Autor: |
Dörner, Lorenz, Grosse, Lucia, Stange, Felix, Hille, Hanni, Kurz, Sylvia, Becker, Hannes, Volkmer, Sebastian, Hippler, Melina, Rieger, David, Bombach, Paula, Rieger, Johannes, Weinert, Lina, Svensson, Laura, Anders, Carolin, Cekin, Sila, Paulsen, Frank, Öner, Öznur, Ruhm, Kristina, Malek, Holly Sundberg, Möller, Yonne |
Předmět: |
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Zdroj: |
Neuro-Oncology Practice; Jun2024, Vol. 11 Issue 3, p336-346, 11p |
Abstrakt: |
Background Biomarker-based therapies are increasingly used in cancer patients outside clinical trials. Systematic assessment of patient-reported outcomes (PRO) is warranted to take patients' perspectives during biomarker-based therapies into consideration. We assessed the feasibility of an electronic PRO assessment via a smartphone application. Methods An interdisciplinary expert panel developed a smartphone application based on symptom burden and health-related quality of life (HRQoL) metrics reported in a retrospective analysis of 292 neuro-oncological patients. The app included validated assessments of health-related quality of life (HRQoL), the burden of symptoms, and psychological stress. Feasibility and usability were tested in a pilot study. Semi-structured interviews with patients and health care professionals (HCP) were conducted, transcribed, and analyzed according to Mayring´s qualitative content analysis. Furthermore, we assessed compliance and descriptive data of ePROs. Results A total of 14 patients have been enrolled, (9 female, 5 male). A total of 4 HCPs, 9 patients, and 1 caregiver were interviewed regarding usability/feasibility. The main advantages were the possibility to complete questionnaires at home and comfortable implementation in daily life. Compliance was high, for example, 82% of the weekly distributed NCCN distress thermometer questionnaires were answered on time, however, with interindividual variability. We observed a median distress score of 5 (range 0–10, 197 results, n = 12, weekly assessed) and a median Global health score of 58.3 according to the EORTC QLQ-C30 instrument (range 16.7–100, 77 results, n = 12, monthly assessed). Conclusions This pilot study proved the feasibility and acceptance of the app. We will therefore expand its application during biomarker-guided therapies to enable systematic PRO assessments. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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