PURPOSE: Only 34% of breast cancer survivors engage in the recommended level of physical activity because of a lack of accountability and motivation. Methodist Hospital Cancer Health Application (MOCHA) is a smartphone tool created specifically for self-reinforcement for patients with cancer through the daily accounting of activity and nutrition and direct interaction with clinical dietitians. We hypothesize that use of MOCHA will improve the accountability of breast cancer survivors and help them reach their personalized goals. PATIENTS AND METHODS: Women with stages I to III breast cancer who were at least 6 months post-active treatment with a body mass index (BMI) greater than 25 kg/m2 were enrolled in a 4-week feasibility trial. The primary objective was to demonstrate adherence during weeks 2 and 3 of the 4-week study period (14 days total). The secondary objective was to determine the usability of MOCHA according to the system usability scale. The exploratory objective was to determine weight loss and dietitian-participant interaction. RESULTS: We enrolled 33 breast cancer survivors who had an average BMI of 31.6 kg/m2. Twenty-five survivors completed the study, and the average number of daily uses was approximately 3.5 (range, 0 to 12) times/day; participants lost an average of 2 lbs (+4 lbs to -10.6 lbs). The average score of usability (the second objective) was 77.4, which was greater than the acceptable level. More than 90% of patients found MOCHA easy to navigate, and 84% were motivated to use MOCHA daily. CONCLUSION: This study emphasizes the importance of technology use to improve goal adherence for patients by providing real-time feedback and accountability with the health care team. MOCHA focuses on the engagement of the health care team and is integrated into clinical workflow. Future directions will use MOCHA in a long-term behavior modification study.
PURPOSE: Only 34% of breast cancer survivors engage in the recommended level of physical activity because of a lack of accountability and motivation. Methodist Hospital Cancer Health Application (MOCHA) is a smartphone tool created specifically for self-reinforcement for patients with cancer through the daily accounting of activity and nutrition and direct interaction with clinical dietitians. We hypothesize that use of MOCHA will improve the accountability of breast cancer survivors and help them reach their personalized goals. PATIENTS AND METHODS: Women with stages I to III breast cancer who were at least 6 months post-active treatment with a body mass index (BMI) greater than 25 kg/m2 were enrolled in a 4-week feasibility trial. The primary objective was to demonstrate adherence during weeks 2 and 3 of the 4-week study period (14 days total). The secondary objective was to determine the usability of MOCHA according to the system usability scale. The exploratory objective was to determine weight loss and dietitian-participant interaction. RESULTS: We enrolled 33 breast cancer survivors who had an average BMI of 31.6 kg/m2. Twenty-five survivors completed the study, and the average number of daily uses was approximately 3.5 (range, 0 to 12) times/day; participants lost an average of 2 lbs (+4 lbs to -10.6 lbs). The average score of usability (the second objective) was 77.4, which was greater than the acceptable level. More than 90% of patients found MOCHA easy to navigate, and 84% were motivated to use MOCHA daily. CONCLUSION: This study emphasizes the importance of technology use to improve goal adherence for patients by providing real-time feedback and accountability with the health care team. MOCHA focuses on the engagement of the health care team and is integrated into clinical workflow. Future directions will use MOCHA in a long-term behavior modification study.
Authors: Emad Tashkandi; M BaAbdullah; Ahmed Zeeneldin; A AlAbdulwahab; Omima Elemam; S Elsamany; M Alfayez; Y Dabash; E Khayat; Fayza Hassanin; Rasha Abdulhameed; Abdul Rahman Jazieh Journal: Patient Prefer Adherence Date: 2020-07-20 Impact factor: 2.711
Authors: Hninyee Win; Samantha Russell; Betsy C Wertheim; Victoria Maizes; Robert Crocker; Audrey J Brooks; Ruben Mesa; Jennifer Huberty; Holly Geyer; Ryan Eckert; Ashley Larsen; Krisstina Gowin Journal: JMIR Form Res Date: 2022-03-31
Authors: Anna Nelson; Olivia Moses; Brenda Rea; Kelly Morton; Wendy Shih; Fatimah Alramadhan; Pramil N Singh Journal: Front Public Health Date: 2021-03-26
Authors: Désirée Schliemann; Min Min Tan; Wilfred Mok Kok Hoe; Devi Mohan; Nur Aishah Taib; Michael Donnelly; Tin Tin Su Journal: J Med Internet Res Date: 2022-08-15 Impact factor: 7.076