From: A personalized, web-based breast cancer decision making application: a pre-post survey
Helpful | Harmful | |
---|---|---|
Internal | Strengths • Large sample size • High application uptake • Tablet provided to family (i.e., not required to purchase) • Pre-post responses available • Clinical data available | Weaknesses • Limited survey data collected • Lack of pre-implementation period surveys • Pre-post design (vs. randomized) • Attitudes of patients who refused tool not captured • Unable to control for confounders • Limited to iOS-based tablet |
External | Opportunities • SMART on FHIR • Integration into patient record portals • Progressive web application standards • Pre-visit content delivery model • New content formats (e.g., video) • Engaging family members | Threats • Generalizability outside of referral population • High baseline confidence • Evolving content delivery models (e.g., standards) and content delivery expectations (e.g., multi-platform) |