{
  "abstract": "Aims and Objectives Introduction: Digital history taking tools have potential to support emergency care, by improving patient triage and engagement. The use and acceptability of these tools in Emergency Department (ED) settings is under researched. This study evaluates uptake, demographic reach, and patient experience of the Bingli history-taking tool (questionnaire).Method and Design Methods: Mixed-methods prospective observational study (November 2023 - October 2024) in an inner-city ED in England. Eligible self-presenting adults (≥18 years) received a SMS invitation to use the Bingli tool. Age, sex, ethnicity, language and accommodation status were collected for all eligible patients. The primary quantitative outcome was questionnaire completion. Secondary outcomes included clicking the SMS invitation and study consent. Data were analysed using multivariable logistic regression to identify factors associated with each outcome. For the qualitative component, participants consenting to follow-up interview were purposively sampled by age, ethnicity, and completion status. Twenty semi-structured interviews were thematically analysed using the Theoretical Framework of Acceptability (TFA). Qualitative findings were synthesised with quantitative results contextualising acceptability across patient groups.Abstract 4382 Figure 1Adjusted odds ratios for completing the Bingli study. Forest plot showing adjusted odds ratios (95% confidence intervals) from multivariable logistic regression for study completion among eligible emergency department patients. Odds ratios are displayed on a log scale, with the vertical dashed line indicating the reference value (OR = 1.0). Values to the right of the line represent greater odds of completing the study, and values to the left represent lower odds. Reference categories: Female (sex), White (ethnicity), 16-29 years (age), Interpreter not required (translation), and Not admitted (admission)Results and Conclusion Results: Of 168,293 SMS eligible patients, 6,898 patients consented and 4,703 completed the tool. Questionnaire completion was less likely in patients >70 years (OR 0.81), males (OR 0.89), Black (OR 0.54), Asian (OR 0.58), and other ethnicities (OR 0.73) compared to White ethnicity, and in subsequently admitted patients (OR 0.72).Interviews highlighted low perceived burden, positive attitudes with high intervention coherence. Participants found the tool intuitive and helpful for articulating symptoms. Barriers included cognitive overload, digital literacy, language, privacy concerns, age-related accessibility, poor connectivity, and limited staff direction, impacting perceived legitimacy.Conclusion: Despite low uptake, the Bingli tool was feasible and broadly acceptable in the ED. Tool completion varied by demographic factors and there are implementation barriers that need to be explored for improved equity and integration of digital tools in emergency care.",
  "authors": [
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Imogen Skene"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Jason Pott"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Noemi Caponi"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Raine Astin-Chamberlain"
    },
    {
      "affiliations": [
        "Barts Health NHS Trust"
      ],
      "name": "Ben Bloom"
    }
  ],
  "title": "4382 Acceptability of the Bingli history taking tool for adult patients presenting to the emergency department: a mixed methods study",
  "uid": "cbd59985-1c8c-549a-9db6-3c6c69b34769"
}