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Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool

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Abstract

Purpose

Despite advancements in care, cancer survivors continue to report unmet needs following active cancer treatment. The Cancer Survivor Profile-Breast Cancer (CSPro-BC) application (app) was developed to help address these needs, using breast cancer survivors (BCS) as a pilot group. This paper describes the app development, BCS and nurse perceptions of the app, and changes made based on this feedback.

Methods

The CSPro-BC app was developed for use on an iPad and includes (1) administration of a 15–20-min survey assessing 18 needs, (2) generation of a profile of needs, relative to a reference group of BCS (median 2 years post-treatment), and (3) provision of problem-specific online resources. Perceptions of the app were evaluated using both quantitative and qualitative approaches. Feedback was elicited from nurse navigators and BCS. BCS were recruited until the point of saturation.

Results

BCS (N = 11) were middle-aged and a median of 2.4 months post active treatment. Structured questionnaires indicated the following: survey covered meaningful problem areas, profile display was clear, and nurse’s involvement was helpful. Follow-up interviews (2 weeks later) revealed that BCS shared their profile with others, but most BCS did not use the resources and those who did thought there were too many. Nurses (N = 3) said the app increased appointment time, but prompted them to discuss areas often not covered in typical BCS follow-up.

Conclusions

Feedback by end users directly informed revision of the app.

Implications for Cancer Survivors

The CSPro-BC app has been optimized based on BCS feedback.

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Notes

  1. The CSPro-Breast survey is in the public domain. However, the current version of the app was developed using the proprietary software of MicroStrategy (Tysons Corner, VA). The generic processes used for survey administration, calculation of scores, profile output, and provision of problem-specific resources are in the public domain. The authors do not benefit financially from the use of this app.

  2. The patient material was developed and used for research purposes only and was not implemented outside this context. The views expressed in this manuscript are those of the author and do not reflect the official policy of the Department of Army, Navy, Air Force, Department of Defense, or U.S. Government. The identification of specific products, scientific instrumentation, or organizations is considered an integral part of the scientific endeavor and does not constitute endorsement or implied endorsement on the part of the author, DoD, or any component agency.

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Funding

Funding for this research is provided to the Principal Investigator Michael Feuerstein, PhD, MPH, by Murtha Cancer Center through a Congressional Special Interest project.

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Authors and Affiliations

  1. Murtha Cancer Center, Walter Reed National Military Medical Center, Bethesda, MD, 20889, USA

    Amanda Gehrke, Sukhyung Steve Lee, Karrie Hilton, Barbara Ganster, Rebecca Trupp, Corinne McCullough, Elizabeth Mott & Michael Feuerstein

  2. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD, 20814, USA

    Amanda Gehrke & Michael Feuerstein

  3. Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD, 20814, USA

    Michael Feuerstein

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  1. Amanda Gehrke
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Correspondence to Michael Feuerstein.

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Conflict of interest

Amanda Gehrke declares that she has no conflict of interest. Sukhyung Steve Lee declares that he has no conflict of interest. Karrie Hilton declares she has no conflict of interest. Barbara Ganster declares she has no conflict of interest. Rebecca Trupp declares she has no conflict of interest. Corinne McCullough declares she has no conflict of interest and Elizabeth Mott declares she has no conflict of interest. Michael Feuerstein is the editor of the Journal of Cancer Survivorship. This paper was subjected to full peer review.

Ethical approval

This protocol was approved by the Internal Review Boards of the Walter Reed National Military Medical Center and the Uniformed Services University of the Health Sciences. All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all breast cancer participants.

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The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Department of Defense, Walter Reed National Military Medical Center, or the Uniformed Services University of the Health Sciences.

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Gehrke, A., Lee, S.S., Hilton, K. et al. Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool. J Cancer Surviv 12, 291–305 (2018). https://doi.org/10.1007/s11764-017-0668-2

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