Use of a web-based app to improve breast cancer symptom management and adherence for aromatase inhibitors: a randomized controlled feasibility trial

Graetz, Ilana; McKillop, Caitlin N.; Stepanski, Edward J.; Vidal, Gregory A.; Anderson, Janeane N.; Schwartzberg, Lee S.

doi:10.1007/s11764-018-0682-z

Cited by 85 publications

(137 citation statements)

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“…Geographically, one paper reported sampling from 18 countries across the world, heavily sampling from Europe, but also including Australia, and four countries from South America. Other studies sampled more culturally discrete regions, eg, China ( k = 1), Germany ( k = 3), and the United States ( k = 2).…”

Section: Resultsmentioning

confidence: 99%

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Interventions to promote adherence to endocrine therapy among breast cancer survivors: A meta‐analysis

et al. 2018

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Objective: Adjuvant endocrine therapy (AET) significantly reduces risk of breast cancer recurrence in those patients whose tumor tests hormone (estrogen and/or progesterone) receptor positive. Many who are prescribed AET do not adhere adequately. Studies have sought to examine the effects of interventions to enhance patients' AET adherence, with strikingly mixed results. In order to reconcile a disparate literature, this paper aims to (1) quantitatively review the aggregate effect of interventions designed to optimize AET adherence within the current literature and(2) meta-analyze these effects across studies' by intervention design.Methods: Duplicate searches were conducted using multiple electronic databases as well as hand searches of recent year conference abstracts. Studies were included that (1) tested an intervention to promote AET adherence; (2) reported at least one measure of medication adherence; and (3) reported (or provided upon request) data sufficient to calculate effect size. Effect sizes were calculated using random effects models. Results: Seven studies representing eight unique interventions were included. We observed an overall null effect across all interventions (k = 8; d [95% CI] = 0.28 [−0.05, 0.61]); however, sensitivity analyses showed that interventions that used bi-directional communication showed statistically significant effects relative to control groups within each study (k = 4; d [95% CI] = 0.59 [0.23, 0.95]) while those relying only on providing information to the patient (one-way communication) did not (k = 4; d [95% CI] = −0.03 [−0.27, 0.20]). Conclusions:Interventions that promote patient self-report may improve AET adherence through enhancing patient engagement. Investigators and clinicians who wish to optimize medication adherence in this population can consider this approach.

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Section: Resultsmentioning

confidence: 99%

“…Most ( k = 7) interventions used a control group comparison, while one employed a single group design. Studies reported data at 2 years, at 1 year, and shorter‐term follow‐up data collection . The definition of adherence was largely uniform across studies with most ( k = 6) defining adherent as ≥80% of scheduled doses.…”

Section: Resultsmentioning

confidence: 99%

Interventions to promote adherence to endocrine therapy among breast cancer survivors: A meta‐analysis

et al. 2018

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“…Related studies have been carried out [13][14][15]. However such studies have some deficiencies such as a singular method of exercise intervention and exercise guidance [16][17][18][19]. Therefore, due to the limitations of previous studies, we aimed to investigate the effects of the CEIBISMS on QOL, muscle strength and cardiorespiratory capacity in postoperative BC patients in China.…”

Section: Introductionmentioning

confidence: 99%

The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients:a randomized controlled trial

Dong

Gao

et al. 2019

Health Qual Life Outcomes

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Background: Breast cancer (BC) patients who undergo surgery followed by radiotherapy and chemotherapy have limitations on physical activity which will lead to a decreased quality of life and poor physical fitness level. The purpose of this study was to investigate the effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on postoperative breast cancer patients by evaluating their quality of life, muscle strength and cardiorespiratory capacity. Methods: This study was a randomized control trial with an intervention period of 12 weeks. Sixty participants (30 in each group, 42-60 years old, female) were recruited through an outpatient department. Procedure of exercise in the intervention group included: via phone step-recording app, ask the individuals to complete the target number of steps within a specified period of exercise, four times per week; face-to-face remote video instruction of individuals on muscle training, three times per week; via social media apps daily push common knowledge of physical exercise BC rehabilitation. The control group received traditional treatment and rehabilitation according to daily specifications of the hospital. The primary outcome was quality of life and the secondary outcomes were muscle strength and cardiorespiratory capacity. Results: Experiments using a Short Form 36 showed that the CEIBISMS yielded significantly better results than traditional methods, in vitality (p = 0.009), mental health (p = 0.001) and reported health transition (p = 0.048) by week 12. The CEIBISMS resulted in significant improvement in the stand-up and sit-down chair test (p < 0.0001), arm lifting test (p = 0.017). Conclusion: The CEIBISMS offered rehabilitative effects in quality of life (QOL) and muscle strength of postoperative patients with breast cancer (BC) in China.

