Background

The consideRATE questions measure the experiences of patients with serious illness, including those near death. It is based on eight discrete elements of care that matter most to patients when they are seriously ill, supplemented with icons to improve understandability. Furthermore, the consideRATE questions are intended to provide real-time feedback on routine care to clinical teams on the serious illness experiences of their patients.

Prior to 2022, Dr. Catherine H. Saunders conducted a study that assessed the psychometric properties of the consideRATE questions in a simulated online test. The results of the study revealed that the consideRATE questions were reliable and valid in a simulated online test. Dr. Saunders and colleagues concluded that consideRATE questions may be a practical way to measure serious illness experience and the effectiveness of interventions to improve it.(Read more)

Dartmouth Cancer Center

In 2022, Dr. Saunders and colleagues conducted the first real-world clinical test of the consideRATE questions at Dartmouth Cancer Center to determine whether the consideRATE questions accurately and variably capture the serious illness care experience for patients, including those with cancer. We recruited 258 patients and care partners and this cancer study led to two research articles:

(1) Nano et al. (under review)

(2) MacMartin et al. (under review)

Nano et al. (under review)

  • 244 participants completed the survey
  • We found correlations between consideRATE continous scoring and CANHELP Lite scores among all participants
  • We found correlations between consideRATE top-box scoring and CANHELP Lite scores for all participants, with stronger associations among the patient subgroup

MacMartin et al. (under review)

  • 244 participants completed the survey
  • 145 participants did not receive palliative care support
  • 56 participants received received palliative care support
  • Scores of “very good” on consideRATE were given by 84% of those with palliative services.