Examining the feasibility, acceptability, and potential utility of mobile distress screening in adult cancer patients

Chow, Philip I.; Drago, Fabrizio; Kennedy, Erin M.; Chambers, Nicole; Sheffield, Christina; Cohn, Wendy F.

doi:10.1002/pon.5168

Cited by 8 publications

(16 citation statements)

References 31 publications

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“…Cancer Care Ontario’s systematic ESAS distress screening commenced in 2007, with rates increasing steadily from approximately 20% in 2009 to 59% in 2015, but remaining below the provincial target of 70% screened (range 31% at lowest performing to 91% at highest performing centers). Chow et al [ 25 ] also found that patients completed a brief distress screener 75% of the time they received a text message, suggesting feasibility of remote ePRO screening, as per our PROMPT-Care model.…”

Section: Discussionmentioning

confidence: 78%

Web-Based Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care): Multicenter Pragmatic Nonrandomized Trial

Girgis¹,

Durcinoska²,

Arnold³

et al. 2020

J Med Internet Res

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Background Despite the acceptability and efficacy of e–patient-reported outcome (ePRO) systems, implementation in routine clinical care remains challenging. Objective This pragmatic trial implemented the PROMPT-Care (Patient Reported Outcome Measures for Personalized Treatment and Care) web-based system into existing clinical workflows and evaluated its effectiveness among a diverse population of patients with cancer. Methods Adult patients with solid tumors receiving active treatment or follow-up care in four cancer centers were enrolled. The PROMPT-Care intervention supported patient management through (1) monthly off-site electronic PRO physical symptom and psychosocial well-being assessments, (2) automated electronic clinical alerts notifying the care team of unresolved clinical issues following two consecutive assessments, and (3) tailored online patient self-management resources. Propensity score matching was used to match controls with intervention patients in a 4:1 ratio for patient age, sex, and treatment status. The primary outcome was a reduction in emergency department presentations. Secondary outcomes were time spent on chemotherapy and the number of allied health service referrals. Results From April 2016 to October 2018, 328 patients from four public hospitals received the intervention. Matched controls (n=1312) comprised the general population of patients with cancer, seen at the participating hospitals during the study period. Emergency department visits were significantly reduced by 33% (P=.02) among patients receiving the intervention compared with patients in the matched controls. No significant associations were found in allied health referrals or time to end of chemotherapy. At baseline, the most common patient reported outcomes (above-threshold) were fatigue (39%), tiredness (38.4%), worry (32.9%), general wellbeing (32.9%), and sleep (24.1%), aligning with the most frequently accessed self-management domain pages of physical well-being (36%) and emotional well-being (23%). The majority of clinical feedback reports were reviewed by nursing staff (729/893, 82%), largely in response to the automated clinical alerts (n=877). Conclusions Algorithm-supported web-based systems utilizing patient reported outcomes in clinical practice reduced emergency department presentations among a diverse population of patients with cancer. This study also highlighted the importance of (1) automated triggers for reviewing above-threshold results in patient reports, rather than passive manual review of patient records; (2) the instrumental role nurses play in managing alerts; and (3) providing patients with resources to support guided self-management, where appropriate. Together, these factors will inform the integration of web-based PRO systems into future models of routine cancer care. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12616000615482; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370633 International Registered Report Identifier (IRRID) RR2-10.1186/s12885-018-4729-3

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Section: Discussionmentioning

confidence: 78%

Web-Based Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care): Multicenter Pragmatic Nonrandomized Trial

