scholarly journals Daily Collection of Self-Reporting Sleep Disturbance Data via a Smartphone App in Breast Cancer Patients Receiving Chemotherapy: A Feasibility Study

2014 ◽  
Vol 16 (5) ◽  
pp. e135 ◽  
Author(s):  
Yul Ha Min ◽  
Jong Won Lee ◽  
Yong-Wook Shin ◽  
Min-Woo Jo ◽  
Guiyun Sohn ◽  
...  
2014 ◽  
Author(s):  
Yul Ha Min ◽  
Jong Won Lee ◽  
Yong-Wook Shin ◽  
Min-Woo Jo ◽  
Guiyun Sohn ◽  
...  

BACKGROUND Improvements in mobile telecommunication technologies have enabled clinicians to collect patient-reported outcome (PRO) data more frequently, but there is as yet limited evidence regarding the frequency with which PRO data can be collected via smartphone applications (apps) in breast cancer patients receiving chemotherapy. OBJECTIVE The primary objective of this study was to determine the feasibility of an app for sleep disturbance-related data collection from breast cancer patients receiving chemotherapy. A secondary objective was to identify the variables associated with better compliance in order to identify the optimal subgroups to include in future studies of smartphone-based interventions. METHODS Between March 2013 and July 2013, patients who planned to receive neoadjuvant chemotherapy for breast cancer at Asan Medical Center who had access to a smartphone app were enrolled just before the start of their chemotherapy and asked to self-report their sleep patterns, anxiety severity, and mood status via a smartphone app on a daily basis during the 90-day study period. Push notifications were sent to participants daily at 9 am and 7 pm. Data regarding the patients&#8217; demographics, interval from enrollment to first self-report, baseline Beck&#8217;s Depression Inventory (BDI) score, and health-related quality of life score (as assessed using the EuroQol Five Dimensional [EQ5D-3L] questionnaire) were collected to ascertain the factors associated with compliance with the self-reporting process. RESULTS A total of 30 participants (mean age 45 years, SD 6; range 35-65 years) were analyzed in this study. In total, 2700 daily push notifications were sent to these 30 participants over the 90-day study period via their smartphones, resulting in the collection of 1215 self-reporting sleep-disturbance data items (overall compliance rate=45.0%, 1215/2700). The median value of individual patient-level reporting rates was 41.1% (range 6.7-95.6%). The longitudinal day-level compliance curve fell to 50.0% at day 34 and reached a nadir of 13.3% at day 90. The cumulative longitudinal compliance curve exhibited a steady decrease by about 50% at day 70 and continued to fall to 45% on day 90. Women without any form of employment exhibited the higher compliance rate. There was no association between any of the other patient characteristics (ie, demographics, and BDI and EQ5D-3L scores) and compliance. The mean individual patient-level reporting rate was higher for the subgroup with a 1-day lag time, defined as starting to self-report on the day immediately after enrollment, than for those with a lag of 2 or more days (51.6%, SD 24.0 and 29.6%, SD 25.3, respectively; <i>P</i>=.03). CONCLUSIONS The 90-day longitudinal collection of daily self-reporting sleep-disturbance data via a smartphone app was found to be feasible. Further research should focus on how to sustain compliance with this self-reporting for a longer time and select subpopulations with higher rates of compliance for mobile health care.


2012 ◽  
Vol 20 (10) ◽  
pp. 2611-2619 ◽  
Author(s):  
Christina Van Onselen ◽  
Bruce A. Cooper ◽  
Kathryn Lee ◽  
Laura Dunn ◽  
Bradley E. Aouizerat ◽  
...  

2015 ◽  
Vol 43 (01) ◽  
pp. 45-56 ◽  
Author(s):  
Molly J. Mallory ◽  
Katrina A. Croghan ◽  
Nicole P. Sandhu ◽  
Valerie Lemaine ◽  
Amy C. Degnim ◽  
...  

