A Behavior-Modification, Clinical-Grade Mobile Application to Improve Breast Cancer Survivors' Accountability and Health Outcomes

He, Tiancheng; Yu, Xiaohui; Puppala, Mamta; Ezeana, Chika F.; Chen, Shenyi; Alvarado, Miguel Valdivia y; Ensor, Joe; Rodriguez, Angel Augusto; Niravath, Polly; Chang, Jenny C.; Wong, Stephen T.C.; Patel, Tejal

doi:10.1200/cci.18.00054

Cited by 28 publications

(41 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6 The utilization of Mobile applications is associated with increased cancer knowledge 8 and provides real-time feedback. 9 Similarly, telemedicine via videoconference is equal in patient satisfaction and perceived quality of care. 4 Surprisingly in our study (mobile application and telemedicine) were not the preferred method and this is likely due to similar technology-specific reasons described by Scott Kruse et al, 19 and we need better ways to assess the quality and effectiveness of mobile health applications.…”

Section: Discussionmentioning

confidence: 99%

“…8 Mobile health applications improved goal adherence for breast cancer survivors by providing real-time feedback and accountability with the health care team. 9 Digital transformation is the integration of digital technology with patients, healthcare providers and regulators. 10 Healthcare transformation will add an opportunity to translate new data into actionable information, allowing earlier diagnosis and precise treatment options.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

Tashkandi¹,

Baabdullah²,

Zeeneldin³

et al. 2020

PPA

View full text Add to dashboard Cite

Background: During curfew, patients are self-isolated at home and worried. Patient-doctor interactions may be disrupted and therefore need to be replaced by alternative effective communication methods. Purpose: To describe the preferences of cancer patients with respect to communication methods and the use of patient-accessible electronic health records (PAEHRs). To record the impact on cancer patients during the COVID-19 pandemic and the knowledge and attitude of the patients towards it. Patients and Methods: We created a self-administered electronic survey that was piloted and evaluated for its clinical relevance. Using convenient sampling methods, we surveyed the cancer patients in our Oncology Center. Results: We received 385 responses between April 15 and April 30, 2020. The preferred method for communication was a phone call with a 92% response rate followed by the electronic patient portal, mobile application, telemedicine and text message in 75%, 76%, 73%, and 72%, respectively. The majority (97%) preferred the use of PAEHRs for appointments, 95% for drug delivery and to view laboratory tests, and 92% in requesting medical reports. In our survey, 22% of patients with cancer reported that their medical cancer care had not been affected by COVID-19. They reported that trusted sources of information during COVID-19 included the Ministry of Health with 98% and doctors with 94%. Sixtyone percent know that they are more susceptible to COVID-19 infection and 91% of respondents supported the notion of digital transformation in the caring of cancer patients. Conclusion: Our study revealed a general acceptance of patients to telecommunication as substitute to in-person interaction with their physicians. Interaction between cancer patients and health care providers should not be disrupted but should be augmented with more effective platforms to improve health care outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

Tashkandi¹,

Baabdullah²,

Zeeneldin³

et al. 2020

PPA

View full text Add to dashboard Cite

show abstract

“…The results showed a decreased level of post-traumatic stress symptoms. In another study led by Stubbins et al (2018), a mobile app-based CBT program that aimed to increase the physical activity of breast cancer survivors was developed and examined for its effectiveness in 33 survivors over 4 weeks; the results showed that the program was effective for weight loss. The study by Greer et al (2017) is the only one in which a mobile app-based CBT program was developed with the goal of reducing depression and anxiety symptoms in cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Preliminary Results From a Randomized Controlled Study for an App-Based Cognitive Behavioral Therapy Program for Depression and Anxiety in Cancer Patients

