Using Tablet-Based Technology in Patient Education about Systemic Therapy Options for Early-Stage Breast Cancer: A Pilot Study

Morgan, Erin; Laing, Kara; McCarthy, Joy; McCrate, Farah; Seal, Melanie

doi:10.3747/co.22.2476

Cited by 20 publications

(18 citation statements)

References 18 publications

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“…The increase in level of knowledge we observed in our cohort, is similar to what has been reported in other studies of cancer patients, e.g. breast cancer patients receiving information on an electronic tablet before adjuvant chemotherapy [ 5 ], prostate cancer patients offered a multimedia presentation before prostatectomy [ 24 ], and gastric cancer patients offered an interactive lecture after surgery [ 25 ]. A similar improvement in level of knowledge was also observed in studies of knowledge before and after intervention among patients with heart disease [ 26 ] and gastro oesophageal reflux disease [ 18 ].…”

Section: Discussionsupporting

confidence: 89%

“…A similar improvement in level of knowledge was also observed in studies of knowledge before and after intervention among patients with heart disease [ 26 ] and gastro oesophageal reflux disease [ 18 ]. These studies are, however, not necessarily comparable since the level of knowledge was measured using different questionnaires developed for each study, and different methods for informing patients were used [ 5 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…There are several potential barriers to provision of relevant and understandable information. Medical information has become more complex [ 4 , 5 ], health care personnel’s (HCP) communication skills vary [ 6 ], written, standardised information is not always available, there is not always enough time, and interruptions are frequent [ 6 , 7 ]. Moreover, fatigue, distress and anxiety are common among cancer patients [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Cancer patients’ knowledge about their disease and treatment before, during and after treatment: a prospective, longitudinal study

et al. 2018

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BackgroundKnowledge about disease and treatment is necessary before patients can consent to treatment. One of the few established instruments for evaluating whether sufficient information has been provided, is the EORTC QLQ-INFO25 questionnaire which was developed to measure how patients perceive information. The aim of this study was to investigate whether cancer patients’ level of knowledge about their disease and treatment was associated with their perception of and satisfaction with the information.MethodsBreast cancer patients referred for adjuvant chemotherapy and prostate cancer patients referred for curative radiotherapy were included. Level of knowledge about their disease and treatment was measured using study-specific questionnaires. Patients’ perception of and satisfaction with the received information was assessed using EORTC QLQ-INFO25. Assessments were done before the first consultation with an oncologist (T1), after the consultation (T2) and 8 weeks after start of treatment (T3).ResultsNinety eight patients were enrolled. Patients with higher education, daily Internet access and in paid employment had the highest baseline knowledge scores. The mean knowledge score increased significantly (T1: 16.4; T2: 20.8; T3: 21.3; p < 0.001.). During the same period, the patients reported on the INFO25 a significant, positive increase in how much information they had received, and that they were more satisfied with the information.ConclusionsPatients’ knowledge increased significantly during the study period, and they reported that they felt better informed and were more satisfied with the information, suggesting that EORTC QLQ-INFO25 might be used to evaluate cancer patients’ level of knowledge about their disease and treatment.Trial registrationClinicalTrials.gov identifier: NCT01699672. Date of registration: September 21, 2012.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cancer patients’ knowledge about their disease and treatment before, during and after treatment: a prospective, longitudinal study

et al. 2018

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“…Because web-based education may make patients more comfortable making treatment decisions and may decrease anxiety [8], our clinic previously explored the use of an algorithmic web-based patient education tool used during consultations in our breast cancer clinic and demonstrated favorable results [9]. A similar approach has been reported in Newfoundland and Labrador [10].…”

Section: Introductionmentioning

confidence: 99%

A personalized, web-based breast cancer decision making application: a pre-post survey

Wyatt

Jenkins

Plevak

et al. 2019

BMC Med Inform Decis Mak

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BackgroundEvery case of breast cancer is unique, and treatment must be personalized to incorporate a woman’s values and preferences. We developed an individually-tailored mobile patient education application for women with breast cancer.MethodsPre-post surveys were completed by 255 women who used the tool.ResultsPatients thought the application included helpful information (N = 184, 72%) and was easy to navigate (N = 156, 61%). Most patients thought the amount of information in the tool was “about right” (N = 193, 87%). Decision making confidence increased by an average of 0.8 points (10-point scale) following a consultation and use of the tool (p < 0.001).ConclusionsTailored mobile applications may optimize care by facilitating shared decision making and knowledge transfer, and they may also enhance the experience of patients as they navigate through their breast cancer journey.

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“…Tablet based education modules have been deployed in several clinical settings in recent years with variable results. Short term studies in Dermatology, Endocrinology and Oncology have been performed suggesting that this medium of education is wellreceived and feasible, however long term outcomes were not assessed (8)(9)(10). Interestingly, age was not a significant barrier to iPad application adoption, and there is data to suggest that clinical outcomes following tablet based education are noninferior in the medium term (9,11,12).…”

Section: Introductionmentioning

confidence: 99%

Implementation of an Educational iPad Application for Patients With Chronic Hepatitis B

Hean

Tang

et al. 2019

Front. Public Health

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Chronic Hepatitis B (CHB) contributes to a high public health burden in Australia from chronic liver disease and hepatocellular carcinoma. Health literacy impacts on multiple aspects of long term management, including surveillance and long term follow up. We designed and implemented a multilingual educational iPad application for outpatients to use while in the clinic waiting room. The application employed an interactive and multimodal approach to education. It utilized graphics, audio and text to convey practical information regarding transmission of disease, long term complications, treatment and surveillance. Participants were recruited from a tertiary liver clinic and assigned to either standard treatment (routine clinical consult only) or the iPad group (clinical consult and additional education with the iPad app). There were 54 participants (control n = 29, iPad n = 25). Knowledge was assessed at baseline, secondly after the clinician appointment and finally at 6 months. Median follow up time was 6.1 months (range 0-18 months) and 87% of participants completed the final survey. At baseline, there was no difference in age, gender, proportion of newly referred patients, or use of antivirals. Baseline knowledge was similar in the two groups (61.4 vs. 55.1%, p = 0.33). The iPad group scored significantly higher after the first consult (79.5 vs. 61.5%, p = 0.0005). This improvement remained significant by the end of follow up (72.6 vs. 61.0%, p = 0.0472). To conclude, interactive education with iPads may be an effective way to improve patient knowledge.

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Using Tablet-Based Technology in Patient Education about Systemic Therapy Options for Early-Stage Breast Cancer: A Pilot Study

Abstract: Background Patient education in early-stage breast cancer has been shown to improve patient well-being and

Cited by 20 publications

References 18 publications

Cancer patients’ knowledge about their disease and treatment before, during and after treatment: a prospective, longitudinal study

Cancer patients’ knowledge about their disease and treatment before, during and after treatment: a prospective, longitudinal study

A personalized, web-based breast cancer decision making application: a pre-post survey

Implementation of an Educational iPad Application for Patients With Chronic Hepatitis B

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