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18.03.2021 | Original Article

Leveraging mobile health technology and research methodology to optimize patient education and self-management support for advanced cancer pain

verfasst von: Desiree R. Azizoddin, Rosalind Adam, Daniela Kessler, Alexi A. Wright, Benjamin Kematick, Clare Sullivan, Haipeng Zhang, Michael J. Hassett, Mary E. Cooley, Olga Ehrlich, Andrea C. Enzinger

Erschienen in: Supportive Care in Cancer | Ausgabe 10/2021

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Abstract

Purpose

Patient education is critical for management of advanced cancer pain, yet the benefits of psychoeducational interventions have been modest. We used mobile health (mHealth) technology to better meet patients’ needs.

Methods

Using the Agile and mHealth Development and Evaluation Frameworks, a multidisciplinary team of clinicians, researchers, patients, and design specialists followed a four-phase iterative process to develop comprehensive, tailored, multimedia cancer pain education for a patient-facing smartphone application. The target population reviewed the content and provided feedback.

Results

The resulting application provides comprehensive cancer pain education spanning pharmacologic and behavioral aspects of self-management. Custom graphics, animated videos, quizzes, and audio-recorded relaxations complemented written content. Computable algorithms based upon daily symptom surveys were used to deliver brief, tailored motivational messages that linked to more comprehensive teaching. Patients found the combination of pharmacologic and behavioral support to be engaging and helpful.

Conclusion

Digital technology can be used to provide cancer pain education that is engaging and tailored to individual needs. A replicable interdisciplinary and patient-centered approach to intervention development was advantageous. mHealth interventions may be a scalable approach to improve cancer pain. Frameworks that merge software and research methodology can be useful in developing interventions.

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Titel: Leveraging mobile health technology and research methodology to optimize patient education and self-management support for advanced cancer pain
verfasst von: Desiree R. Azizoddin
Rosalind Adam
Daniela Kessler
Alexi A. Wright
Benjamin Kematick
Clare Sullivan
Haipeng Zhang
Michael J. Hassett
Mary E. Cooley
Olga Ehrlich
Andrea C. Enzinger
Publikationsdatum: 18.03.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 10/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06146-4

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Leveraging mobile health technology and research methodology to optimize patient education and self-management support for advanced cancer pain