Table 3 Advice to improve HRQoL measurements in clinical practice

• For psychometric purposes, computerized questionnaires should resemble pen-and-paper versions as closely as possible

• Hire an IT expert

• Allow for development costs

Logistical issues

• Location in the vicinity of the waiting room area (ideally the computer can be seen from the waiting room area)

• Enough privacy

• Availability of internet/network connection

• Easily accessible to patients

Optimal patient participation

• use of a touch-screen computer

• very easy log-on procedure, eg. scanning the patient's punch card

• questionnaires in multiple languages

• short questionnaires

• HRQoL assessment is considered part of clinical routine

• Physicians and front desk employees ask patients to complete the questionnaires

Optimal physician participation

• HRQoL data embedded in the existing patient information system

• Add screening for depression

• Bring in a local clinical leader as a spokesman for the importance of HRQoL measurement

• Provide clear data output and clear instructions on how to interpret the data

• Make clear that the data should not be used as clear cut-off points for treatment of referral decisions, but rather as a base for more directed discussion of psychosocial topics

• Provide management options