Development of a Remote Monitoring Application to Improve Care and Support Patients in the First 30 Days Following Colorectal Cancer Surgery

Miller, Morven; Roxburgh, Campbell S.D.; McCann, Lisa; Connaghan, John; vanWyk, Hester C.; McSorley, Stephen T.; Maguire, Roma

doi:10.1016/j.soncn.2020.151086

Cited by 7 publications

(11 citation statements)

References 30 publications

(33 reference statements)

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“…This was followed by the role of informant or SME (106/157, 67.5%) [ 32 - 37 , 39 - 41 , 43 , 46 , 49 , 50 , 52 - 56 , 58 - 61 , 63 , 64 , 67 , 69 , 72 - 75 , 77 , 79 - 81 , 83 - 86 , 89 - 91 , 93 , 95 , 98 , 99 , 102 , 104 , 106 - 110 , 113 , 114 , 116 , 119 , 121 , 123 - 127 , 129 , 132 - 134 , 137 - 139 , 141 , 146 , 148 - 160 , 162 - 171 , 173 - 175 , 177 , 178 , 181 , 182 , 184 - 188 ], designer or creator (31/157, 19.7%) [ 42 , 45 , 56 , 57 , 72 , 78 , 88 , 92 ,…”

Section: Resultsmentioning

confidence: 99%

Nurses’ Roles in mHealth App Development: Scoping Review

Bakker,

Wyatt,

Breth

et al. 2023

JMIR Nursing

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Background Although mobile health (mHealth) apps for both health consumers and health care providers are increasingly common, their implementation is frequently unsuccessful when there is a misalignment between the needs of the user and the app’s functionality. Nurses are well positioned to help address this challenge. However, nurses’ engagement in mHealth app development remains unclear. Objective This scoping review aims to determine the extent of the evidence of the role of nurses in app development, delineate developmental phases in which nurses are involved, and to characterize the type of mHealth apps nurses are involved in developing. Methods We conducted a scoping review following the 6-stage methodology. We searched 14 databases to identify publications on the role of nurses in mHealth app development and hand searched the reference lists of relevant publications. Two independent researchers performed all screening and data extraction, and a third reviewer resolved any discrepancies. Data were synthesized and grouped by the Software Development Life Cycle phase, and the app functionality was described using the IMS Institute for Healthcare Informatics functionality scoring system. Results The screening process resulted in 157 publications being included in our analysis. Nurses were involved in mHealth app development across all stages of the Software Development Life Cycle but most frequently participated in design and prototyping, requirements gathering, and testing. Nurses most often played the role of evaluators, followed by subject matter experts. Nurses infrequently participated in software development or planning, and participation as patient advocates, research experts, or nurse informaticists was rare. Conclusions Although nurses were represented throughout the preimplementation development process, nurses’ involvement was concentrated in specific phases and roles.

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Section: Resultsmentioning

confidence: 99%

Nurses’ Roles in mHealth App Development: Scoping Review

Bakker,

Wyatt,

Breth

et al. 2023

JMIR Nursing

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“…In this study, web software technologies and mobile apps were used. In similar studies, Mayer et al [ 41 ], Cheong et al [ 42 ], Keng et al [ 26 ], and Miller et al [ 22 ] used mobile and web applications were used. In the Maxwell-Smith et al [ 43 ] study, there is no reference to the technology applied in the system software.…”

Section: Discussionmentioning

confidence: 99%

“…Concerning the hardware presented in this study, the ability to measure heart rate and body temperature was considered. In the study of Miller et al [ 22 ], the health professionals for future apps proposed applying wearable outcome measures for detecting increased heart rate and temperature as the key measures that would be helpful in clinical assessments and remote monitoring of CRC surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Also, more specific studies have been carried out for postoperative telemonitoring, education, and self-care in CRC [ 22 - 25 ]. For example, Keng et al [ 26 ] developed an integrated discharge monitoring system based on a mobile app to support patients at home after colorectal surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Their study included 106 participants, and 93 of them used the designed apps. Another study by Miller et al [ 22 ] developed a remote monitoring application to support and improve the care of patients with CRC for the first 30 postoperative days. Their study included 9 clinicians and 10 patients in phase 1 of their study, which was conducted to identify the views of patients and clinicians regarding the remote monitoring app.…”

Section: Introductionmentioning

confidence: 99%

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Remote Monitoring of Colorectal Cancer Survivors Using a Smartphone App and Internet of Things–Based Device: Development and Usability Study

Ayyoubzadeh¹,

Baniasadi²,

Shirkhoda³

et al. 2023

JMIR Cancer

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Background Patients with colorectal cancer who undergo surgery face many postoperative problems. These problems include the risk of relapse, side effects, and long-term complications. Objective This study sought to design and develop a remote monitoring system as a technological solution for the postdischarge care of these patients. Methods This research was conducted in 3 main steps: system feature extraction, system design, and evaluation. After feature extraction from a systematic review, the necessary features were defined by 18 clinical experts in Iran. In the next step, the architecture of the system was designed based on the requirements; the software and hardware parts of the system were embedded in the architecture, then the software system components were drawn using the unified modeling language diagrams, and the details of software system implementation were identified. Regarding the hardware design, different accessible hardware modules were evaluated, and suitable ones were selected. Finally, the usability of the system was evaluated by demonstrating it over a Skype virtual meeting session and using Nilsen’s usability principles. Results A total of 21 mandatory features in 5 main categories, including patient information registration, periodic monitoring of health parameters, education, reminders, and assessments, were defined and validated for the system. The software was developed using an ASP.Net core backend, a Microsoft SQL Server database, and an Ionic frontend alongside the Angular framework, to build an Android app. The user roles of the system included 3 roles: physicians, patients, and the system administrator. The hardware was designed to contain an Esp8266 as the Internet of Things module, an MLX90614 infrared temperature sensor, and the Maxim Integrated MAX30101 sensor for sensing the heartbeat. The hardware was designed in the shape of a wristband device using SolidWorks 2020 and printed using a 3D printer. The firmware of the hardware was developed in Arduino with the capability of firmware over the air. In evaluating the software system from the perspective of usability, the system received an average score of 3.8 out of 5 from 4 evaluators. Conclusions Sensor-based telemonitoring systems for patients with colorectal cancer after surgery are possible solutions that can make the process automatic for patients and caregivers. The apps for remote colorectal patient monitoring could be designed to be useful; however, more research regarding the developed system’s implementation in clinic settings and hospitals is required to understand the probable barriers and limitations.

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