Utilising handheld computers to monitor and support patients receiving chemotherapy: results of a UK-based feasibility study

Kearney, Nora; Kidd, Lisa; Miller, Morven; Sage, Meurig; Khorrami, J.; McGee, Marilyn Rose; Cassidy, Jim; Niven, K.; Gray, Peter J.

doi:10.1007/s00520-005-0002-9

Cited by 79 publications

(119 citation statements)

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“…The system reported here is a mobile phone based, remote monitoring, advanced symptom management system (ASyMS © ) which has been developed over a period of 5 years to remotely monitor and manage chemotherapy related toxicity in patients with cancer 22,27 .…”

Section: Contributory Factors Include Poor Communication Between Patimentioning

confidence: 99%

Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity

Kearney

McCann

Norrie

et al. 2008

Support Care Cancer

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258

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ABSTRACT:Objectives: To evaluate the impact of a mobile phone based, remote monitoring, advanced symptom management system (ASyMS © ) on the incidence, severity and distress of six chemotherapy related symptoms (nausea, vomiting, fatigue, mucositis, hand foot syndrome, diarrhoea) in patients with lung, breast or colorectal cancer. Main outcome measures:Chemotherapy related morbidity of six common chemotherapy related symptoms (nausea, vomiting, fatigue, mucositis, hand foot syndrome and diarhhoea)Results: There were significantly higher reports of fatigue in the control group compared to the intervention group (odds ratio 2.29, 95% CI 1.04 to 5.05, P=0.040) and reports of hand foot syndrome were on average lower in the control group (odds ratio control: intervention, 0.39, 95% CI to 0.92, P=0.031).

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Section: Contributory Factors Include Poor Communication Between Patimentioning

confidence: 99%

Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity

Kearney

McCann

Norrie

et al. 2008

Support Care Cancer

Self Cite

258

247

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“…For example, Head and colleagues [35] reported that all 44 patients from the intervention arm of an RCT reported a handheld device to be very easy (85%) or easy (15%) to use. Similarly, a feasibility study reported that although 66% of 18 patients had little prior computer experience, at post-study all 11 patients who had received the intervention reported that they felt comfortable using the handheld device [36]. A similar study including a sample of 13 patients receiving palliative care reported that patients lacked confidence and experience in using technology, particularly the Internet and PDAs [40].…”

Section: Perceived Ease Of Usementioning

confidence: 98%

“…Qualitative interviews from another RCT showed that patients were positive about the real-time, fast response of the clinicianalerting facility [41]. However, interviews from a feasibility study found that some patients felt that the depth of the self-care information was insufficient and repetitive [36] and two further feasibility studies revealed variation in use of the self-care advice/information pages [39,42,46]. Yap and colleagues [49] reported that whilst over half of patients (62%) found a mobile phone, symptom-monitoring intervention useful, patients with lower education and chemotherapy-naïve patients rated the intervention significantly more useful than those with higher education (75% vs 35%) or those who had received chemotherapy before (82% vs 53%).…”

Section: Perceived Usefulnessmentioning

confidence: 99%

“…Almost all patients reported that they found the mobile interventions easy to use, regardless of age, cancer type and experience with technology [28,35,36,38,39,40,43,[45][46][47]. For example, Head and colleagues [35] reported that all 44 patients from the intervention arm of an RCT reported a handheld device to be very easy (85%) or easy (15%) to use.…”

Section: Perceived Ease Of Usementioning

confidence: 99%

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Use of Mobile Devices to Help Cancer Patients Meet Their Information Needs in Non-Inpatient Settings: Systematic Review (Preprint)

Richards¹,

Kinnersley²,

Brain³

et al. 2018

Preprint

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The use of mobile devices to help patients with cancer to meet their information needs in non-inpatient settings: A systematic review IntroductionIt is estimated that one in two people in Great Britain will develop some form of cancer during their lifetime [1]. In 2014, 357,000 new cases of cancer were diagnosed in the UK and the rate of incidence is increasing [2]. However, survival rates have doubled in the UK in the last 40 years and so, for many, cancer is a chronic condition with which they live for many years. Subsequently, there has been a shift from inpatient to outpatient and community cancer care, where patients are required to manage their condition at home, away from regular supervision by clinicians. This change in care requires patients to take a more active role in their treatment and survivorship. Patients are often faced with an uncertain future, unfamiliar tests and procedures, complex decisions about treatment options, treatment-related side-effects and lifestyle changes. In order to take a more active role in their care, and to cope with and manage these changes to daily life, patients require relevant information [3,4]. Research has established that patients have a wide range of information needs throughout their illness. Reviews of these studies suggest that patients generally want information on the extent of the disease, likelihood of cure and prognosis, available treatments, side-effects of treatment, self-care and return to normal life [5][6][7]. Other, less urgent, information needs include the impact of cancer and/or treatment on social activities, family and friends, mental wellbeing and sexual activity, and the risk of family and friends getting cancer [5,6]. There is evidence to suggest that information may help to reduce uncertainty, provide patients with a sense of control over their lives and support informed decision-making about treatment options [8,9]. While many people with cancer want as much information as possible about their condition [10], up to 93% of cancer patients across the US, Europe and the UK report having unmet information needs [11][12][13][14].The introduction of Smart technology has provided a new platform for delivering information-based interventions to patients. Approximately 93% of adults in the UK now personally own or use a mobile phone, of whom 71% specify that they own a Smartphone [15]. Similarly, over two thirds of adults in the UK now own or have access to a tablet computer [15]. Similar statistics of Smart device ownership and use have been reported in cancer patient populations [16,17]. Mobile devices therefore offer the potential for wide reach at the point of need for patients with cancer. Several existing systematic and scoping reviews have explored the general use of mobile devices for patients with cancer [18][19][20][21][22][23]. Findings from these reviews show that mobile interventions have been developed for a range of purposes, including the prevention, detection, and management of cancer; however, most interventions have been designed...

