion Criteria
Timeline
Pre-implementation
Outcomes collected in patient populations prior to roll-out of the eIMPAQc
Implementation
e-IMPAQc is sequentially rolled out to cancer centres and evaluated
Follow-up
Participants are monitored for outcomes such as patient activation, acceptability, and satisfaction
Post-implementation
Outcomes collected in patient populations after roll-out of eIMPAQc
Treatment Details
Interventions
- eIMPAQc
Find a Clinic Near You
Who Is Running the Clinical Trial?
St. Mary's Research Center, Canada
Lead Sponsor