Acupuncture is used to treat a variety of symptoms and conditions associated with cancer and cancer treatments. The present study was performed to evaluate the feasibility of providing acupuncture in the hospital setting for breast cancer patients and to evaluate the short-term effect of acupuncture on stress, anxiety, and pain. This was an open label study conducted at Mayo Clinic Hospital, Methodist and Saint Marys Campus, Rochester, Minnesota. A total of 20 adult breast cancer patients undergoing mastectomy and/or breast reconstruction were recruited and offered daily acupuncture intervention beginning postoperative day 1 and continuing for the duration of the hospital stay. Outcome measures included the Symptom Visual Analog Scale (VAS) and Satisfaction Question and Was-it-Worth-it (WIWI) Questionnaire. It was found that acupuncture is a feasible option for postoperative breast cancer patients. In addition, it can significantly decrease the levels of anxiety (p = 0.0065), tension/muscular discomfort (p < 0.001) and pain (p = 0.023). The association between acupuncture and relaxation was found to be statistically borderline (p = 0.053). This feasibility study showed that acupuncture can be integrated into a busy postsurgical clinical practice. These results also suggest that acupuncture may be an important intervention in the postoperative setting for breast cancer patients.


2019 ◽  
Vol 34 (6) ◽  
pp. 1241-1241
Author(s):  
Nika Sulakvelidze ◽  
Brian Burdick ◽  
Eric Gelfand ◽  
Virginia Kaklamani ◽  
Kay Tilton ◽  
...  

2013 ◽  
Vol 18 (10) ◽  
pp. 1149-1149
Author(s):  
Matteo Clavarezza ◽  
Roberto Bordonaro ◽  
Bruno Daniele ◽  
Gabriella Ferrandina ◽  
Sandro Barni ◽  
...  

2007 ◽  
Vol 16 (6) ◽  
pp. 517-524 ◽  
Author(s):  
Tatsuo Akechi ◽  
Koji Taniguchi ◽  
Shimako Suzuki ◽  
Masako Okamura ◽  
Hironobu Minami ◽  
...  

2021 ◽  
Author(s):  
Carolina Salvador ◽  
Phyllis Mark ◽  
Teri Hoenemeyer ◽  
Victoria McDonald

Abstract Background: Mindfulness interventions are effective at improving psychological distress and quality of life in cancer patients. Few mindfulness programs for cancer recovery exist in major cities throughout the Southeastern United States. The primary objective of this study was to assess the feasibility of a modified mindfulness-based stress reduction (MBSR) program for breast cancer patients in Birmingham, Alabama. The secondary objective was to estimate the effectiveness of the modified program by examining changes in patients’ mindfulness skills and quality of life. Methods: This study was a prospective, quasi-experimental feasibility study conducted over 10 months within a university hospital in Birmingham, Alabama. Feasibility was achieved if 80% of eligible patients screened chose to enroll in the study and 70% of enrolled patients attended all 8 program sessions. Program effectiveness was estimated by changes in mindfulness and quality of life indicators. These indicators were measured by validated scales administered at pretest, posttest, and 8-week follow-up and assessed with a non-parametric Friedman test. The program curriculum followed a modified version of Dr. Jon Kabat-Zinn’s MBSR program. Program sessions included sitting meditation, hatha/restorative yoga, and a body-focused attention practice called body scan. There were 3 groups of 2-5 patients.Results: The sample consisted of 12 patients. Forty-four percent (12/27) of eligible patients enrolled in the study, failing to meet recruitment success criteria of 80%; two out of 12 enrolled patients completed all 8 program sessions, resulting in 16.7% (2/12) retention, which fell below the retention success criteria of 70%. However, more than half (66.7%) of participants completed at least 7 sessions. Between baseline and 8-week follow-up, patients demonstrated statistically significant improvements in distress, general wellbeing, and fatigue-related quality of life.Conclusions: Feasibility objectives were not achieved. However, a large majority of participants (66.7%) completed 7 of the 8 program sessions. Program effectiveness was promising for distress, fatigue, and wellbeing. Results warrant further research on MBSR programs for breast cancer patients in Alabama. Future programs should investigate how to increase overall recruitment numbers, focusing on introducing mindfulness concepts to inexperienced populations. Studies should consider hosting sessions in community locations or via telemedicine to improve accessibility.


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