Ietje Perfors

94 Chapter 4 Outcomes The primary outcomes are patient satisfaction with care and healthcare utilisation. Secondary outcomes are health related quality of life, employment, patient empowerment (self-efficacy), shared decisionmaking, mental health and satisfaction with information. Primary outcome To determine the primary outcome parameters the following validated questionnaires will be used: European Organisation for Research and Treatment of Cancer Satisfaction with care questionnaire (EORTC- IN-PATSAT32), 20 a Numeric Rating Scale (NRS) and the Medical Cost Questionnaire of the institute for Medical Technology Assessment (iMTA MCQ) 21 . EORTC-IN-PATSAT32 consists of 32 questions and measures patients’ appraisal of hospital doctors and nurses, as well as aspects of care organisation and services. 20 The questionnaire will be adjusted to specify the satisfaction on specialists, GP and nurses. The NRS has a scale from 0 to 10 with the following question “How satisfied are you with the received care?”. Herein 0 implies “not satisfied at all” and a 10 implies that the patient “could not have beenmore satisfied” with the received care. The iMTAMCQ contains 31 questions and measures healthcare utilization (specific to the Dutch situation). 21 The questionnaire will be adjusted to differentiate between the use of supportive care in primary or secondary care settings. Furthermore, questions evaluating medication use will be removed and questions evaluating the use of online websites and tools will be added. In addition, patients’ health records will be used to assess healthcare consumption. Secondary outcomes The secondary outcomes are measured by eight questionnaires. Health related Quality of Life is assessed by the European Organisation Research and Treatment of Cancer-Quality of Life-C30 questionnaire (EORTC-QoL-C30), which incorporates functional scales (physical, role, emotional, cognitive and social functioning), one quality of life scale and symptom scales (including fatigue and pain). 22