Leveraging Digital Technology to Reduce Cancer Care Inequities

Arora, Sanjeev; Ryals, Cleo A; Rodriguez, Jorge A.; Byers, Emily; Clewett, Elizabeth R.

doi:10.1200/edbk_350151

Cited by 7 publications

(5 citation statements)

References 37 publications

(38 reference statements)

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“…6). Although AI-powered technology can have a positive impact, e.g., in reducing cancer care inequalities (Arora et al, 2020) or in enhancing the translation between clinical and laboratory work (Yim et al, 2016), there are also threats, for instance in terms of cybersecurity (Joyce et al, 2021; see also Franzoi et al, 2023 for an overview).…”

Section: Digital Technology and Ai In Oncology Practicementioning

confidence: 99%

Making sense of radiomics: insights on human–AI collaboration in medical interaction from an observational user study

Mlynář,

Depeursinge,

Prior

et al. 2024

Front. Commun.

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Technologies based on “artificial intelligence” (AI) are transforming every part of our society, including healthcare and medical institutions. An example of this trend is the novel field in oncology and radiology called radiomics, which is the extracting and mining of large-scale quantitative features from medical imaging by machine-learning (ML) algorithms. This paper explores situated work with a radiomics software platform, QuantImage (v2), and interaction around it, in educationally framed hands-on trial sessions where pairs of novice users (physicians and medical radiology technicians) work on a radiomics task consisting of developing a predictive ML model with a co-present tutor. Informed by ethnomethodology and conversation analysis (EM/CA), the results show that learning about radiomics more generally and learning how to use this platform specifically are deeply intertwined. Common-sense knowledge (e.g., about meanings of colors) can interfere with the visual representation standards established in the professional domain. Participants' skills in using the platform and knowledge of radiomics are routinely displayed in the assessment of performance measures of the resulting ML models, in the monitoring of the platform's pace of operation for possible problems, and in the ascribing of independent actions (e.g., related to algorithms) to the platform. The findings are relevant to current discussions about the explainability of AI in medicine as well as issues of machinic agency.

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Section: Digital Technology and Ai In Oncology Practicementioning

confidence: 99%

Making sense of radiomics: insights on human–AI collaboration in medical interaction from an observational user study

Mlynář,

Depeursinge,

Prior

et al. 2024

Front. Commun.

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“…Patients need to have the necessary skills to engage with digital tools independently and meaningfully. These skills comprise a patient's digital literacy [11]. The user-friendliness of technologies (n = 70), receiving appropriate instructions and/or training in setting up and engaging with technologies, and technical support being readily available for the duration of interactions with technologies (n = 9) were identified as key requirements by patients participating in the studies included in this review.…”

Section: Main Findingsmentioning

confidence: 99%

“…The user-friendliness of technologies (n = 70), receiving appropriate instructions and/or training in setting up and engaging with technologies, and technical support being readily available for the duration of interactions with technologies (n = 9) were identified as key requirements by patients participating in the studies included in this review. These requirements together with end-users' digital literacy levels ought to be considered by digital technology companies when designing and developing tools for health purposes so that these can accommodate patients with varying digital literacy levels and ensure that all patients can benefit from digital tools [11].…”

Section: Main Findingsmentioning

confidence: 99%

“…Routine symptom assessment enabled by digital health technologies thus has the potential to improve symptom management, resulting, in turn, in improvements in healthcare resource utilisation and patients' quality of life compared with standard clinical assessment [10]. A further advantage of digital technology applications is that they can increase the equity of cancer care delivery by extending access to care for patients in remote or rural areas or those living with socioeconomic disadvantages, mitigating, therefore, geographical and socioeconomic disparities in cancer outcomes that are associated with limited access to care [11,12]. Moreover, using digital health technologies to support patient education has the potential to improve compliance with care pathways and aid self-management to address the complex healthcare needs of people diagnosed with cancer [7,13].…”

Section: Introductionmentioning

confidence: 99%

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Cancer Patients’ Perspectives and Requirements of Digital Health Technologies: A Scoping Literature Review