et al. 2019

View full text Add to dashboard Cite

Cancer patients experience various psychological and social difficulties, the most common being depression and anxiety. The purpose of this study was to develop and evaluate the effectiveness of an app-based cognitive behavioral therapy program for depression and anxiety in cancer patients. For this purpose, 63 participants who met the inclusion criteria were randomly assigned to either a mobile-application-based cognitive behavioral therapy program (HARUToday), a simple information-provision mobile-application-based program (HARUCard), or a waitlist control group. Self-report questionnaires including the Beck Depression Inventory, State-Trait Anxiety Inventory, Health-Related Quality of Life Scale, Dysfunctional Attitude Scale, and two computer tasks including the dot-probe task and the Implicit Association Test, were administered before and after 66 days of intervention. The results showed that the Beck Depression Inventory and State-Trait Anxiety Inventory scores of the cognitive behavioral therapy program (HARUToday) group decreased significantly after the intervention compared to the attention control (HARUCard) and waitlist control groups. However, there were no significant changes in scores of the Health-Related Quality of Life Scale and Dysfunctional Attitude Scale, and the two computer tasks. Such results suggest that a mobile-application-based cognitive behavioral therapy program may be an effective intervention for alleviating depression and anxiety, but not the general quality of life of cancer patients. Taking into consideration that psychosocial problems may not the topmost priority for cancer patients who are facing a chronic and possibly mortal disease, a mobile-application cognitive behavioral therapy program may be a possible solution for the alleviation of depression and anxiety in cancer patients who have many restraints in terms of time and space.

show abstract

“…We identified two common themes for the use of mobile health apps in tertiary breast cancer prevention: clinical care coordination and health related quality of life during and after a breast cancer diagnosis. Cancer care coordination studies focused on the support and communication between the breast cancer patient and the physician (32, 41, 47, 48, 66, 68), as well as specific aspects of cancer care coordination, such as symptomology (12, 14, 23, 27, 52), medication adherence (23, 34, 38, 45, 66), and ambulatory surgery (7, 8). Research using apps designed to improve health related quality of life focused on general lifestyle management (30, 42, 56, 60, 64, 69), weight management (61, 66, 67), depression and breast cancer related distress (12, 17, 21, 23, 37, 63), social support (12, 40, 50, 51), sleep (20), and physical activity during and after a breast cancer diagnosis (9, 11, 22, 24, 25, 28, 29, 33, 35, 36, 46, 55, 59, 65).…”

Section: Resultsmentioning

confidence: 99%

Mobilizing Breast Cancer Prevention Research Through Smartphone Apps: A Systematic Review of the Literature

Houghton

Howland

McDonald

2019

Front. Public Health

View full text Add to dashboard Cite

Background: Breast cancer rates have been increasing worldwide, particularly among young women, suggesting important interactions between genes and health behaviors. At the same time, mobile technology, including smartphones applications (apps), has emerged as a new tool for delivering healthcare and health-related services. As of 2018, there were nearly 600 publicly available breast cancer apps designed to provide disease and treatment information, to manage disease, and to raise overall awareness. However, the extent to which apps are incorporated into breast cancer prevention research is unknown. Therefore, the objective of this review was to determine how mobile applications are being used for breast cancer prevention among women across the cancer control continuum.Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched PubMed and Web of Science Core Collection databases using the keywords breast cancer, smartphone, mobile application, and phone app. Full-length journal articles available in English that addressed the research question were included. We categorized articles by prevention type (primary, secondary, and tertiary) and phase of research (protocol, development, feasibility, pilot, measurement, and effectiveness), and identified common themes and gaps.Results: Our search yielded 82 studies (69 unique) that used apps in breast cancer prevention research across 20 countries. Approximately half of the named apps were publicly available. The majority (73%) of studies targeted tertiary prevention; 15% targeted secondary and 13% targeted primary prevention. Apps were used across all phases of research with the predominant phase being feasibility in tertiary prevention (34%), effectiveness in secondary prevention (63%), and development (30%) and effectiveness (30%) in primary prevention. Common uses included assessing outcomes relevant to clinical care coordination, quality of life, increasing self-efficacy and screening behaviors, and tracking and managing health behaviors.Conclusions: We identified the following gaps: few effectiveness studies in tertiary prevention, minimal use of apps for breast cancer etiology or early detection, and few interventions in those at average risk of breast cancer. These findings suggest that while mobile apps can inform breast cancer prevention across the continuum, more work is needed to incorporate apps into primary prevention.

show abstract

A Behavior-Modification, Clinical-Grade Mobile Application to Improve Breast Cancer Survivors' Accountability and Health Outcomes

Cited by 28 publications

References 25 publications

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

<p>Optimizing the Communication with Cancer Patients During the COVID-19 Pandemic: Patient Perspectives</p>

Preliminary Results From a Randomized Controlled Study for an App-Based Cognitive Behavioral Therapy Program for Depression and Anxiety in Cancer Patients

Mobilizing Breast Cancer Prevention Research Through Smartphone Apps: A Systematic Review of the Literature

Contact Info

Product

Resources

About