Development of a novel remote patient monitoring system

the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy

Roma Maguire (Lead / Corresponding author), Emma Ream, Alison Richardson, John Connaghan, Bridget Johnston, Grigorios Kotronoulas, Vibe Pedersen, John McPhelim, Natalie Pattison, Allison Smith, Lorraine Webster, Anne Taylor, Nora Kearney

    Research output: Contribution to journalArticle

    30 Citations (Scopus)

    Abstract

    Background: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care. Objective: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice. Methods: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system. Results: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility. Conclusions: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice. Implications for practice: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.

    Original languageEnglish
    Pages (from-to)E37-E47
    Number of pages11
    JournalCancer Nursing
    Volume38
    Issue number2
    DOIs
    Publication statusPublished - Mar 2015

    Fingerprint

    Physiologic Monitoring
    Lung Neoplasms
    Radiotherapy
    Self Care
    Technology
    Cell Phones
    Sleep Stages
    Self Efficacy
    Anxiety
    Interviews
    Neoplasms

    Keywords

    • ASyMS
    • E-Health
    • Lung cancer
    • Radiotherapy
    • Supportive care
    • Technology

    Cite this

    Maguire, Roma ; Ream, Emma ; Richardson, Alison ; Connaghan, John ; Johnston, Bridget ; Kotronoulas, Grigorios ; Pedersen, Vibe ; McPhelim, John ; Pattison, Natalie ; Smith, Allison ; Webster, Lorraine ; Taylor, Anne ; Kearney, Nora. / Development of a novel remote patient monitoring system : the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy. In: Cancer Nursing. 2015 ; Vol. 38, No. 2. pp. E37-E47.
    @article{4a79254ceda44ccf9dc07e05a73b29f1,
    title = "Development of a novel remote patient monitoring system: the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy",
    abstract = "Background: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care. Objective: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice. Methods: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system. Results: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of {"}real-time{"} risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility. Conclusions: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice. Implications for practice: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.",
    keywords = "ASyMS, E-Health, Lung cancer, Radiotherapy, Supportive care, Technology",
    author = "Roma Maguire and Emma Ream and Alison Richardson and John Connaghan and Bridget Johnston and Grigorios Kotronoulas and Vibe Pedersen and John McPhelim and Natalie Pattison and Allison Smith and Lorraine Webster and Anne Taylor and Nora Kearney",
    year = "2015",
    month = "3",
    doi = "10.1097/NCC.0000000000000150",
    language = "English",
    volume = "38",
    pages = "E37--E47",
    journal = "Cancer Nursing",
    issn = "0162-220X",
    publisher = "Lippincott, Williams & Wilkins",
    number = "2",

    }

    Maguire, R, Ream, E, Richardson, A, Connaghan, J, Johnston, B, Kotronoulas, G, Pedersen, V, McPhelim, J, Pattison, N, Smith, A, Webster, L, Taylor, A & Kearney, N 2015, 'Development of a novel remote patient monitoring system: the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy', Cancer Nursing, vol. 38, no. 2, pp. E37-E47. https://doi.org/10.1097/NCC.0000000000000150

    Development of a novel remote patient monitoring system : the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy. / Maguire, Roma (Lead / Corresponding author); Ream, Emma; Richardson, Alison; Connaghan, John; Johnston, Bridget; Kotronoulas, Grigorios; Pedersen, Vibe; McPhelim, John; Pattison, Natalie; Smith, Allison; Webster, Lorraine; Taylor, Anne; Kearney, Nora.

    In: Cancer Nursing, Vol. 38, No. 2, 03.2015, p. E37-E47.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Development of a novel remote patient monitoring system

    T2 - the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy

    AU - Maguire, Roma

    AU - Ream, Emma

    AU - Richardson, Alison

    AU - Connaghan, John

    AU - Johnston, Bridget

    AU - Kotronoulas, Grigorios

    AU - Pedersen, Vibe

    AU - McPhelim, John

    AU - Pattison, Natalie

    AU - Smith, Allison

    AU - Webster, Lorraine

    AU - Taylor, Anne

    AU - Kearney, Nora

    PY - 2015/3

    Y1 - 2015/3

    N2 - Background: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care. Objective: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice. Methods: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system. Results: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility. Conclusions: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice. Implications for practice: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.

    AB - Background: The use of technology-enhanced patient-reported outcome measures to monitor the symptoms experienced by people with cancer is an effective way to offer timely care. Objective: This study aimed to (a) explore the feasibility and acceptability of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy and clinicians involved in their care and (b) assess changes in patient outcomes during implementation of the Advanced Symptom Management System with patients with lung cancer receiving radiotherapy in clinical practice. Methods: A repeated-measures, single-arm, mixed-methods study design was used involving poststudy interviews and completion of patient-reported outcome measures at baseline and end of treatment with 16 patients with lung cancer and 13 clinicians who used this mobile phone-based symptom monitoring system. Results: Only rarely did patients report problems in using the handset and they felt that the system covered all relevant symptoms and helped them to manage their symptoms and effectively communicate with clinicians. Clinical improvements in patient anxiety, drowsiness, and self-care self-efficacy were also observed. Clinicians perceived the use of "real-time" risk algorithms and automated self-care advice provided to patients as positively contributing to clinical care. Reducing the complexity of the system was seen as important to promote its utility. Conclusions: Although preliminary, these results suggest that monitoring patient symptoms using mobile technology in the context of radiotherapy for lung cancer is feasible and acceptable in clinical practice. Implications for practice: Future research would be most beneficial if the use of this technology was focused on the postradiotherapy phase and expanded the scope of the system to encompass a wider range of supportive care needs.

    KW - ASyMS

    KW - E-Health

    KW - Lung cancer

    KW - Radiotherapy

    KW - Supportive care

    KW - Technology

    UR - http://www.scopus.com/inward/record.url?scp=84924289853&partnerID=8YFLogxK

    U2 - 10.1097/NCC.0000000000000150

    DO - 10.1097/NCC.0000000000000150

    M3 - Article

    VL - 38

    SP - E37-E47

    JO - Cancer Nursing

    JF - Cancer Nursing

    SN - 0162-220X

    IS - 2

    ER -