State of eHealth in Cancer Care: Review of the Benefits and Limitations of eHealth Tools

Doyle-Lindrud, Susan

doi:10.1188/20.cjon.s1.10-15

Cited by 19 publications

(20 citation statements)

References 13 publications

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“…For example, since the pandemic, Black and Latino patients have been more likely to use telehealth services compared with non-Hispanic Whites (especially via telephone) [24,25,38]. Consequently, even if communication experiences are roughly comparable in telehealth sessions as compared with in-person visits, the aforementioned benefits of having a consultation at home, and not having to travel to the clinic, arrange for childcare, pay for parking, have long wait times at the clinic, and fewer interactions with staff and security may make telehealth sessions a more favorable communicative experience [15][16][17]. Cluster 3 comprised patients proportionally more likely to evaluate their communication in telehealth sessions as worse compared with in-person visits and provided mixed ratings of their communication with clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…On the one hand, some surveys have indicated that most oncology patients are satisfied with their telehealth sessions with respect to the care received and their communication with clinicians [8,[12][13][14]. Patient satisfaction with telehealth has been attributed to protecting patients and clinicians from COVID-19 infections, maintaining continuity of care, reducing treatment burden, creating the convenience of consultations from home, avoiding transportation hassles for in-person appointments, and creating the ability to engage a caregiver or support person for a telehealth session [3,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Oncology patients’ communication experiences during COVID-19: comparing telehealth consultations to in-person visits

Street

Treiman

Kranzler

et al. 2022

Support Care Cancer

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PurposeThe COVID-19 pandemic created significant disruptions in cancer care, much of which was transitioned to telehealth. Because telehealth alters the way clinicians and patients interact with one another, this investigation examined patients' perceptions of their communication with clinicians during the pandemic. Method Patients were recruited from the Cancer Support Community, Fight Colorectal Cancer, and a market research firm to participate in an online survey. In addition to demographic and health-related information, respondents completed measures of patient-centered communication and evaluated how their communication in telehealth sessions compared with in-person visits. Results From October to December 2020, 227 respondents (65.6% female, 64.6% Non-Hispanic White, 33.5% had 6 or more telehealth sessions, 55% were 50 or older) reported having some of their cancer care provided via telehealth. Respondents who were of racial/ethnic minorities, male, had more telehealth sessions, or had poorer mental health reported less patientcentered communication with clinicians. Most patients thought communication in telehealth sessions was "about the same" as in-person visits with respect to good communication (59%). However, patients thinking communication in telehealth sessions was "better" than in-person visits were more likely to be Hispanic (49%), Non-Hispanic Black (41%), under 50 years of age (32%), male (40%), and had more telehealth sessions (34%). Conclusion Respondents reporting less patient-centered communication during the pandemic-e.g., persons of racial/ethnic minorities and males-were also more likely to evaluate communication in telehealth sessions as better than in-person visits. Further research is needed to understand reasons underlying this finding. Cancer care clinicians should take into account patient preferences regarding telehealth care, which may be particularly important for racial and ethnic minority patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Oncology patients’ communication experiences during COVID-19: comparing telehealth consultations to in-person visits

Street

Treiman

Kranzler

et al. 2022

Support Care Cancer

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“…Electronic health, commonly known as eHealth, is a valuable tool to address the care needs of people living with cancer (Ayyoubzadeh et al, 2020;Den Bakker et al, 2018) and their family caregivers (Marzaroti et al, 2018;Heynsbergh et al, 2018). In the past two decades, the field of eHealth in cancer care has encompassed various research areas such as psychoeducational programmes, remote symptom monitoring, self-care education, online peer support forums, physical activity tools and many others utilising digital platforms (Doyle-Lindrud, 2020). The platforms in which eHealth-enabled care is delivered has considerably evolved and reflects the technology used in everyday life; from telephone and web-based programmes to more recent inventions of smartphone, tablet and wearable activity tracker technologies (Haase et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

People with cancer and their family caregivers’ personal experience of using supportive eHealth technology: A narrative review

Darley

Coughlan

Furlong

2021

European Journal of Oncology Nursing

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To synthesise existing qualitative evidence regarding the experiences of people living with cancer and their family caregivers using eHealth technology in their home setting. Method: A narrative review using a systematic approach was utilised. Five databases (PubMed, CINAHL, EMBASE, PsycINFO and the Cochrane Library) were searched using a tailored search strategy to identify primary research articles published between January 2005 and May 2021. Studies were quality appraised using the Critical Appraisal Skills Programme's Qualitative Studies Checklist and the Mixed Method Appraisal Tool, where relevant. Identified studies were appraised by three reviewers and data were extracted for analysis. Key themes were identified and agreed upon by the authors. Results: 28 empirical studies were included in the review. Five major themes emerged: (i) understanding of cancer and its care (ii) alignment and integration of eHealth technology into daily life (iii) connection and collaboration with healthcare professionals, family and peers (iii) reassurance and sense of safety (iv) and the psychosocial impact on the self during the cancer experience. Conclusions: eHealth technology can have positive role in the lives of people with cancer and their family caregivers, beyond the intended health outcomes of the intervention. Individual preferences amongst people with cancer and their family caregivers using eHealth technology must be considered, especially regarding cancer information delivery, content and support methods. This review underlines a critical need for further indepth evidence on the personal meaning and relationships people with cancer and their family caregivers develop with eHealth technology in an ambulatory care setting.

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“…The current era of rapid technological progress and its necessity in the medical field drives the development of innovative eHealth technology. Application areas in medical care span from personalized care ( 1 ), oncology ( 2 – 4 ) and palliative care ( 5 , 6 ) to mental health ( 7 – 9 ). Many national public health institutions have already acknowledged the urgency to adapt to a global imminent digitalization trend ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

Challenges and Pitfalls for Implementing Digital Health Solutions in Clinical Studies in Europe

Meyerheim

Burns-Gebhart

Mirzaie

et al. 2021

Front. Digit. Health

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The increasing number of digital solutions developed for use in clinical health care settings is accompanied by new challenges to develop and conduct clinical studies that include eHealth technologies. Clinical study implementation plans often disregard or underestimate the necessity of additional administrative and logistic tasks required at clinical sites as well as ethical aspects to test digital solutions. Experiences made in the run-up of an observational clinical feasibility study at three international clinical sites in the framework of the MyPal project (https://mypal-project.eu/) result in recommendations to avoid delays and barriers in the planning of such prospective studies in clinical and also palliative care for increased efficiency.

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State of eHealth in Cancer Care: Review of the Benefits and Limitations of eHealth Tools

Cited by 19 publications

References 13 publications

Oncology patients’ communication experiences during COVID-19: comparing telehealth consultations to in-person visits

Oncology patients’ communication experiences during COVID-19: comparing telehealth consultations to in-person visits

People with cancer and their family caregivers’ personal experience of using supportive eHealth technology: A narrative review

Challenges and Pitfalls for Implementing Digital Health Solutions in Clinical Studies in Europe

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