The Landscape of Connected Cancer Symptom Management in Rural America: A Narrative Review of Opportunities for Launching Connected Health Interventions.
| Autor: | Chih MY; University of Kentucky, mch266@uky.edu., McCowan A; University of Kentucky, almc264@g.uky.edu., Whittaker S; ScienceOne, sadiew@science1.org., Krakow M; University of Mississippi Medical Center, mkrakow@umc.edu., Ahern DK; Harvard Medical School, dahern@bwh.harvard.edu., Aronoff-Spencer E, Hesse BW, Mullett TW, Vanderpool RC |
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| Jazyk: | angličtina |
| Zdroj: | Journal of Appalachian health [J Appalach Health] 2020 Nov 17; Vol. 2 (4), pp. 64-81. Date of Electronic Publication: 2020 Nov 17 (Print Publication: 2020). |
| DOI: | 10.13023/jah.0204.08 |
| Abstrakt: | Background: The 2016 President's Cancer Panel called for projects focusing on improving cancer symptom management using connected health technologies (broadband and telecommunications). However, rural communities, like those in Appalachia, may experience a "double burden" of high cancer rates and lower rates of broadband access and adoption necessary for connected health solutions. Purpose: To better understand the current landscape of connected health in the management of cancer symptoms in rural America. Methods: A literature search was conducted using four academic databases (PubMed, CINAHL, MEDLINE, and PsycINFO) to locate articles published from 2010 to 2019 relevant to connected cancer symptom management in rural America. Text screening was conducted to identify relevant publications. Results: Among 17 reviewed studies, four were conducted using a randomized controlled trial; the remainder were formative in design or small pilot projects. Five studies engaged stakeholders from rural communities in designing solutions. Most commonly studied symptoms were psychological/emotional symptoms, followed by physical symptoms, particularly pain. Technologies used were primarily telephone-based; few were Internet-enabled video conferencing or web-based. Advanced mobile and Internet-based approaches were generally in the development phase. Overall, both rural patients and healthcare providers reported high acceptance, usage, and satisfaction of connected health technologies. Ten of the 17 studies reported improved symptom management outcomes. Methodological challenges that limited the interpretation of the findings were summarized. Implications: The review identified a need to engage rural stakeholders to develop and test connected cancer symptom management solutions that are based on advanced mobile and broadband Internet technologies. Competing Interests: This narrative review was prepared by the L.A.U.N.C.H. (Linking & Amplifying User-Centered Networks through Connected Health), a public-private collaborative between the National Cancer Institute (NCI), the Federal Communications Commission (FCC), Amgen, the University of California San Diego Design Lab, and the University of Kentucky Markey Cancer Center. Direct funding support was provided by Westat and Amgen. The authors greatly appreciate the review support provided by Grant Patterson from Amgen, and Michele Ellison, Ben Bartolome, Brayden Parker, and Karen Onyeije from the FCC. The Research Communications Office at the University of Kentucky’s Markey Cancer Center assisted with preparation of this manuscript. This research was also supported by the Biostatistics and Bioinformatics Shared Resource Facilities of the University of Kentucky Markey Cancer Center (P30CA177558). Disclaimer: The opinions expressed by the authors are their own, and this material should not be interpreted as representing the official viewpoint of the Federal Communications Commission, the U.S. Department of Health and Human Services, the National Institutes of Health or the National Cancer Institute. No competing financial or editorial interests were reported by the authors of this paper. (Copyright © 2020 Ming-Yuan Chih, Anna McCowan, Sadie Whittaker, Melinda Krakow, David K. Ahern, Eliah Aronoff-Spencer, Bradford W. Hesse, Timothy W. Mullett, and Robin C. Vanderpool.) |
| Databáze: | MEDLINE |
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