PATIENT VOICES Integration of Systematic Assessment of Patient Reported Outcomes Within Clinical Oncology Practice

Study aims of this phase are: * Assessing the use and attitudes toward PROMs by clinicians in a comprehensive cancer centre. * Reviewing and compare pre-existing ePROMS assessment systems. * Developing and pilot testing a flexible system for electronic collection of PROMs. * Assessing feasibility of ePROM assessment of physical symptoms, psychological distress and patient satisfaction. * Identifying barriers to and developing strategies for the final implementation and integration of routine ePROMs into the clinical practice. The project will last 2 years. Longitudinal and cross-sectional studies will be carried out with the aim to evaluate compliance, acceptability, and usability of a routine ePROM assessment system by both patients and clinicians. Participants will be enrolled among patients attending 3 out-patient clinics (physical symptom), 3 inpatient wards (psychological distress) and 5 multidisciplinary teams (patient satisfaction). The Edmonton symptom assessment scale, the Distress Thermometer, and a questionnaire adapted from the Bench-Can and EURACAN projects plus the institutional customer satisfaction survey, will be used in the three studies. Qualitative methods will be used identify patient and clinician related barriers to ePROM assessment and to pinpoint engagement strategies to promote its use in routine cancer care. Semi-structured interviews and focus groups will be carried out. Quantitative and qualitative studies will respectively enroll 600 and 40 participants.