Literature DB >> 25677218

Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.

Sanne Lubberding1, Cornelia F van Uden-Kraan, Elisabeth A Te Velde, Pim Cuijpers, C René Leemans, Irma M Verdonck-de Leeuw.   

Abstract

AIMS AND
OBJECTIVES: To gain insight into cancer survivors' needs towards an eHealth application monitoring quality of life and targeting personalised access to supportive care.
BACKGROUND: Supportive care in cancer addresses survivors' concerns and needs. However, many survivors are not taking advantage of supportive care provided. To enable cancer survivors to benefit, survivors' needs must be identified timely and effectively. An eHealth application could be a solution to meet patients' individual supportive care needs.
DESIGN: A qualitative approach.
METHODS: Thirty cancer survivors (15 head and neck and 15 breast cancer survivors) participated. The majority were female (n = 20·67%). The mean age was 60 (SD 8·8) years. Mean time interval since treatment was 13·5 months (SD 10·5). All interviews were audio-recorded and transcribed verbatim. During the interviews, participants were asked about their unmet needs during follow-up care and a potential eHealth application. Data were analyzed independently by two coders and coded into key issues and themes.
RESULTS: Cancer survivors commented that they felt unprepared for the post-treatment period and that their symptoms often remained unknown to care providers. Survivors also mentioned a suboptimal referral pattern to supportive care services. Mentioned advantages of an eHealth application were as follows: insight into the course of symptoms by monitoring, availability of information among follow-up appointments, receiving personalised advice and tailored supportive care.
CONCLUSIONS: Cancer survivors identified several unmet needs during follow-up care. Most survivors were positive towards the proposed eHealth application and expressed that it could be a valuable addition to follow-up cancer care. RELEVANCE TO CLINICAL PRACTICE: Study results provide care providers with insight into barriers that impede survivors from obtaining optimal supportive care. This study also provides insight into the characteristics needed to design, build and implement an eHealth application targeting personalised access to supportive care from the survivors' perspective. Future studies should address the viewpoints of care providers, and investigate the usability of the eHealth application prototype to facilitate implementation.
© 2015 John Wiley & Sons Ltd.

Entities:  

Keywords:  aftercare; self-care (4 tot 6); telemedicine; tertiary prevention

Mesh:

Year:  2015        PMID: 25677218     DOI: 10.1111/jocn.12753

Source DB:  PubMed          Journal:  J Clin Nurs        ISSN: 0962-1067            Impact factor:   3.036


  38 in total

1.  Personalizing post-treatment cancer care: a cross-sectional survey of the needs and preferences of well survivors of breast cancer.

Authors:  J Y Y Kwan; J Croke; T Panzarella; K Ubhi; A Fyles; A Koch; R Dinniwell; W Levin; D McCready; C Chung; F Liu; J L Bender
Journal:  Curr Oncol       Date:  2019-04-01       Impact factor: 3.677

2.  Inequalities and Barriers to the Use of Supportive Care Among Young Breast Cancer Survivors: a Qualitative Understanding.

Authors:  Veronique Regnier Denois; Madina Querre; Linjie Chen; Marion Barrault; Franck Chauvin
Journal:  J Cancer Educ       Date:  2017-12       Impact factor: 2.037

Review 3.  Quality of Life Measurements: Any Value for Clinical Practice?

Authors:  Matthias Büttner; Veit Zebralla; Andreas Dietz; Susanne Singer
Journal:  Curr Treat Options Oncol       Date:  2017-05

4.  Ten Years of Patient Surveys in Accredited Breast Centers in North Rhine-Westphalia.

Authors:  L Ansmann; C Kowalski; H Pfaff
Journal:  Geburtshilfe Frauenheilkd       Date:  2016-01       Impact factor: 2.915

Review 5.  eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens.

Authors:  Liza van Deursen; Anke Versluis; Rosalie van der Vaart; Lucille Standaar; Jeroen Struijs; Niels Chavannes; Jiska J Aardoom
Journal:  JMIR Cancer       Date:  2022-06-14

6.  "I didn't actually know there was such a thing as rehab": survivor, family, and clinician perceptions of rehabilitation following treatment for head and neck cancer.

Authors:  Sara McEwen; Ana Maria Rodriguez; Rosemary Martino; Ian Poon; Colleen Dunphy; Jorge Norman Rios; Jolie Ringash
Journal:  Support Care Cancer       Date:  2015-11-18       Impact factor: 3.603

7.  Using the Computer-based Health Evaluation System (CHES) to Support Self-management of Symptoms and Functional Health: Evaluation of Hematological Patient Use of a Web-Based Patient Portal.

Authors:  Jens Lehmann; Petra Buhl; Johannes M Giesinger; Lisa M Wintner; Monika Sztankay; Lucia Neppl; Wolfgang Willenbacher; Roman Weger; Walpurga Weyrer; Gerhard Rumpold; Bernhard Holzner
Journal:  J Med Internet Res       Date:  2021-06-08       Impact factor: 5.428

8.  A Digital Patient-Provider Communication Intervention (InvolveMe): Qualitative Study on the Implementation Preparation Based on Identified Facilitators and Barriers.

Authors:  Berit Seljelid; Cecilie Varsi; Lise Solberg Nes; Kristin Astrid Øystese; Elin Børøsund
Journal:  J Med Internet Res       Date:  2021-04-08       Impact factor: 5.428

9.  Improving care after colon cancer treatment in The Netherlands, personalised care to enhance quality of life (I CARE study): study protocol for a randomised controlled trial.

Authors:  Laura A M Duineveld; Thijs Wieldraaijer; Kristel M van Asselt; Ineke C Nugteren; Sandra C Donkervoort; Anthony W H van de Ven; Anke B Smits; Anna A W van Geloven; Willem A Bemelman; Frederique H Beverdam; Willem F van Tets; Marc J P M Govaert; Judith E Bosmans; Irma M Verdonck-de Leeuw; Cornelia F van Uden-Kraan; Henk C P M van Weert; Jan Wind
Journal:  Trials       Date:  2015-06-26       Impact factor: 2.279

10.  An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives.

Authors:  Sanne Duman-Lubberding; Cornelia F van Uden-Kraan; Niels Peek; Pim Cuijpers; C René Leemans; Irma M Verdonck-de Leeuw
Journal:  J Med Internet Res       Date:  2015-10-21       Impact factor: 5.428

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