Question 20 of 20 Advanced Scenario
A participant says they entered the wrong value in their ePRO diary. How should it be corrected?
Short answer
Follow the trial's pre-defined ePRO data clarification process: document the participant's report at the site as source, request the change through the service provider, and keep the original entry in the audit trail. Corrections should be prompt, justified and rare, because the value of a diary is that it was entered at the time.
Why
ePRO data differ from case report form data in who owns them. The participant is the originator, and the investigator reviews but does not manage the data, which are often hosted by a vendor. EMA's computerised systems guideline notes that participants usually cannot correct entries in the app, so sponsors need a procedure for changes, initiated by the participant or by site staff.
The procedure must not prevent justified changes, and site-initiated changes need solid source, such as a phone note or email made right after the participant reported the error. The guideline also warns that corrections should not be made much later without good reason, because contemporaneous entry is what limits recall bias. So if a participant calls the next morning to say they tapped 8 instead of 3 for pain, the site records the call, and the change goes through the vendor's controlled process with the original value preserved.
If the participant raises it three weeks later, the case for changing it is weaker. Investigators also need timely access to ePRO data so they can spot safety signals hidden in diaries.
A strong answer covers
- Participant as data originator
- Pre-defined data clarification process via the vendor
- Site source documenting the participant's report
- Original value kept in the audit trail
- Timeliness, because contemporaneity is the point of ePRO
Common mistakes
- Letting site staff edit diary entries directly without a documented request from the participant.
- Refusing any correction because ePRO data must never change.
- Accepting corrections weeks later without justification.
The interviewer might ask next
How would you design the ePRO to make entry errors less likely in the first place?