scholarly journals Wearable-Based Mobile Health App in Gastric Cancer Patients for Postoperative Physical Activity Monitoring: Focus Group Study

10.2196/11989 ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. e11989 ◽  
Author(s):  
Jin-Ming Wu ◽  
Te-Wei Ho ◽  
Yao-Ting Chang ◽  
ChungChieh Hsu ◽  
Chia Jui Tsai ◽  
...  
Keyword(s):  
Physical Activity ◽  
Gastric Cancer ◽  
Focus Group ◽  
Cancer Patients ◽  
Mobile Health ◽  
Activity Monitoring ◽  
Focus Group Study ◽  
Physical Activity Monitoring ◽  
Gastric Cancer Patients

scholarly journals Wearable-Based Mobile Health App in Gastric Cancer Patients for Postoperative Physical Activity Monitoring: Focus Group Study (Preprint)

2018 ◽  
Author(s):  
Jin-Ming Wu ◽  
Te-Wei Ho ◽  
Yao-Ting Chang ◽  
ChungChieh Hsu ◽  
Chia Jui Tsai ◽  
...  
Keyword(s):  
Physical Activity ◽  
Gastric Cancer ◽  
Cancer Patients ◽  
Mobile Health ◽  
Early Discharge ◽  
Wearable Devices ◽  
Wearable Device ◽  
Clinical Value ◽  
Focus Group Study ◽  
Physical Activity Monitoring

BACKGROUND Surgical cancer patients often have deteriorated physical activity (PA), which in turn, contributes to poor outcomes and early recurrence of cancer. Mobile health (mHealth) platforms are progressively used for monitoring clinical conditions in medical subjects. Despite prevalent enthusiasm for the use of mHealth, limited studies have applied these platforms to surgical patients who are in much need of care because of acutely significant loss of physical function during the postoperative period. OBJECTIVE The aim of our study was to determine the feasibility and clinical value of using 1 wearable device connected with the mHealth platform to record PA among patients with gastric cancer (GC) who had undergone gastrectomy. METHODS We enrolled surgical GC patients during their inpatient stay and trained them to use the app and wearable device, enabling them to automatically monitor their walking steps. The patients continued to transmit data until postoperative day 28. The primary aim of this study was to validate the feasibility of this system, which was defined as the proportion of participants using each element of the system (wearing the device and uploading step counts) for at least 70% of the 28-day study. “Definitely feasible,” “possibly feasible,” and “not feasible” were defined as ≥70%, 50%-69%, and <50% of participants meeting the criteria, respectively. Moreover, the secondary aim was to evaluate the clinical value of measuring walking steps by examining whether they were associated with early discharge (length of hospital stay <9 days). RESULTS We enrolled 43 GC inpatients for the analysis. The weekly submission rate at the first, second, third, and fourth week was 100%, 93%, 91%, and 86%, respectively. The overall daily submission rate was 95.5% (1150 days, with 43 subjects submitting data for 28 days). These data showed that this system met the definition of “definitely feasible.” Of the 54 missed transmission days, 6 occurred in week 2, 12 occurred in week 3, and 36 occurred in week 4. The primary reason for not sending data was that patients or caregivers forgot to charge the wearable devices (>90%). Furthermore, we used a multivariable-adjusted model to predict early discharge, which demonstrated that every 1000-step increment of walking on postoperative day 5 was associated with early discharge (odds ratio 2.72, 95% CI 1.17-6.32; P=.02). CONCLUSIONS Incorporating the use of mobile phone apps with wearable devices to record PA in patients of postoperative GC was feasible in patients undergoing gastrectomy in this study. With the support of the mHealth platform, this app offers seamless tracing of patients’ recovery with a little extra burden and turns subjective PA into an objective, measurable parameter.

DNA methylation status is inversely correlated with green tea intake and physical activity in gastric cancer patients

2008 ◽  
Vol 124 (11) ◽  
pp. 2677-2682 ◽  
Author(s):  
Yasuhito Yuasa ◽  
Hiromi Nagasaki ◽  
Yoshimitsu Akiyama ◽  
Yutaka Hashimoto ◽  
Touichirou Takizawa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Gastric Cancer ◽  
Dna Methylation ◽  
Cancer Patients ◽  
Green Tea ◽  
Methylation Status ◽  
Gastric Cancer Patients

scholarly journals Mobile Health App for Prostate Cancer Patients on Androgen Deprivation Therapy: Qualitative Usability Study (Preprint)

