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eCOA or COA – Which Is Better?

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The clinical outcomes assessment (COA) and electronic clinical outcome assessment (eCOA) are two ways to measure patient-reported outcomes (PRO). Both methods use surveys to gather patient information about their health, but COA is typically conducted in person, while eCOAs are done online.

 

Electronic Clinical Outcome Assessments (eCOA) vs. Conversational Outcome Assessments (COA)

eCOAs and COAs are similar in that they both measure patient outcomes. However, eCOAs are a computerized version of COA and have several key differences.

Both eCOA and COA rely on patients to accurately report how they feel, but eCOA is more objective than COA because it uses a survey administered by a clinician who ensures that each question is answered correctly before proceeding to the next one.

This process can take up to 20 minutes or longer, depending on the number of questions asked during an assessment. In contrast, an eCOA collects data throughout a hospital stay using automated surveys that nurses run during shift handoffs, which usually last around 10-20 seconds. Medable experts say, “eCOA gives your study teams real-time patient oversight.”

eCOA and COA are similar but have some key differences

eCOA and COA are similar but have some key differences.

Both eCOA and COA are tools that can be used to collect data from patients.

eCOAs allow the patient to submit their own data on a secure platform, while COAs require that a clinician review the information and enter it into the system.

Both eCOAs and COAs can also be used in conjunction with other data collection tools, such as mHealth apps or electronic medical record systems (EMRs).

Patient-Reported Outcomes in Clinical Research

Patient-reported outcomes (PROs) are a way of measuring the effect of an intervention on a patient’s health. The use of PROs in clinical research is growing, particularly in the pharmaceutical industry, where they are being used to supplement objective measures such as blood pressure and cholesterol level.

eCOA and COA have both been used to collect PRO data, but which method is better? In this article, you will look at how eCOA and COA work, how they differ from each other, and how you can best choose between them for your next PRO study.

Advantages of eCOA

  • eCOAs are more accurate and efficient.
  • eCOAs are flexible and can be customized for your specific needs.
  • eCOAs can be produced faster, which allows you to get an answer quickly when you need it.
  • eCOAs are more reliable because they use a secure platform to upload documents and data securely.
  • The technology used in an eCOA is scalable, so it can handle large volumes of documentation better than its paper-based counterpart.

Advantages of COA

COA has a number of advantages over eCOA:

  1. COA is often more natural than eCOA and can be implemented without special training or equipment. For example, COA requires no special equipment for measurement; it can be conducted using simple tools like a ruler or protractor.
  2. It is relatively straightforward compared to eCOAs.
  3. COAs are usually cheaper than eCOAs.

While both eCOA and COA have benefits, it’s important to understand their differences so you can make an informed choice. For example, if your research requires a large sample size, then the increased efficiency of eCOA may be a better option. On the other hand, if you want to assess patient-reported outcomes in clinical research or need more in-depth responses from patients such as open-ended questions, then COAs would be better suited since they allow participants complete control over their responses.