Effect of Fitbit and iPad Wearable Technology in Health-Related Quality of Life in Adolescent and Young Adult Cancer Patients

Yurkiewicz, Ilana R.; Simon, P.; Liedtke, Michaela; Dahl, Gary V.; Dunn, Tamara J.

doi:10.1089/jayao.2018.0022

Cited by 33 publications

(25 citation statements)

References 17 publications

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“…Our results are comparable to previous studies that have used similar methods of EB data collection, including the use of wearable fitness trackers in young adult cancer patients, and found them to be feasible and acceptable [50]. However, the previous study did not include a nutrition component.…”

Section: Discussionsupporting

confidence: 82%

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Swartz

Teague

Wells

et al. 2020

JCM

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Cancer patients suffer changes in energy balance (EB), the combination of energy intake (nutrition) and energy expenditure (physical activity (PA)), which may influence cancer-related morbidity, mortality, and quality of life. Significant gaps remain in our understanding of the frequency and magnitude of these EB changes. Herein, we report on the feasibility and acceptability of a longitudinal repository of EB outcomes in children, adolescents and young adults (AYA) with cancer along the cancer continuum to fill these gaps. This EB repository includes PA, nutrition, and physical function (PF) parameters. PA data were gathered through activity trackers. Nutritional data were gathered through food diaries and micronutrient labs. PF was assessed with validated objective and patient-reported measures. Feasibility was achieved with >50% enrollment of eligible patients (n = 80, Mage = 18.1 ± 7.5); 26 were children with cancer and 54 were AYAs with cancer. An 88.75% retention rate indicated acceptability. Despite COVID-19 disruptions, >50% of participants provided completed data for PA and micronutrient labs as of April 2020. Food diaries and PF data collection experienced disruptions. Methodological adaptations are in progress to minimize future disruptions. Overall, our findings demonstrate that prospective EB assessments are feasible and acceptable among children and AYAs with cancer.

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Section: Discussionsupporting

confidence: 82%

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Swartz

Teague

Wells

et al. 2020

JCM

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“…Studies on the clinical impact of wearables on patient health outcomes offer varied results. Although some conditions such as physical activity and sleep did not show significant or conclusive change from wearable technology use and require further evaluation, other studies have reported improved subjective outcomes on patient health [27,28].…”

Section: Introductionmentioning

confidence: 99%

Wearable Health Technology and Electronic Health Record Integration: Scoping Review and Future Directions

Dinh-Le¹,

Chuang²,

Chokshi³

et al. 2019

JMIR Mhealth Uhealth

263

134

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Background Due to the adoption of electronic health records (EHRs) and legislation on meaningful use in recent decades, health systems are increasingly interdependent on EHR capabilities, offerings, and innovations to better capture patient data. A novel capability offered by health systems encompasses the integration between EHRs and wearable health technology. Although wearables have the potential to transform patient care, issues such as concerns with patient privacy, system interoperability, and patient data overload pose a challenge to the adoption of wearables by providers. Objective This study aimed to review the landscape of wearable health technology and data integration to provider EHRs, specifically Epic, because of its prevalence among health systems. The objectives of the study were to (1) identify the current innovations and new directions in the field across start-ups, health systems, and insurance companies and (2) understand the associated challenges to inform future wearable health technology projects at other health organizations. Methods We used a scoping process to survey existing efforts through Epic’s Web-based hub and discussion forum, UserWeb, and on the general Web, PubMed, and Google Scholar. We contacted Epic, because of their position as the largest commercial EHR system, for information on published client work in the integration of patient-collected data. Results from our searches had to meet criteria such as publication date and matching relevant search terms. Results Numerous health institutions have started to integrate device data into patient portals. We identified the following 10 start-up organizations that have developed, or are in the process of developing, technology to enhance wearable health technology and enable EHR integration for health systems: Overlap, Royal Philips, Vivify Health, Validic, Doximity Dialer, Xealth, Redox, Conversa, Human API, and Glooko. We reported sample start-up partnerships with a total of 16 health systems in addressing challenges of the meaningful use of device data and streamlining provider workflows. We also found 4 insurance companies that encourage the growth and uptake of wearables through health tracking and incentive programs: Oscar Health, United Healthcare, Humana, and John Hancock. Conclusions The future design and development of digital technology in this space will rely on continued analysis of best practices, pain points, and potential solutions to mitigate existing challenges. Although this study does not provide a full comprehensive catalog of all wearable health technology initiatives, it is representative of trends and implications for the integration of patient data into the EHR. Our work serves as an initial foundation to provide resources on implementation and workflows around wearable health technology for organizations across the health care industry.