2020 ◽  
Author(s):  
Junaid Nabi ◽  
Eugene B Cone ◽  
Anjali Vasavada ◽  
Maxine Sun ◽  
Kerry L Kilbridge ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Focus Group ◽  
Cancer Patients ◽  
Androgen Deprivation Therapy ◽  
Latin American ◽  
Mobile Health ◽  
Group Discussion ◽  
Androgen Deprivation ◽  
Institutional Review

BACKGROUND Androgen deprivation therapy (ADT) increases the risk of metabolic adverse effects among patients with prostate cancer. The transformative impact of mobile health (mHealth) apps may benefit men managing activity and nutrition at home. OBJECTIVE This study aimed to evaluate the usability and patient experience of a newly developed mHealth app among prostate cancer patients on ADT and physicians’ beliefs about the potential benefits of using this app. METHODS This study took place over 2 months, beginning in March 2019. A sample of 5 patients (age 45-75 years) initiating ADT participated in a semistructured focus group discussion with a facilitator. The study participants also included 5 specialist physicians who provided in-depth interviews. An institutional review board–approved script was used to guide both the focus group and physician interviews. Usability was tested through specific scenarios presented to the patients, including downloading the mHealth app, entering information on physical activity and meals, and navigating the app. The focus group and interviews were audio recorded and transcribed. Content analysis was used to analyze the transcripts iteratively and exhaustively. Thematic discrepancies between reviewers were resolved through consensus. RESULTS The mean age of the patients was 62 years. This group included 4 White and 1 Latin American patients. The physician specialists included 2 urologists, 2 medical oncologists, and 1 radiation oncologist. Analyses revealed that the patients appreciated the holistic care enabled by the app. Difficulties were observed with registration of the app among 60% (3/5) of the patients; however, all the patients were able to input information about their physical activity and navigate the options within the app. Most patients (4/5, 80%) were able to input data on their recent meal. Among the health care physicians, the dominant themes reflected in the interviews included undermining of patients ability to use technology, patients’ fear of technology, and concern for the ability of older patients to access technology. CONCLUSIONS The patients reported an overall positive experience of using an mHealth app to record and track diet and exercise. Usability was observed to be an important factor for adoption and was determined by ease of registration and use, intuitive appearance of the app, and focus on holistic cancer care. The physicians believed that the app was easy to use but raised concerns about usability among older men who may not typically use smartphone apps.

scholarly journals Mobile Health App for Prostate Cancer Patients on Androgen Deprivation Therapy: Qualitative Usability Study

10.2196/20224 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e20224
Author(s):  
Junaid Nabi ◽  
Eugene B Cone ◽  
Anjali Vasavada ◽  
Maxine Sun ◽  
Kerry L Kilbridge ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Focus Group ◽  
Cancer Patients ◽  
Androgen Deprivation Therapy ◽  
Latin American ◽  
Mobile Health ◽  
Group Discussion ◽  
Androgen Deprivation ◽  
Institutional Review

Background Androgen deprivation therapy (ADT) increases the risk of metabolic adverse effects among patients with prostate cancer. The transformative impact of mobile health (mHealth) apps may benefit men managing activity and nutrition at home. Objective This study aimed to evaluate the usability and patient experience of a newly developed mHealth app among prostate cancer patients on ADT and physicians’ beliefs about the potential benefits of using this app. Methods This study took place over 2 months, beginning in March 2019. A sample of 5 patients (age 45-75 years) initiating ADT participated in a semistructured focus group discussion with a facilitator. The study participants also included 5 specialist physicians who provided in-depth interviews. An institutional review board–approved script was used to guide both the focus group and physician interviews. Usability was tested through specific scenarios presented to the patients, including downloading the mHealth app, entering information on physical activity and meals, and navigating the app. The focus group and interviews were audio recorded and transcribed. Content analysis was used to analyze the transcripts iteratively and exhaustively. Thematic discrepancies between reviewers were resolved through consensus. Results The mean age of the patients was 62 years. This group included 4 White and 1 Latin American patients. The physician specialists included 2 urologists, 2 medical oncologists, and 1 radiation oncologist. Analyses revealed that the patients appreciated the holistic care enabled by the app. Difficulties were observed with registration of the app among 60% (3/5) of the patients; however, all the patients were able to input information about their physical activity and navigate the options within the app. Most patients (4/5, 80%) were able to input data on their recent meal. Among the health care physicians, the dominant themes reflected in the interviews included undermining of patients ability to use technology, patients’ fear of technology, and concern for the ability of older patients to access technology. Conclusions The patients reported an overall positive experience of using an mHealth app to record and track diet and exercise. Usability was observed to be an important factor for adoption and was determined by ease of registration and use, intuitive appearance of the app, and focus on holistic cancer care. The physicians believed that the app was easy to use but raised concerns about usability among older men who may not typically use smartphone apps.

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