Lazarou,

Krooupa,

Nikolopoulos

et al. 2024

Cancers

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Digital health technologies have the potential to alleviate the increasing cancer burden. Incorporating patients’ perspectives on digital health tools has been identified as a critical determinant for their successful uptake in cancer care. The main objective of this scoping review was to provide an overview of the existing evidence on cancer patients’ perspectives and requirements for patient-facing digital health technologies. Three databases (CINAHL, MEDLINE, Science Direct) were searched and 128 studies were identified as eligible for inclusion. Web-based software/platforms, mobile or smartphone devices/applications, and remote sensing/wearable technologies employed for the delivery of interventions and patient monitoring were the most frequently employed technologies in cancer care. The abilities of digital tools to enable care management, user-friendliness, and facilitate patient–clinician interactions were the technological requirements predominantly considered as important by cancer patients. The findings from this review provide evidence that could inform future research on technology-associated parameters influencing cancer patients’ decisions regarding the uptake and adoption of patient-facing digital health technologies.

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“…The main barriers to the widespread implementation of cancer rehabilitation via telehealth are often because of disparities in internet connectivity, access to devices, and IT knowledge and skills. There is a clear need to minimize these disparities to improve accessibility and maximize inclusion in telehealth-based rehabilitation [48]. Access to high-speed internet is a persistent and prevalent issue, particularly for those living in more rural areas.…”

Section: Principal Findingsmentioning

confidence: 99%

Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study

O'Neill,

Brennan,

Sheill

et al. 2023

JMIR Cancer

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Background The COVID-19 pandemic accelerated the use of telehealth in cancer care and highlighted the potential of telehealth as a means of delivering the much-needed rehabilitation services for patients living with the side effects of cancer and its treatments. Objective This mixed methods study aims to explore patients’ experiences of telehealth and their preferences regarding the use of telehealth for cancer rehabilitation to inform service development. Methods The study was completed in 2 phases from October 2020 to November 2021. In phase 1, an anonymous survey (web- and paper-based) exploring the need, benefits, barriers, facilitators, and preferences for telehealth cancer rehabilitation was distributed to survivors of cancer in Ireland. In phase 2, survivors of cancer were invited to participate in semistructured interviews exploring their experiences of telehealth and its role in cancer rehabilitation. Interviews were conducted via telephone or video call following an interview guide informed by the results of the survey and transcribed verbatim, and reflexive thematic analysis was performed using a qualitative descriptive approach. Results A total of 48 valid responses were received. The respondents were at a median of 26 (range 3-256) months after diagnosis, and 23 (48%) of the 48 participants had completed treatment. Of the 48 respondents, 31 (65%) reported using telehealth since the start of the pandemic, 15 (31%) reported having experience with web-based cancer rehabilitation, and 43 (90%) reported a willingness for web-based cancer rehabilitation. A total of 26 (54%) of the 48 respondents reported that their views on telehealth had changed positively since the start of the pandemic. Semistructured interviews were held with 18 survivors of cancer. The mean age of the participants was 58.9 (SD 8.24) years, 56% (10/18) of the participants were female, and 44% (8/18) of the participants were male. Reflexive thematic analysis identified 5 key themes: telehealth improves accessibility to cancer rehabilitation for some but is a barrier for others, lived experiences of the benefits of telehealth in survivorship, the value of in-person health care, telehealth in cancer care and COVID-19 (from novelty to normality), and the future of telehealth in cancer rehabilitation. Conclusions Telehealth is broadly welcomed as a mode of cancer rehabilitation for patients living with and beyond cancer in Ireland. However, issues regarding accessibility and the importance of in-person care must be acknowledged. Factors of convenience, time savings, and cost savings indicate that telehealth interventions are a desirable patient-centered method of delivering care when performed in suitable clinical contexts and with appropriate populations.

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Leveraging Digital Technology to Reduce Cancer Care Inequities

Cited by 7 publications

References 37 publications

Making sense of radiomics: insights on human–AI collaboration in medical interaction from an observational user study

Making sense of radiomics: insights on human–AI collaboration in medical interaction from an observational user study

Cancer Patients’ Perspectives and Requirements of Digital Health Technologies: A Scoping Literature Review

Moving Forward With Telehealth in Cancer Rehabilitation: Patient Perspectives From a Mixed Methods Study

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