Girgis¹,

Durcinoska²,

Arnold³

et al. 2020

J Med Internet Res

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“…The electronic database search identified a total of 4449 studies, out of which 18 studies involving 5821 patients were included in the final qualitative synthesis ( Figure 1 ). Of the included studies, 9 (50%) were randomized trials [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ] and 9 (50%) were non-randomized interventional/observational studies [ 11 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ] ( Table 1 , Table S3 ). Sixteen of 18 studies (89%) were conducted in high-income countries (HICs) [ 11 , 26 , 27 , 28 , 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 ], the majority ( n = 11) in the United States [ 11 , 26 , 28 , 29 , 33 , 34 , 35 , 36 , 38 , 40 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the included studies, 9 (50%) were randomized trials [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ] and 9 (50%) were non-randomized interventional/observational studies [ 11 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ] ( Table 1 , Table S3 ). Sixteen of 18 studies (89%) were conducted in high-income countries (HICs) [ 11 , 26 , 27 , 28 , 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 ], the majority ( n = 11) in the United States [ 11 , 26 , 28 , 29 , 33 , 34 , 35 , 36 , 38 , 40 , 41 ]. Two studies (11%) were conducted in low- and middle-income countries (LMICs), both in Brazil [ 30 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies included patients with any cancer [ 26 , 27 , 30 , 32 , 33 , 34 , 36 , 39 , 41 , 42 ], while the remaining eight focused on specific cancer types (breast n = 4 [ 11 , 29 , 31 , 38 ], lung n = 2 [ 35 , 37 ], endometrial n = 1 [ 28 ], chronic myeloid leukemia n = 1 [ 40 ]) as seen in Table 1 . One study included patients with late-stage cancer only (stage III–IV lung) [ 35 ] and three studies included patients with early stage cancer only [ 11 , 29 , 38 ], while the remainder did not use staging as part of their inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

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Text Messaging in Cancer-Supportive Care: A Systematic Review

Wijeratne

Bowman

Sharpe

et al. 2021

Cancers

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The global cancer disease burden is substantial, resulting in increased economic and clinical strain on our healthcare systems. A proposed solution is text-based communication, which can be used for cancer-supportive care. We conducted a systematic review to synthesize and describe the use of text-based communications for cancer-supportive care. Our population of interest included adult patients with cancer. A total of 18 studies were included in the review: 9 RCTs and 9 non-randomized interventional/observational studies. Patients were largely satisfied with text-based communication during their cancer care. Compared to controls, results for other outcomes including symptoms and quality of life were largely mixed; however, no harms were observed. Furthermore, positive outcomes were seen for specific interventions, such as text message medication reminders. These findings should be considered with caution due to the considerable heterogeneity observed between studies regarding their design and reported outcomes and the high risk of bias associated with 6/18 studies. Overall, this review suggests that text-based communication may be a complementary tool for cancer-supportive care; however, more research is needed to examine the feasibility of implementation and use.

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“…Kolva and colleagues determined that use of an online risk algorithm to assess suicidality in cancer patients was ethically sound and feasible . Text messaging has also been shown to be a feasible and acceptable approach for real‐world distress screening in adult cancer patients …”

mentioning

confidence: 99%

Special issue on eHealth innovations and psycho‐oncology

Estapé¹,

Coups

2020

Psycho-Oncology

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We are delighted to have co-edited this Special Issue of Psycho-Oncology on eHealth Innovations and Psycho-Oncology. The high volume and quality of submissions is testament to the significant interest in this important area of research and clinical focus. Information and communication tools and technologies are being increasingly integrated into our daily lives, with many applications being relevant to health and health care. Indeed, cancer is one of the health-related 4 Other papers published in advance of the Special Issue, and contributing innovative ideas towards the theme of eHealth methods and services in psycho-oncology, are listed in the Erratum of this issue.We thank all authors who contributed to the eHealth in Psychooncology Special Issue theme whose innovations are promoting benefits to patients, families and caregivers.

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Examining the feasibility, acceptability, and potential utility of mobile distress screening in adult cancer patients

Cited by 8 publications

References 31 publications

Web-Based Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care): Multicenter Pragmatic Nonrandomized Trial

Web-Based Patient-Reported Outcome Measures for Personalized Treatment and Care (PROMPT-Care): Multicenter Pragmatic Nonrandomized Trial

Text Messaging in Cancer-Supportive Care: A Systematic Review

Special issue on eHealth innovations and psycho‐oncology

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