Symptoms and self-care strategies during and six months after radiotherapy for prostate cancer – Scoping the perspectives of patients, professionals and literature

Blomberg, Karin; Wengström, Yvonne; Sundberg, Kay; Browall, Maria; Isaksson, Ann-Kristin; Nyman, Maria Hälleberg; Langius‐Eklöf, Ann

doi:10.1016/j.ejon.2015.09.004

Cited by 32 publications

(57 citation statements)

References 51 publications

(77 reference statements)

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“…Guiding patients with cancer in self-care management is essential for functional status and HRQoL [35]. In our previous study, we found that strategies for self-care management for patients with prostate cancer are rare in the literature, and in interviews with patients, they expressed scarce experience of support or information about self-care activities during treatment [5]. Furthermore, the patients reported that it was sometimes difficult to get in touch with health care professionals and that they were lacking sufficient information about their symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The symptom assessment in the application included 15 identified and tested questions regarding the following: bladder ( n = 4) and bowel ( n = 4) function, fatigue, pain, anxiety, distress, sleep, and flushing [5, 17]. The last question “other symptoms or concerns to report” was an open question providing the opportunity to write a message.…”

Section: Methodsmentioning

confidence: 99%

“…One concern is the patients’ unmet needs regarding information and knowledge of symptoms and side effects of the illness and its treatment [4]. Another concern is the lack of strategies for symptom management as well as self-care to alleviate symptom distress following treatment [5, 6]. Therefore, regular symptom assessment and purposeful information regarding self-management activities are important factors in the management of prostate cancer and treatment-related consequences [4, 6].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, in co-design with patients and health care personnel, we have developed [5] and tested [17] an interactive application (Interaktor) for smartphones and tablets. Daily reports via the application enable instant support from a nurse in early detection and management of symptoms and concerns in real-time during treatment for prostate cancer.…”

Section: Introductionmentioning

confidence: 99%

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Early detection and management of symptoms using an interactive smartphone application (Interaktor) during radiotherapy for prostate cancer

Sundberg

Wengström

Blomberg

et al. 2017

Support Care Cancer

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146

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PurposePatients undergoing radiotherapy for prostate cancer suffer from a variety of symptoms which influence health-related quality of life. We have developed an application (Interaktor) for smartphones and tablets for early detection, reporting and management of symptoms, and concerns during treatment for prostate cancer. The study evaluates the effect on symptom burden and quality of life when using the application for real-time symptom assessment and management during radiotherapy for localized prostate cancer.MethodsA non-randomized controlled study was used at two university hospitals in Sweden where 64 patients constituted a control group and 66 patients made up an intervention group. The intervention group was asked to report symptoms via the application daily during the treatment as well as 3 weeks after. The EORTC QLQ-C30 and its module PR25 and the Sense of Coherence questionnaire were administered at three time points in both groups.ResultsThe intervention group rated significantly lower levels of fatigue and nausea at the end of radiotherapy. Moreover, they had significantly less burden in emotional functioning, insomnia, and urinary-related symptoms at the end of treatment as well as 3 months later compared with the control group. In the multivariate analyses, with education and sense of coherence as covariates, the intervention group still significantly rated emotional functioning (p = 0.007), insomnia (p = 0.017), and urinary-related symptoms (p = 0.008) as better than the control group at T2.ConclusionStudy findings suggest that Interaktor could be an efficient mHealth tool for facilitating supportive care needs during cancer treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early detection and management of symptoms using an interactive smartphone application (Interaktor) during radiotherapy for prostate cancer

Sundberg

Wengström

Blomberg

et al. 2017

Support Care Cancer

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146

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“…They are included as a result of a literature review, interviews with patients and healthcare providers [25] and a feasibility study [49]. Furthermore, there is an open question, providing the patient with an opportunity to add comments; “Other symptoms or concerns to report?” Patients are asked about the symptoms’ occurrence, frequency, and distress level during the day, for example: “Do you experience urinary difficulties?” If the answer is yes, the patient is asked about the frequency, which can be rated as: almost never, sometimes, rather often, or very often.…”