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“…Use was associated with improvements in self-reported physical well-being, spirituality, palliative quality of life, and general quality of life Described the program as an opportunity to improve health and provide self-care Yurkiewicz et al (2018) Prospective cohort study of the association between wearable activity tracking technology (Fitbit) and educational material (synced iPad) and quality of life over the course of 6 months Statistically significant improvements in physical functioning, role function/physical reports, role function/emotional reports, energy and fatigue, emotional well-being, social functioning, pain, and general health 85% Enjoyed using the technology, 79% felt it helped them be more active, 58% used a meditation app, 27% played a cancer-related video game, and 27% participated in online social communities Clinical interactions…”

Section: Creative Expressionmentioning

confidence: 99%

“…Participants in this study were encouraged to make an online profile (that could be anonymous) to interact in a virtual cancer-specific peer community. The majority (58%) of participants used the mediation app, but only 27% played Remission 2™ or participated in the online social community (Yurkiewicz et al, 2018). When compared with baseline scores, use of the technology was associated with improvements in self-reported physical functioning (p < .00), role function (p < .00), energy/ fatigue (p < .00), emotional well-being (p = .01), social functioning (p < .00) pain (p < .00), and overall general health (p = .01); but was not reported as being readily accepted by AYAs (Yurkiewicz et al, 2018).…”

Section: Engaging Technologymentioning

confidence: 99%

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Psychosocial Interventions for Adolescents and Young Adults With Cancer: An Integrative Review

Thornton

Ruble

Kozachik

2020

J Pediatr Oncol Nurs

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Background: Adolescents and young adults with cancer sit in a precarious position facing an increasing cancer incidence while incidence in other age groups has been declining. A cancer diagnosis at this age imposes undue distress in a demographic with limited coping resources creating psychosocial needs that differ from children and older adults. Addressing psychosocial needs early in the cancer trajectory is postulated as an approach to address distress, improve quality of life, and promote optimal outcomes from therapy. The purpose of this review is to identify current successful approaches to psychosocial care in adolescents and young adults receiving therapy for cancer. Method: An integrative review of publications identified through six relevant databases was conducted. Thematic analysis was performed to identify types of interventions followed by assessment of publication level of evidence, quality, and a critique of the effectiveness of interventions. Findings: A total of 6,292 articles were identified and 17 met inclusion criteria for this review. Thematic analysis and critique identified six themes for intervention approaches with mixed outcomes: creative expression, promoting peer interactions, individual coaching, employing technology, promoting physical activity, and clinical interactions. Discussion: Adolescent and young adult psychosocial needs while receiving treatment are complex and best addressed with the involvement of an interdisciplinary team. Effective interventions include those that have been tailored to the patient and consider the individual’s developmental stage. Interventions that promote autonomy and decision making, provide privacy, are executed in individual sessions, and facilitate social/peer interactions have been more successful in improving psychosocial outcomes.

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Effect of Fitbit and iPad Wearable Technology in Health-Related Quality of Life in Adolescent and Young Adult Cancer Patients

Abstract: Distributing wearable technology at the time of diagnosis may provide an avenue for improving HRQOL in adolescents and young adults with cancer.

Cited by 33 publications

References 17 publications

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Feasibility and Acceptability Findings of an Energy Balance Data Repository of Children, Adolescents, and Young Adults with Cancer

Wearable Health Technology and Electronic Health Record Integration: Scoping Review and Future Directions

Psychosocial Interventions for Adolescents and Young Adults With Cancer: An Integrative Review

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