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

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contributor authorMaguire, Roma
contributor authorReam, Emma
contributor authorRichardson, Alison
contributor authorConnaghan, John
contributor authorJohnston, Bridget
contributor authorKotronoulas, Grigorios
contributor authorPedersen, Vibe
contributor authorMcPhelim, John
contributor authorPattison, Natalie
contributor authorSmith, Allison
contributor authorWebster, Lorraine
contributor authorTaylor, Anne
contributor authorKearney, Nora
date accessioned2018-02-12T18:07:27Z
date available2018-02-12T18:07:27Z
date issued2014-05-20
identifier citationMaguire , R , Ream , E , Richardson , A , Connaghan , J , Johnston , B , Kotronoulas , G , Pedersen , V , McPhelim , J , Pattison , N , Smith , A , Webster , L , Taylor , A & Kearney , N 2014 , ' Development of a novel remote patient monitoring system : the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy ' Cancer nursing , vol 38 , no. 2 , pp. E37-47 . DOI: 10.1097/NCC.0000000000000150en
identifier issn0162-220X
identifier otherPURE: 12903627
identifier otherPURE UUID: ad7d4b4e-4c38-479c-a6f6-04e1b48cffc2
identifier otherPubMed: 24836956
identifier otherScopus: 84924289853
identifier urihttp://hdl.handle.net/2299/19773
descriptionThis document is an Accepted Manuscript version, reprinted from Cancer Nursing Vol. 38 (2): E37-47, May 2014, with permission of Wolters Kluwer. Content in the UH Research Archive is made available for personal research, educational, and non-commercial purposes only. Unless otherwise stated, all content is protected by copyright, and in the absence of an open license, permissions for further re-use should be sought from the publisher, the author, or other copyright holder.en
description abstractBACKGROUND: 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.en
language isoeng
relation ispartofCancer nursingen
rightsen
subjectFemaleen
subjectHumansen
subjectLung Neoplasmsen
subjectMaleen
subjectMiddle Ageden
subjectMonitoring, Physiologicen
subjectRadiotherapyen
subjectSelf Careen
subjectSurveys and Questionnairesen
subjectSymptom Assessmenten
subjectTelemedicineen
subjectJournal Articleen
subjectResearch Support, Non-U.S. Gov'ten
titleDevelopment of a novel remote patient monitoring system : the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapyen
typeArticleen
contributor institutionSchool of Health and Social Worken
contributor institutionDepartment of Adult Nursing and Primary Careen
identifier doihttp://dx.doi.org/10.1097/NCC.0000000000000150
description versionauthorsversionen
description statusPeer revieweden


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