Section: Design and Methodsmentioning

confidence: 99%

Effects of an interactive mHealth innovation for early detection of patient-reported symptom distress with focus on participatory care: protocol for a study based on prospective, randomised, controlled trials in patients with prostate and breast cancer

et al. 2017

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BackgroundCancer patients are predominantly treated as out-patients and as they often experience difficult symptoms and side effects it is important to facilitate and improve patient-clinician communication to support symptom management and self-care. Although the number of projects within supportive cancer care evaluating mobile health is increasing, few evidence-based interventions are described in the literature and thus there is a need for good quality clinical studies with a randomised design and sufficient power to guide future implementations. An interactive information and communications technology platform, including a smartphone/computer tablet app for reporting symptoms during cancer treatment was created in collaboration with a company specialising in health care management. The aim of this paper is to evaluate the effects of using the platform for patients with breast cancer during neo adjuvant chemotherapy treatment and patients with locally advanced prostate cancer during curative radiotherapy treatment. The main hypothesis is that the use of the platform will improve clinical management, reduce costs, and promote safe and participatory care.MethodThe study is a prospective, randomised, controlled trial for each patient group and it is based on repeated measurements. Patients are consecutively included and randomised. The intervention groups report symptoms via the app daily, during treatment and up to three weeks after end of treatment, as a complement to standard care. Patients in the control groups receive standard care alone. Outcomes targeted are symptom burden, quality of life, health literacy (capacity to understand and communicate health needs and promote healthy behaviours), disease progress and health care costs. Data will be collected before and after treatment by questionnaires, registers, medical records and biomarkers. Lastly, participants will be interviewed about participatory and meaningful care.DiscussionResults will generate knowledge to enhance understanding about how to develop person-centred care using mobile technology. Supporting patients’ involvement in their care to identify problems early, promotes more timely initiation of necessary treatment. This can benefit patients treated outside the hospital setting in regard to maintaining their safety.Clinical trial registrationJune 12 2015 NCT02477137 (Prostate cancer) and June 12 2015 NCT02479607 (Breast cancer).

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Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong

Wong

Chow

et al. 2022

JAMA Netw Open

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ImportanceMobile health (mHealth) smartphone apps are becoming increasingly popular among older adults, although the reactive care approach of these apps has limited their usability.ObjectiveTo evaluate the effects of an interactive mHealth program supported by a health-social partnership team on quality of life (QOL) among community-dwelling older adults in Hong Kong.Design, Setting, and ParticipantsThis was a 3-group, randomized clinical trial conducted in 5 community centers in Hong Kong from December 1, 2020, to April 30, 2022, with a last follow-up date of January 31, 2022. Participants included older adults aged at least 60 years who were living within the service area, used a smartphone, and had at least 1 of the following problems: chronic pain, hypertension, or diabetes. Data were analyzed from May 1 to 10, 2022.InterventionsParticipants were randomly assigned to the mHealth with interactivity (mHealth+I) group, mHealth group, or control group. Participants in the mHealth+I group received the mHealth app and nurse case management supported by a health-social partnership team. The mHealth group received the mHealth app only. The control group received no mHealth app or health-social care services.Main Outcomes and MeasuresThe primary outcome was the change in QOL from baseline to 3 months after completion of the intervention.ResultsAmong 221 participants (mean [SD] age 76.6 [8.0] years; 185 [83.7%] women), 76 were randomized to the control group, 71 were randomized to the mHealth group, and 74 were randomized to the mHealth+I group. The most common chronic diseases or problems were hypertension (147 participants [66.5%]), pain (144 participants [65.2%]), cataracts (72 participants [32.6%]), and diabetes (61 participants [27.6%]). At 3 months after the intervention and compared with the intervention group, there were no statistically significant differences in either the physical component summary (mHealth+I: β = −1.01 [95% CI, −4.13 to 2.11]; P = .53; mHealth: β = 0.22 [95% CI, −3.07 to 3.50]; P = .90) or the mental component summary (mHealth+I: β = −0.87 [95% CI, −4.42 to 2.69]; P = .63; mHealth: β = 1.73 [95% CI, −1.89 to 5.34]; P = .35) QOL scores. Only secondary outcomes, including self-efficacy (β = −2.31 [95% CI, −4.26 to −0.36]; P = .02), systolic blood pressure (β = −2.30 [95% CI, −5.00 to −0.13]; P = .04), pain levels (β = 1.18 [95% CI, 0.52 to 2.00]; P = .02), and health services utilization (β = 0.98 [95% CI, 0.32 to 2.09]; P = .048) improved in the mHealth+I group compared with the control group.Conclusions and RelevanceThis randomized clinical trial found no difference in the primary outcome between the mHealth+I group and the control group confirming that there were no incremental benefits to adding interactivity in mHealth programs for older adults with chronic diseases.Trial RegistrationClinicaltrials.gov Identifier: NCT03878212

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Symptoms and self-care strategies during and six months after radiotherapy for prostate cancer – Scoping the perspectives of patients, professionals and literature

Cited by 32 publications

References 51 publications

Early detection and management of symptoms using an interactive smartphone application (Interaktor) during radiotherapy for prostate cancer

Early detection and management of symptoms using an interactive smartphone application (Interaktor) during radiotherapy for prostate cancer

Effects of an interactive mHealth innovation for early detection of patient-reported symptom distress with focus on participatory care: protocol for a study based on prospective, randomised, controlled trials in patients with prostate and breast cancer

Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong

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