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“…Otro ejemplo lo constituyen los denominados "juegos serios" (serious games), juegos digitales creados con propósitos que van más allá del entretenimiento, que facilitan la entrega de información médica y de herramientas de apoyo para la toma decisiones y la implicación en conductas saludables (4)(5)(6) . En los últimos años se está también comenzando a indagar acerca de la viabilidad y los beneficios asociados a la evaluación electró-nica en este tipo de pacientes, fundamentalmente mediante ordenador (7)(8)(9) , y se han generado aplicaciones móviles dirigidas a monitorizar y ayudar al manejo de la sintomatología desde casa (10)(11) , además de servir de apoyo a programas online, gracias a la posibilidad que ofrecen para registrar síntomas, recibir mensajes y acceder a módulos del programa (12) . Si bien estos desarrollos son todavía escasos, se están not only to diminish discomfort but also to promote emotional well-being, especially during medical procedures and hospitalization Key words: Virtual reality, cancer, distress, emotional well-being.…”

Section: Introductionunclassified

La realidad virtual en las intervenciones psicológicas con pacientes oncológicos

et al. 2014

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ResumenEl objetivo de este trabajo es presentar las principales aportaciones de la Realidad Virtual (RV) en el tratamiento psicológico con pacientes oncológicos, y describir un programa de intervención que utiliza esta tecnología para promover bienestar emocional en pacientes hospitalizados. La RV se presenta como una prometedora herramienta de apoyo al paciente oncológico. Diversos estudios plantean su utilidad para hacer algunos tratamientos médicos más tolerables, para reducir los niveles de distrés y dolor, así como promover mayores niveles de emociones positivas. Se ha empleado principalmente con pacientes ambulatorios, existiendo una menor proporción de propuestas dirigidas al período de hospitalización. La intervención que ha desarrollado nuestro grupo aborda esta condición desde un foco también poco explorado: la promoción de bienestar. Esta intervención se compone de 4 sesiones (módulos de distracción y reminiscencia) implementadas individualmente en la habitación del paciente. Antes y después de cada sesión se evaluó el estado emocional (escalas visuales), la percepción de paso del tiempo (en minutos), de cambio en el estado de ánimo y de satisfacción con el procedimiento. Los resultados iniciales señalan incrementos en las emociones positivas después de cada sesión, existiendo cambios significativos en la primera AbstractThe purpose of the present study is to review the main contributions of Virtual Reality (VR) to the field of psychological treatment with cancer patients, and to describe an intervention that uses this technology to promote emotional wellbeing on inpatients. VR appears as a promising tool for supporting psychological treatments in cancer patients. Several studies explore its utility for promoting more tolerable medical treatments, lowering the level of distress and pain, as well as increasing positive emotions. VR has been mainly used with outpatients, with a minor proportion of proposals oriented to the hospitalization period. The intervention developed by our group addresses this issue from a focus not very much explored: the promotion of well-being. This intervention is composed of 4 sessions (distraction and reminiscence modules) implemented individually in the patients' room. Emotional state (visual analog scales), perceived time duration (minutes), perception of mood change and satisfaction with the procedure were assessed before and after sessions. Preliminary results showed an increase in positive emotions after each session, being these changes significant in the first and third session. Besides, most patients perceived themselves in a better mood after the sessions.Virtual environments and information and communication technologies could be useful

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Utilising handheld computers to monitor and support patients receiving chemotherapy: results of a UK-based feasibility study

Abstract: This project suggests that a handheld-computer-based symptom management tool is feasible and acceptable to both patients and health professionals in complementing the care of patients receiving chemotherapy.

Cited by 79 publications

References 45 publications

Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity

Evaluation of a mobile phone-based, advanced symptom management system (ASyMS©) in the management of chemotherapy-related toxicity

Use of Mobile Devices to Help Cancer Patients Meet Their Information Needs in Non-Inpatient Settings: Systematic Review (Preprint)

La realidad virtual en las intervenciones psicológicas con pacientes oncológicos

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