{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T20:28:18Z","timestamp":1787257698236,"version":"build-2736575974"},"reference-count":25,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"8","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Glob Oncol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>To evaluate feasibility, death-anchored timeliness, and acceptability of a messaging-based electronic patient reported outcomes (ALVA) for after-death Quality of Dying and Death (QODD) collection from bereaved caregivers in Chile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We conducted a single-arm, mixed-methods pilot study. After consent, caregivers completed the Spanish QODD via ALVA on common messaging apps (no installation). The primary end point was completion among registered participants; on-time was prespecified as 14-84 days after death. Proportions include 95% CIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of 36 invited, 21 registered; pre-registration losses were dominated by hospital-based consent logistics (11\/36). Among registered, QODD completion was 100% (21\/21) and postquestionnaire interview completion was 95.2% (20\/21; 95% CI, 77.4 to 99.2); all QODD completions occurred via chat. Median time to completion was 15 minutes (IQR, 10-22; range, 0:05-23:34); 50% finished \u226415 minutes, 75% \u226420 minutes, 85% \u226460 minutes, and 100% within 24 hours (three pause\/resume sessions \u226512 hours). Among those with death-anchored timing data (n = 20), on-time completion was 65.0% (13\/20; 95% CI, 43.3 to 81.9); median death to completion was 74 days (IQR, 50-85; range, 7-93). Participants' mean age was 49.1 years (standard deviation, 14.2), and relationships were predominantly children (70%) and spouses (15%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>ALVA achieved near-universal completion among registered caregivers (100% QODD; 95% including postinterview) with rapid, same-day questionnaire completion and feasible death-anchored timeliness, supporting scale-up and a comparative trial to optimize implementation and equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/go-25-00647","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T19:59:07Z","timestamp":1787255947000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Improving Patient-Reported End-of-Life Data Capture: A Pilot Mixed-Methods Evaluation of an Electronic Patient 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Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4708-8705","authenticated-orcid":true,"given":"Chris","family":"Cook","sequence":"additional","affiliation":[{"name":"Cancer Research And Biostatistics (CRAB), Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro","family":"Lavin","sequence":"additional","affiliation":[{"name":"Hospital S\u00f3tero del R\u00edo, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1094-0354","authenticated-orcid":true,"given":"Florencia","family":"Lira","sequence":"additional","affiliation":[{"name":"Hospital S\u00f3tero del R\u00edo, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Marquez","sequence":"additional","affiliation":[{"name":"Hospital S\u00f3tero del R\u00edo, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8411-4423","authenticated-orcid":true,"given":"Leslie","family":"Olivares-Hurtado","sequence":"additional","affiliation":[{"name":"Escuela de Obstetricia y Puericultura, Universidad de Valpara\u00edso, San Felipe, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3831-2957","authenticated-orcid":true,"given":"Mar\u00eda Jos\u00e9","family":"Tobar Bast\u00edas","sequence":"additional","affiliation":[{"name":"Escuela de Obstetricia y Puericultura, Universidad de Valpara\u00edso, San Felipe, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1667-2266","authenticated-orcid":true,"given":"Victoria","family":"Uribe","sequence":"additional","affiliation":[{"name":"Hospital S\u00f3tero del R\u00edo, Santiago, 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