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“…Cloud calculating suggests resilient distribution ways among health environments to health care workers (59). Peer support is an essential component of the behavioral change programs, which lets consumers share their awareness, beliefs, attitudes, experiences, emotional, social, or applied for support with each other (30).…”

Section: Resultsmentioning

confidence: 99%

“…Several mobile-based delivery templates were detected in 11 chosen articles; these templates include mobile app-based (34,35,37), web-based (56)(57)(58)(59), the internet, email (60,61), short text message (62), and computers (63). Self-care, a healthy lifestyle, and stress management are essential elements in developing healthy lifestyle interventional programs (57).…”

Section: Methodsmentioning

confidence: 99%

Design and Development of a Mobile App Framework to Facilitate Breast Cancer-Preventive Behaviors (m-BCPB) in the At-Risk Women: Qualitative Study

Taymoori

Khazaee-Pool

Pashaei

et al. 2020

Preprint

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Background Smartphone apps are becoming a gradually universal template for an offering of preventive behavior interventions among women who are at risk of getting breast cancer. Although, only limited methodological procedures on mixing model, document, and qualitative study for their developments are presented. Thus, this study was aimed to design and develop a model-based, document-driven, and user-centered mobile app framework to facilitate breast cancer preventive behaviors targeting at-risk women. Methods The present study explains how intervention progress may be enriched with a theoretic foundation, literature review, and qualitative research. A semi-structural individual interview and focus group dissection (FGD) were accomplished to combine the user’s participation in the development. Participants were employed using a purposing sampling method. All interviews were audio-recorded, transcribed verbatim, and coded by applying the software MAXQDA. The thematic analysis method was employed for developing themes and sub-themes. Results The ASSISTS model, self-regulation model, and the self-control model were chosen to design the app framework. Data from the literature review presented the most influential document for the designing of the programs. Nineteen women were invited to participate in a semi-structured interview and FGDs. The following five main themes revealed: content, interactive performance, template, extended action and output, and motivational nature. Mobile apps are a useful tool for learning self-care tips, suitable and healthy lifestyles, and stress management, due to their user-friendly and easy feature. The mobile app framework that developed in the present study includes culture-appropriate, user-centered, and reliable content. The mobile app design should include beautiful, visualized features, and interactive multimedia. Conclusions By applying three phases way combining a model basis, the document from the literature review, and qualitative study from the target group can be held as a pattern for the prospective app design.

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Use of a web-based app to improve breast cancer symptom management and adherence for aromatase inhibitors: a randomized controlled feasibility trial

Abstract: If short-term gains in adherence persist, this low-cost intervention could improve survival outcomes for women with breast cancer. A larger, long-term study should examine if AI adherence and symptom burden improvements persist for a 5-year treatment period.

Cited by 85 publications

References 50 publications

Interventions to promote adherence to endocrine therapy among breast cancer survivors: A meta‐analysis

Interventions to promote adherence to endocrine therapy among breast cancer survivors: A meta‐analysis

The effects of the combined exercise intervention based on internet and social media software (CEIBISMS) on quality of life, muscle strength and cardiorespiratory capacity in Chinese postoperative breast cancer patients:a randomized controlled trial

Design and Development of a Mobile App Framework to Facilitate Breast Cancer-Preventive Behaviors (m-BCPB) in the At-Risk Women: Qualitative Study

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