Les effets de l'annonce du cancer

Negri, A De; Baas, C.

doi:10.3917/jdp.317.0018

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, the tablet was given at the rst or second treatment of outpatient clinic. Patients in digital divide who had just been diagnosed with cancer may not have the resources to integrate this traumatic diagnostic disclosure and integrate a new communication tool (31)(32)(33).…”

Section: Discussionmentioning

confidence: 99%

Bridging the digital divide for outpatients treated with anticancer chemotherapy: A retrospective quantitative and qualitative analysis of an adapted electronic Patient Reported Outcome program

Boiteau,

Alarcon,

Joly

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose: Electronic Patient Reported Outcomes (e-PRO) improves cancer patient quality of life and overall survival. Digital divide might lead to unequal access to telehealth. The aim of this study was to evaluate how a dedicated human and IT support program could bridge the digital divide. Methods: Between February 2021 and June 2022, solid cancer outpatients undergoing chemotherapy at the Mondor Teaching Hospital, France, were provided with the e-PRO Onco’nect® tool. Patients with digital disconnection were offered an IT and human dedicated program (lending of a tablet, caregivers, educational program, technical, peer-to-peer support). We collected data on patients’ healthcare pathways, and we performed semi-structured interviews to assess patients’ challenges.Results: We enrolled 22 patients: 15 females, 50% were aged > 70 years (interquartile range (IQR), 64–74), 14 had gastro-intestinal cancer, 15 patients had metastases, 14 lived alone. Ten patients out of 22 benefited from the program and completed > 50% of the questionnaires and 5/22 (23%) completed > 75%. The majority (12/22) remained poor adherent to e-PRO during a median treatment duration of 4 months (IQR, 3–7). There was no association between the level of social deprivation and the completeness of questionnaires. The underuse of the e-PRO went beyond patients’ understanding of its clinical relevance and their technical competence and was related to a poor health literacy and an emotional burden. Conclusion: IT and human support help a significant proportion of patients to access telehealth. Most of the disconnected patients were unable to engage digital health, mainly due to their health literacy level.

show abstract

Section: Discussionmentioning

confidence: 99%