# Co-design of clinician-facing report and implementation pathway for a digital questionnaire for reporting head and neck cancer symptoms

## TL;DR

This study designed a digital tool for head and neck cancer symptom reporting and explored how to integrate it into hospital workflows with input from clinicians and staff.

## Contribution

The paper introduces a co-design approach involving multiple stakeholders to create a clinician-facing report and integration pathway for a digital symptom reporting system.

## Key findings

- Clinicians emphasized the need for clear and concise presentation of critical information in the report.
- Successful integration of the system depends on user-friendliness and adaptability to maintain clinician engagement.
- Involving diverse stakeholders improves understanding of implementation challenges and enhances usability.

## Abstract

This research aimed to design and evaluate a clinician-facing report generated from the SYmptom iNput Clinical (SYNC) system, a digital questionnaire for patients to report Head and Neck Cancer (HNC) symptoms and uses this to calculate a risk score. The research explored how the SYNC system could be integrated into existing hospital workflows.

The research comprised two studies conducted across three hospital settings. Study 1 focused on design and evaluation of the clinician-facing report, while Study 2 explored pathways for integrating the SYNC system into clinical workflows. Data collection involved six focus groups, two conducted in each hospital setting with clinicians and administrative staff involved in cancer management, to capture diverse perspectives on both the report and integration feasibility.

Study 1 participants emphasised the need for clear and concise presentation of critical information in the report, yet there were also differing perspectives on what constituted clear and concise presentation. Study 2 participants suggested that effective integration of the SYNC system into hospital workflows would depend on ensuring that the system is user-friendly and adaptable, to help maintain clinician engagement and support better patient management.

Engaging a range of stakeholders, not just the end user, is crucial to gaining an understanding of the patient pathway and implementation challenges that may appear at each point, supporting the development of digital tools that are both functional and well-integrated into clinical workflows. This approach enhances usability and ensures the SYNC system can support the management of HNC patients.