A web-based self-assessment model for evaluating multidisciplinary cancer teams in Spain: development and validation pilot study

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• dc.contributor.author Guilabert, Mercedes
• dc.contributor.author Prades, Joan
• dc.contributor.author Borràs, Josep M.
• dc.contributor.author Maestu, Inmaculada
• dc.contributor.author Guerra, Juan Antonio
• dc.contributor.author Fumadó Ciutat, Lluis
• dc.contributor.author Mira, José Joaquin
• dc.contributor.author AEMAC Program Research Team
• dc.date.accessioned 2022-10-06T05:44:09Z
• dc.date.available 2022-10-06T05:44:09Z
• dc.date.issued 2022
• dc.description.abstract Background: Tumor boards constitute the main consensus and clinical decision-making body of multidisciplinary teams (MDTs) in cancer care. With the increasing clinical complexity of treatment options (eg, targeted therapies, multimodal treatments) and the progressive incorporation of new areas of intervention (eg, survivorship care), tumor boards are now required to play a central role in all cancer processes. However, although frameworks are in place to evaluate MDT quality, only few web-based tools are available for this purpose; indeed, no web-based MDT evaluation tools have been developed for or adapted to the Spanish National Health System. Objective: The first aim of this study was to develop a web-based self-assessment model (Autoevaluación de Equipos Multidisciplinares de Atención al Cáncer [AEMAC]) for evaluating multidisciplinary cancer teams in Spain and the second aim was to validate this tool by testing its metric properties, acceptability, and usability. Methods: We designed and validated the AEMAC program in 3 stages. In the first stage (research), we reviewed the available scientific evidence and performed a qualitative case study of good practice in multidisciplinary care within the Spanish National Health System (n=4 centers and 28 health care professionals). The results were used to define the thematic areas and quality criteria for the self-evaluation model, which were then discussed and validated by a group of experts. The second stage (development) involved the technological development of a web app that would be accessible from any mobile device. In the third stage (piloting and validation), we conducted 4 pilot tests (n=15 tumor boards, 243 professionals) and used the results to analyze the acceptability and usefulness of the tool. Results: We designed a self-assessment model based on 5 thematic areas encompassing a total of 25 quality components, which users rated on a 3-option development scale. The evaluation process, which was managed entirely from the web app, consisted of individual self-assessment, group prioritization, and creation of an improvement plan. Cronbach alpha (.86), McDonald's omega (0.88), and various fit indices (comparative fit index between 0.95 and 1 and goodness-of-fit index between 0.97 and 0.99 for all 5 aspects) confirmed internal consistency. The mean rating for overall satisfaction with the tool and for consistency between the content of the tool and the reality of tumor boards was 7.6 out of 10. Conclusions: The results obtained during the period of research and piloting of the AEMAC program showed that it has an appropriate structure and metric properties and could therefore be implemented in a real context and generalized to other hospitals. As a virtual tool, it helps to measure the key aspects of MDT quality, such as effectiveness of collaboration and communication, leadership, and the organizational environment.
• dc.format.mimetype application/pdf
• dc.identifier.citation Guilabert M, Prades J, Borras JM, Maestu I, Guerra JA, Fumadó L, Mira JJ; AEMAC Program Research Team. A web-based self-assessment model for evaluating multidisciplinary cancer teams in Spain: development and validation pilot study. J Med Internet Res. 2022 Mar 10;24(3):e29063. DOI: 10.2196/29063
• dc.identifier.doi http://dx.doi.org/10.2196/29063
• dc.identifier.issn 1439-4456
• dc.identifier.uri http://hdl.handle.net/10230/54278
• dc.language.iso eng
• dc.publisher JMIR Publications
• dc.relation.ispartof J Med Internet Res. 2022 Mar 10;24(3):e29063
• dc.rights © Mercedes Guilabert, Joan Prades, Josep M Borras, Inmaculada Maestu, Juan Antonio Guerra, Lluís Fumadó, José Joaquin Mira, AEMAC Program Research Team. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 10.03.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri https://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Cancer
• dc.subject.keyword Evaluation
• dc.subject.keyword Multidisciplinary care
• dc.subject.keyword Quality assurance
• dc.subject.keyword Web-based tool
• dc.title A web-based self-assessment model for evaluating multidisciplinary cancer teams in Spain: development and validation pilot study
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion