Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth-the SMILe study

Autor: Janette Ribaut, Nathalie Duerinckx, Sabina De Geest, SMILe study team, Sabine Gerull, Sabine Valenta, Sonja Beckmann, Juliane Mielke, Monika Engelhardt, Lynn Leppla, Anja Schmid, Alexandra Teynor, Fabienne Dobbels, Robert Zeiser
Přispěvatelé: Chalandon, Yves, University of Zurich
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
020205 medical informatics
Psychological intervention
610 Medicine & health
HEALTH BEHAVIOR
02 engineering and technology
DISEASE
Medication Adherence
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering
electronic engineering
information engineering
eHealth
Medicine
Humans
Medical physics
Chronic care
ddc:616
Science & Technology
Intervention development
business.industry
Nursing research
Self-Management
User-centered design
Behavior change
Rehabilitation
Hematopoietic Stem Cell Transplantation
Integrated care
Behavioral science
Telemedicine
Allogeneic stem cell transplantation
Transplantation
Health Care Sciences & Services
Oncology
030220 oncology & carcinogenesis
10032 Clinic for Oncology and Hematology
Implementation science
Original Article
business
Agile software development
Life Sciences & Biomedicine
Zdroj: Supportive care in cancer, Vol. 29, No 12 (2021) pp. 8045-8057
Supportive Care in Cancer
ISSN: 0941-4355
Popis: Purpose Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: (1) describe the development of an integrated care model (ICM) in allogeneic SteM-cell-transplantatIon faciLitated by eHealth (SMILe) by combining implementation, behavioral, and computer science methods (e.g., contextual analysis, Behavior Change Wheel, and user-centered design combined with agile software development); and (2) describe that model’s characteristics and its application in clinical practice. Methods The SMILe intervention’s development consisted of four steps, with implementation science methods informing each: (1) planning its set-up within a theoretical foundation; (2) using behavioral science methods to develop the content; (3) choosing and developing its delivery method (human/technology) using behavioral and computer science methods; and (4) describing its characteristics and application in clinical practice. Results The SMILe intervention is embedded within the eHealth enhanced Chronic Care Model, entailing four self-management intervention modules, targeting monitoring and follow-up of important medical and symptom-related parameters, infection prevention, medication adherence, and physical activity. Interventions are delivered partly face-to-face by a care coordinator embedded within the transplant team, and partly via the SMILeApp that connects patients to the transplant team, who can monitor and rapidly respond to any relevant changes within 1 year post-transplant. Conclusion This paper provides stepwise guidance on how implementation, behavioral, and computer science methods can be used to develop interventions aiming to improve care for stem cell transplant patients in real-world clinical settings. This new care model is currently being tested in a hybrid I effectiveness-implementation trial.
Databáze: OpenAIRE
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