Addressing these challenges with HIT has the potential to increase care delivery and coordination, and ensure positive outcomes. The purpose of this study was to examine the use of a user-centered HIT app "BMT Roadmap" in a sample of adult and pediatric HCT patient-caregiver dyads. Methods: We used a mixed methods approach to collect quantitative and qualitative person-reported outcome measures (PROs) longitudinally upon admission, discharge, and day 100 post-HCT. Adult and pediatric patient caregivers (n = 39) completed encrypted psychometric surveys and inperson semi-structured interviews. Qualitative data were derived from multiple-reviewer thematic analysis. Results: Adult caregivers logged on fewer days than pediatric caregivers (M = 10.09 + 10.67 versus M = 18.26 + 14.35 respectively; t = -1.82, p = .07), reflecting differences in lengths of stay and thus access to the app. After statistical correction for differing access, we found caregivers used the app mostly for viewing patient laboratory values, and adult caregivers devoted more time to the medication and phases of care modules (t = 2.52, p = .02; t = 1.87, p = .07 respectively). Most adult and pediatric caregivers identified separate educational, organizational, and psychosocial needs during the phase of the transplant. However, both found BMT Roadmap informative and valuable for the caregiving experience. Conclusion: Caregivers of adult and pediatric patients receiving first-time allogeneic HCT report different caregiving experiences. Thus, they desire different interventions to learn best practices of caregiving. Clearly delineating differences in caregiving for adult and pediatric patients helps with customizable HIT design and may improve long-term patient outcomes.
hematopoietic cell products via an IV infusion pump with standardized infusion times. A symptom assessment survey was completed by patients for comparing gravity infusions with infusions via the IV pump. Nurses were survey regarding this change in practice. Evaluation: Patient symptoms were rated for cryopreserved cell infusion prior to and after the initiation of a standardized infusion time of 10 minutes. Nurses were asked to rate the efficiency of utilizing an IV pump compared to gravity infusion. Patients who entered the program with a previous placed catheter that was not a 12F CVC were tracked to determine a potential cost benefit. Discussion: By utilizing standardized infusion times and an IV pump both nurses and patients have a better experience with cell infusions.
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