Adaptation of digital integration of PROMs and PREMs in oncology during implementation: a scoping review
Year: 2026
Type: article
Study design: Systematic Review
Abstract: PURPOSE: Digital tools facilitate the timely collection of patient-reported outcome and experience measures (ePROMs/PREMs), but there is no consistent reporting on the technical and content adaptations made essential to implementing these digital tools in a specific context. Adaptations made to ePROMs/ePREMs can improve data quality, clinical management, and patient outcomes. We explored how studies report on adaptations and the reasons and types of these during an implementation process of ePROMs/ePREMs systems in routine cancer care. METHODS: We conducted a systematic scoping review. We searched PubMed, Embase, PsychINFO, and CINAHL (inception-May 5, 2023), using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Guided by the Population, Concept, and Context (PCC) framework, data were extracted and summarised in tables in four dimensions: context, content, evaluation, and training. RESULTS: The systematic search found n = 5597 publications, and n = 20 were included (85% published since 2019). No studies reported on ePREMs. Various data collection methods and stakeholders were utilised to make adaptations, guided by one or more implementation frameworks (80% of studies). Common types of adaptations included changing context (e.g. complex onboarding), content (e.g. readability) (all studies), evaluation (e.g. alerts), and training (e.g. patients and clinicians). The use of an implementation framework did not affect the types of adaptations made. CONCLUSIONS: This review summarises the types of adaptations made to oncology ePROMs during implementation. To date, there has been no agreed system to capture adaptations of ePROMs in oncology, nor a system or framework to assess ePROMs efficacy.
Source: Supportive Care in Cancer
Authors: Nuša Farič, Anne-Lore Scherrens, Eveline Raemdonck, Kim Beernaert, Kathrin Cresswell, An Jacobs, Tonje Lundeby, Koen Pardon, Robin Williams, Femke Van Landschoot, Judith de Vos-Geelen, Dag Ausen, Amaia Urrizola, Marianne Jensen Hjermstad, Stein Kaasa, Marie Fallon, Luc Deliens, Kate Absolom, Morten Andresen, Marek Atter, Dag Ausen, Sara Bea, Kim Beernaert, Augusto Caraceni, Andres Cervantes, Kathrin Cresswell, Olav Dajani, Judith de Vos-Geelen, Luc Deliens, Felicity Evans, Marie Fallon, Victòria Freitas-Durks, Viviana Fusetti, Inez Gonzalez-Barrallo, Peter Hall, Marianne Jensen Hjermstad, Marisol Huerta, Kristin Solheim Hustad, An Jacobs, Stein Kaasa, Lisa Heide Koteng, Geana Paula Kurita, Henrik Larsen, Ulrik Lassen, Nicola Jane Latino, Tonje Lundeby, Elias David Lundereng, Camilla Charlotte Lykke, Giacomo Massa, Ulla Mathiesen, Nicoleta Mitrea, Daniela Mosoiu, Steven Olde Damink, Helle Pappot, Koen Pardon, Cathy Payne, Oana Predoiu, Anne-Lore Scherrens, Morena Shkodra, Per Sjøgren, Eivind Storaas, Amaia Urrizola, Peder Heyderdahl Utne, Femke Van Landschoot, Galina Velikova, Lorraine Warrington, Naomi White, Robin Williams
Institutions: University of Edinburgh, Vrije Universiteit Brussel, Ghent University, IMEC, Oslo University Hospital, University of Oslo, Maastricht University Medical Centre, Maastricht University, DNV (Norway), Imatis (Norway), Edinburgh Cancer Research, Institute of Genetics and Cancer, University of Milan, Fondazione IRCCS Istituto Nazionale dei Tumori, Universitat de València, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Cáncer, European Society for Medical Oncology, INCLIVA Health Research Institute, Copenhagen University Hospital, Rigshospitalet, Essen University Hospital, Transylvania University of Brașov, European Association for Palliative Care, University of Leeds
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,690
Award: G2194384010
OpenAlex ID: W7135200688