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We implemented an electronic health record-integrated patient-reported symptom and needs monitoring program (\u2018cPRO\u2019 for <jats:italic>c<\/jats:italic>ancer <jats:italic>p<\/jats:italic>atient-<jats:italic>r<\/jats:italic>eported <jats:italic>o<\/jats:italic>utcomes). To aid evaluation of cPRO implementation, we asked patients receiving care in one of three geographical regions of an academic healthcare system about their experiences.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Using a sequential mixed-methods approach, we collected feedback in two waves. <jats:italic>Wave 1<\/jats:italic> included virtual focus groups and interviews with patients who had completed cPRO. In <jats:italic>Wave 2<\/jats:italic>, we administered a structured survey to systematically examine <jats:italic>Wave 1<\/jats:italic> themes. All participants had a diagnosed malignancy and received at least 2 invitations to complete cPRO. We used rapid and traditional qualitative methods to analyze <jats:italic>Wave 1<\/jats:italic> data and focused on identifying facilitators and barriers to cPRO implementation. <jats:italic>Wave 2<\/jats:italic> data were analyzed descriptively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u2009180) were on average 62.9 years old; were majority female, White, non-Hispanic, and married; and represented various cancer types and phases of treatment. <jats:italic>Wave 1<\/jats:italic> participants (<jats:italic>n<\/jats:italic>\u2009=\u200937) identified facilitators, including cPRO\u2019s perceived value and favorable usability, and barriers, including confusion about cPRO\u2019s purpose and various considerations for responding. High levels of clinician engagement with, and patient education on, cPRO were described as facilitators while low levels were described as barriers. <jats:italic>Wave 2<\/jats:italic> (<jats:italic>n<\/jats:italic>\u2009=\u2009143) data demonstrated high endorsement rates of cPRO\u2019s usability on domains such as navigability (91.6%), comprehensibility (98.7%), and relevance (82.4%). <jats:italic>Wave 2<\/jats:italic> data also indicated low rates of understanding cPRO\u2019s purpose (56.7%), education from care teams about cPRO (22.5%), and discussing results of cPRO with care teams (16.3%).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>While patients reported high value and ease of use when completing cPRO, they also reported areas of confusion, emphasizing the importance of patient education on the purpose and use of cPRO and clinician engagement to sustain participation. These results guided successful implementation changes and will inform future improvements.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s41687-024-00742-8","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T10:01:55Z","timestamp":1719914515000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A mixed methods evaluation of patient perspectives on the implementation of an electronic health record-integrated patient-reported symptom and needs monitoring program in cancer care"],"prefix":"10.1186","volume":"8","author":[{"given":"Madison J.","family":"Lyleroehr","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Webster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Perry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah A.","family":"Patten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackelyn","family":"Cantoral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin D.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J.","family":"Penedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3300-385X","authenticated-orcid":false,"given":"Sofia F.","family":"Garcia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,2]]},"reference":[{"key":"742_CR1","doi-asserted-by":"crossref","unstructured":"Epstein RM, Street RL (2011) The values and value of patient-centered care. 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