Proceed with Caution: Transition from Paper to Computerized Pain Body Maps

Jaatun, Ellen Anna Andreassen; Haugen, Dagny Faksvåg; Dahl, Yngve; Kofod-Petersen, Anders

doi:10.1016/j.procs.2013.09.052

Cited by 9 publications

(6 citation statements)

References 23 publications

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“…As mentioned above, mHealth can be used for supporting structured, semi-structured, and unstructured activities, and different technologies can be introduced as a result. In particular, with regard to the type of technologies analyzed, our research found that mobile devices (like smartphones and tablets) and apps are analyzed by 75.5% (80/106) [ 14 , 17 , 35 , 36 , 39 , 40 ] of papers, remote monitoring technologies by 28.3% (30/106) [ 37 ] of papers, and text messaging technologies by 17.9% (19/106) [ 36 , 41 ] of papers ( Figure 5 ). It should be noted that some papers refer to several types of mobile technologies.…”

Section: Resultsmentioning

confidence: 99%

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The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

Nasi¹,

Cucciniello²,

Guerrazzi³

2015

J Med Internet Res

140

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BackgroundHealth care systems are gradually moving toward new models of care based on integrated care processes shared by different care givers and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care.ObjectiveThis paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care.MethodsWe carried out a review of literature with the aim of identifying studies related to the use of mHealth in cancer care and cancer supportive care. The final sample size consists of 106 records.ResultsThere is scant literature concerning the use of mHealth in cancer supportive care. Looking more generally at cancer care, we found that mHealth is mainly used for self-management activities carried out by patients. The main tools used are mobile devices like mobile phones and tablets, but remote monitoring devices also play an important role. Text messaging technologies (short message service, SMS) have a minor role, with the exception of middle income countries where text messaging plays a major role. Telehealth technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mHealth is mainly used during the treatment of patients, especially for self-management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities.ConclusionsSince mHealth seems to be employed only for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mHealth is to promote the adoption of integrated care models, using mHealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities.

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Section: Resultsmentioning

confidence: 99%

“…Jaatun [ 40 ] analyzed the case of an iPad-based pain assessment tool, developed with a user-centered design, compared to paper-based and conventional laptop-based tools.…”

Section: Resultsmentioning

confidence: 99%

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

Nasi¹,

Cucciniello²,

Guerrazzi³

2015

J Med Internet Res

140

View full text Add to dashboard Cite

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“…Southerst et al were the first to assess and show good-to-excellent interrater and intermethod reliability of digitally acquired information about pain distribution to that obtained using pen-on-paper PDs [10]. In the same year, Jaatun et al assessed user interactions with paper, computer, and PC tablet drawings and reported a preference for tablet PDs, as based on patient opinions [7]. Two years later, the same authors published the first set of guidelines for designing PD software interfaces for patients with physical or cognitive impairments [25].…”

Section: Resultsmentioning

confidence: 99%

“…Although the first digital PDs in the early 90s [9,20] were still much more cumbersome than filling out pen-and-paper counterparts, digital PD acquisition has come a long way. Today, touch screens and digital pens are replacing keyboards and the computer mouse for data entry, whereas modern software apps work essentially like digital pen-and-paper platforms [5,7,87,94]. Furthermore, the latest available systems actively guide their users through the drawing process and thus improve PD quality.…”

Section: Discussionmentioning

confidence: 99%

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From Paper to Digital Applications of the Pain Drawing: Systematic Review of Methodological Milestones

Shaballout¹,

Neubert²,

Boudreau³

et al. 2019

JMIR Mhealth Uhealth

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BackgroundIn a pain drawing (PD), the patient shades or marks painful areas on an illustration of the human body. This simple yet powerful tool captures essential aspects of the subjective pain experience, such as localization, intensity, and distribution of pain, and enables the extraction of meaningful information, such as pain area, widespreadness, and segmental pattern. Starting as a simple pen-on-paper tool, PDs are now sophisticated digital health applications paving the way for many new and exciting basic translational and clinical applications.ObjectiveGrasping the full potential of digital PDs and laying the groundwork for future medical PD apps requires an understanding of the methodological developments that have shaped our current understanding of uses and design. This review presents methodological milestones in the development of both pen-on-paper and digital PDs, thereby offering insight into future possibilities created by the transition from paper to digital.MethodsWe conducted a systematic literature search covering PD acquisition, conception of PDs, PD analysis, and PD visualization.ResultsThe literature search yielded 435 potentially relevant papers, from which 53 methodological milestones were identified. These milestones include, for example, the grid method to quantify pain area, the pain-frequency maps, and the use of artificial neural networks to facilitate diagnosis.ConclusionsDigital technologies have had a significant influence on the evolution of PDs, whereas their versatility is leading to ever new applications in the field of medical apps and beyond. In this process, however, there is a clear need for better standardization and a re-evaluation of methodological and technical limitations that no longer apply today.

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Designing a reliable pain drawing tool: avoiding interaction flaws by better tailoring to patients’ impairments

Jaatun

Haugen

Dahl

et al. 2015

Pers Ubiquit Comput

Self Cite

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Patients with advanced cancer are influenced by the disease itself and by treatment side effects, both of which may have great impact on their lives. One of the most distressing symptoms is pain. However, pain in cancer patients can in most cases be relieved if the patient is able to communicate the nature and severity of the problem to the healthcare professionals through an effective assessment process. The main goal of this paper is to help form an understanding of central patient characteristics that should be taken into account when designing pain assessment tools for patients with advanced cancer. Traditionally, pain has been assessed by paper-based questionnaires and pain drawings. An iterative study was conducted based on repeated cycles of usability testing of a computerized pain body map for communicating pain by advanced cancer patients. Our aim was to provide a patient interface that most patients were able to interact with, collecting valuable, granular pain information with a minimum of strain on the patient. Through this process, we identified and solved design issues related to the sickest and frailest cancer patients. We further created a web-based solution for collecting individual pain drawings for evaluation by clinicians. The concept was appreciated by the patients, and the information provided was considered valuable by physicians. The main contribution of this paper is a list of suggestions to guide the design of an interactive tool for patients with advanced cancer.

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Proceed with Caution: Transition from Paper to Computerized Pain Body Maps

Cited by 9 publications

References 23 publications

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

From Paper to Digital Applications of the Pain Drawing: Systematic Review of Methodological Milestones

Designing a reliable pain drawing tool: avoiding interaction flaws by better tailoring to patients’ impairments

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