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Development of a novel remote patient monitoring system to improve the symptom experience of patients with lung cancer receiving radiotherapy: the advanced symptom management system for radiotherapy (ASyMS-R)

Development of a novel remote patient monitoring system to improve the symptom experience of patients with lung cancer receiving radiotherapy: the advanced symptom management system for radiotherapy (ASyMS-R)
Development of a novel remote patient monitoring system to improve the symptom experience of patients with lung cancer receiving radiotherapy: the advanced symptom management system for radiotherapy (ASyMS-R)
BACKGROUND: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care.

OBJECTIVE: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice.

METHODS: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system.

RESULTS: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility.

CONCLUSIONS: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice.

IMPLICATIONS FOR PRACTICE: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.
0162-220X
E37-E47
Maguire, Roma
5221ebc7-3cd4-4277-8df4-9a66fe99f8c7
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Connaghan, John
7bad42b0-d4d2-41e4-adc8-914cbb0992a6
Johnston, Bridget
63773cad-45c6-454a-ab49-233627762db2
Kotronoulas, Grigorios
2df602e0-07ee-48f2-8cb9-f779521c7847
Pedersen, Vibe
3a93a4f4-4c19-4b09-99f1-e9c038073b6d
McPhelim, John
471efe7c-492d-4adb-92ae-ea6578cecee1
Pattison, Natalie
ef39caa6-a9e2-4d75-87a3-a0e177598eef
Smith, Allison
a0ea8cf7-a5d5-4735-819a-3dc80f46271f
Webster, Lorraine
fc5fb057-83f7-4029-858d-4b68061331d4
Taylor, Anne
359cc142-659c-4d3a-aba7-19d6ebce8844
Kearney, Nora
b53908bf-dd36-4c15-9ffb-95495b6ee123
Maguire, Roma
5221ebc7-3cd4-4277-8df4-9a66fe99f8c7
Ream, Emma
cac5aaf5-797c-4aff-b86f-ea717ac178fa
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Connaghan, John
7bad42b0-d4d2-41e4-adc8-914cbb0992a6
Johnston, Bridget
63773cad-45c6-454a-ab49-233627762db2
Kotronoulas, Grigorios
2df602e0-07ee-48f2-8cb9-f779521c7847
Pedersen, Vibe
3a93a4f4-4c19-4b09-99f1-e9c038073b6d
McPhelim, John
471efe7c-492d-4adb-92ae-ea6578cecee1
Pattison, Natalie
ef39caa6-a9e2-4d75-87a3-a0e177598eef
Smith, Allison
a0ea8cf7-a5d5-4735-819a-3dc80f46271f
Webster, Lorraine
fc5fb057-83f7-4029-858d-4b68061331d4
Taylor, Anne
359cc142-659c-4d3a-aba7-19d6ebce8844
Kearney, Nora
b53908bf-dd36-4c15-9ffb-95495b6ee123

Maguire, Roma, Ream, Emma and Richardson, Alison et al. (2015) Development of a novel remote patient monitoring system to improve the symptom experience of patients with lung cancer receiving radiotherapy: the advanced symptom management system for radiotherapy (ASyMS-R). Cancer Nursing, 38 (2), E37-E47. (doi:10.1097/NCC.0000000000000150). (PMID:24836956)

Record type: Article

Abstract

BACKGROUND: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care.

OBJECTIVE: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice.

METHODS: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system.

RESULTS: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility.

CONCLUSIONS: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice.

IMPLICATIONS FOR PRACTICE: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.

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Published date: March 2015
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 371635
URI: http://eprints.soton.ac.uk/id/eprint/371635
ISSN: 0162-220X
PURE UUID: 43b426bc-abd8-4079-87dd-c94eb39c4dcf
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755

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Date deposited: 18 Aug 2015 09:23
Last modified: 15 Mar 2024 03:34

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Contributors

Author: Roma Maguire
Author: Emma Ream
Author: John Connaghan
Author: Bridget Johnston
Author: Grigorios Kotronoulas
Author: Vibe Pedersen
Author: John McPhelim
Author: Natalie Pattison
Author: Allison Smith
Author: Lorraine Webster
Author: Anne Taylor
Author: Nora Kearney

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