Acceptability of a Mobile Phone App for Measuring Time Use in Breast Cancer Survivors (Life in a Day): Mixed-Methods Study

Ainsworth, Matthew Cole; Pekmezi, Dori; Bowles, Heather R.; Ehlers, Diane K.; McAuley, Edward; Courneya, Kerry S.; Rogers, Laura Q.

doi:10.2196/cancer.8951

Cited by 14 publications

(15 citation statements)

References 31 publications

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“…BENECA mHealth , an application for remotely assessing and monitoring energy balance in breast cancer survivors, showed positive agreement with daily, 24-hour dietary recalls and accelerometer data [45]. Ainsworth et al [44] assessed the acceptability of a 5-day trial of a mobile phone app for measuring time use in order to inform physical activity measurement and promotion interventions. Majority of the participants agreed that learning to use the app was easy, and most preferred to use the app over the paper-and-pencil diary method of record.…”

Section: Resultsmentioning

confidence: 99%

“…The number, quality, and findings of studies identified by our search highlight the fact that mHealth technology may play a relevant role in the care of breast cancer survivors. Evidence points to a positive effect of mHealth-based interventions on promoting weight loss [41-43,46], stemming stress, and sustaining the quality of life [44,46,48,49]. However, no convincing data are available on the benefit of mHealth for enduring adverse psychological sequel [46,49].…”

Section: Discussionmentioning

confidence: 99%

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Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review

Jongerius¹,

Russo²,

Mazzocco³

et al. 2019

JMIR Mhealth Uhealth

126

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Background The use of mobile health (mHealth) apps in clinical settings is increasing widely. mHealth has been used to promote prevention, improve early detection, manage care, and support survivors and chronic patients. However, data on the efficacy and utility of mHealth apps are limited. Objective The main objective of this review was to provide an overview of the available research-tested interventions using mHealth apps and their impact on breast cancer care. Methods A systematic search of Medline, PsycINFO, Embase, and Scopus was performed to identify relevant studies. From the selected studies, the following information was extracted: authors, publication date, study objectives, study population, study design, interventions’ features, outcome measures, and results. Results We identified 29 empirical studies that described a health care intervention using an mHealth app in breast cancer care. Of these, 7 studies were about the use of an mHealth application in an intervention for breast cancer prevention and early detection, 12 targeted care management, and 10 focused on breast cancer survivors. Conclusions Our results indicate consistent and promising findings of interventions using mHealth apps that target care management in breast cancer. Among the categories of mHealth apps focusing on survivorship, mHealth-based interventions showed a positive effect by promoting weight loss, improving the quality of life, and decreasing stress. There is conflicting and less conclusive data on the effect of mHealth apps on psychological dimensions. We advocate further investigation to confirm and strengthen these findings. No consistent evidence for the impact of interventions using mHealth apps in breast cancer prevention and early detection was identified due to the limited number of studies identified by our search. Future research should continue to explore the impact of mHealth apps on breast cancer care to build on these initial recommendations.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review

Jongerius¹,

Russo²,

Mazzocco³

et al. 2019

JMIR Mhealth Uhealth

126

View full text Add to dashboard Cite

show abstract

“… 23 , 25 , 57–67 Nineteen studies used a mixed approach, which included a combination of point scales (2-, 3-, 5-, and 7-point scales), dichotomous type, and open-ended questions. 68–86 …”

Section: Resultsmentioning

confidence: 99%

Scoping review: Development and assessment of evaluation frameworks of mobile health apps for recommendations to consumers

Hensher

Cooper

Dona

et al. 2021

Journal of the American Medical Informatics Association

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Objective The study sought to review the different assessment items that have been used within existing health app evaluation frameworks aimed at individual, clinician, or organizational users, and to analyze the scoring and evaluation methods used in these frameworks. Materials and Methods We searched multiple bibliographic databases and conducted backward searches of reference lists, using search terms that were synonyms of “health apps,” “evaluation,” and “frameworks.” The review covered publications from 2011 to April 2020. Studies on health app evaluation frameworks and studies that elaborated on the scaling and scoring mechanisms applied in such frameworks were included. Results Ten common domains were identified across general health app evaluation frameworks. A list of 430 assessment criteria was compiled across 97 identified studies. The most frequently used scaling mechanism was a 5-point Likert scale. Most studies have adopted summary statistics to generate the total scoring of each app, and the most popular approach taken was the calculation of mean or average scores. Other frameworks did not use any scaling or scoring mechanism and adopted criteria-based, pictorial, or descriptive approaches, or “threshold” filter. Discussion There is wide variance in the approaches to evaluating health apps within published frameworks, and this variance leads to ongoing uncertainty in how to evaluate health apps. Conclusions A new evaluation framework is needed that can integrate the full range of evaluative criteria within one structure, and provide summative guidance on health app rating, to support individual app users, clinicians, and health organizations in choosing or recommending the best health app.

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“…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). The use of mobile apps for tertiary cancer prevention was preferred in contrast to usual standard of care practices.…”

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

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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.

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Acceptability of a Mobile Phone App for Measuring Time Use in Breast Cancer Survivors (Life in a Day): Mixed-Methods Study

Cited by 14 publications

References 31 publications

Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review

Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review

Scoping review: Development and assessment of evaluation frameworks of mobile health apps for recommendations to consumers

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

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