Feasibility of an eHealth application “OncoKompas” to improve personalized survivorship cancer care
Identifieur interne : 001D86 ( Main/Exploration ); précédent : 001D85; suivant : 001D87Feasibility of an eHealth application “OncoKompas” to improve personalized survivorship cancer care
Auteurs : S. Duman-Lubberding [Pays-Bas] ; C. F. Van Uden-Kraan [Pays-Bas] ; F. Jansen [Pays-Bas] ; B. I. Witte [Pays-Bas] ; L. A. Van Der Velden [Pays-Bas] ; M. Lacko [Pays-Bas] ; P. Cuijpers [Pays-Bas] ; C. R. Leemans [Pays-Bas] ; I. M. Verdonck-De Leeuw [Pays-Bas]Source :
- Supportive Care in Cancer [ 0941-4355 ] ; 2015.
Abstract
The purpose of this study was to investigate the feasibility of an online self-management application (OncoKompas) among cancer survivors. In OncoKompas, cancer survivors can monitor their quality of life (QOL) via participant reported outcomes (PROs) (“Measure”), which is followed by automatically generated individually tailored feedback (“Learn”) and personalized advice on supportive care services (“Act”).
A pretest–posttest design was used, conducting a survey before providing access to OncoKompas, and 2 weeks after, followed by an interview by a nurse. Adoption was defined as the percentage of cancer survivors that agreed to participate in the study and returned the T0 questionnaire. Implementation was defined as the percentage of participants that actually used OncoKompas as intended (T1). General satisfaction was assessed based on the mean score of three study-specific questions: (1) general impression of OncoKompas, (2) the user-friendliness, and (3) the ability to use OncoKompas without assistance (10-point Likert scales). Furthermore, satisfaction was measured with the Net Promotor Scale (NPS).
OncoKompas was feasible with an adoption grade of 64 %, an implementation grade of 75–91 %, a mean satisfaction score of 7.3, and a positive NPS (1.9). Sociodemographic and clinical factors and QOL were not associated with satisfaction. Several facilitators and barriers related to the feasibility of OncoKompas were identified.
OncoKompas is considered feasible, but has to be further improved. In order to enhance feasibility and increase satisfaction, we have to balance the time it takes to use OncoKompas, measurement precision, and tailoring towards personalized advices.
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DOI: 10.1007/s00520-015-3004-2
PubMed: 26563178
PubMed Central: 4805720
Affiliations:
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Duman-Lubberding</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Otolaryngology/Head and Neck Surgery,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>EMGO Institute for Health and Care Research,</institution><institution>VU University and VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Cancer Center Amsterdam,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Van Uden Kraan, C F" sort="Van Uden Kraan, C F" uniqKey="Van Uden Kraan C" first="C. 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Leemans</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Otolaryngology/Head and Neck Surgery,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Cancer Center Amsterdam,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Verdonck De Leeuw, I M" sort="Verdonck De Leeuw, I M" uniqKey="Verdonck De Leeuw I" first="I. M." last="Verdonck-De Leeuw">I. M. Verdonck-De Leeuw</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Otolaryngology/Head and Neck Surgery,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1754 9227</institution-id><institution-id institution-id-type="GRID">grid.12380.38</institution-id><institution>Clinical Psychology,</institution><institution>VU University,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>EMGO Institute for Health and Care Research,</institution><institution>VU University and VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0435 165X</institution-id><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution>Cancer Center Amsterdam,</institution><institution>VU University Medical Center,</institution></institution-wrap>Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author></analytic><series><title level="j">Supportive Care in Cancer</title><idno type="ISSN">0941-4355</idno><idno type="eISSN">1433-7339</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The purpose of this study was to investigate the feasibility of an online self-management application (OncoKompas) among cancer survivors. In OncoKompas, cancer survivors can monitor their quality of life (QOL) via participant reported outcomes (PROs) (“Measure”), which is followed by automatically generated individually tailored feedback (“Learn”) and personalized advice on supportive care services (“Act”).</p></sec><sec><title>Methods</title><p>A pretest–posttest design was used, conducting a survey before providing access to OncoKompas, and 2 weeks after, followed by an interview by a nurse. Adoption was defined as the percentage of cancer survivors that agreed to participate in the study and returned the T0 questionnaire. Implementation was defined as the percentage of participants that actually used OncoKompas as intended (T1). General satisfaction was assessed based on the mean score of three study-specific questions: (1) general impression of OncoKompas, (2) the user-friendliness, and (3) the ability to use OncoKompas without assistance (10-point Likert scales). Furthermore, satisfaction was measured with the Net Promotor Scale (NPS).</p></sec><sec><title>Results</title><p>OncoKompas was feasible with an adoption grade of 64 %, an implementation grade of 75–91 %, a mean satisfaction score of 7.3, and a positive NPS (1.9). Sociodemographic and clinical factors and QOL were not associated with satisfaction. Several facilitators and barriers related to the feasibility of OncoKompas were identified.</p></sec><sec><title>Conclusion</title><p>OncoKompas is considered feasible, but has to be further improved. In order to enhance feasibility and increase satisfaction, we have to balance the time it takes to use OncoKompas, measurement precision, and tailoring towards personalized advices.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Millard, R W" uniqKey="Millard R">R. W. Millard</name></author><author><name sortKey="Fintak, P A" uniqKey="Fintak P">P. A. Fintak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Venkatesh, F D" uniqKey="Venkatesh F">F. D. Venkatesh</name></author><author><name sortKey="Morris, V" uniqKey="Morris V">V. Morris</name></author><author><name sortKey="Davis, M G" uniqKey="Davis M">M.G. Davis</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Duman Lubberding, S" sort="Duman Lubberding, S" uniqKey="Duman Lubberding S" first="S." last="Duman-Lubberding">S. Duman-Lubberding</name></noRegion><name sortKey="Cuijpers, P" sort="Cuijpers, P" uniqKey="Cuijpers P" first="P." last="Cuijpers">P. Cuijpers</name><name sortKey="Cuijpers, P" sort="Cuijpers, P" uniqKey="Cuijpers P" first="P." last="Cuijpers">P. Cuijpers</name><name sortKey="Duman Lubberding, S" sort="Duman Lubberding, S" uniqKey="Duman Lubberding S" first="S." last="Duman-Lubberding">S. Duman-Lubberding</name><name sortKey="Duman Lubberding, S" sort="Duman Lubberding, S" uniqKey="Duman Lubberding S" first="S." last="Duman-Lubberding">S. Duman-Lubberding</name><name sortKey="Jansen, F" sort="Jansen, F" uniqKey="Jansen F" first="F." last="Jansen">F. Jansen</name><name sortKey="Jansen, F" sort="Jansen, F" uniqKey="Jansen F" first="F." last="Jansen">F. Jansen</name><name sortKey="Jansen, F" sort="Jansen, F" uniqKey="Jansen F" first="F." last="Jansen">F. Jansen</name><name sortKey="Lacko, M" sort="Lacko, M" uniqKey="Lacko M" first="M." last="Lacko">M. Lacko</name><name sortKey="Leemans, C R" sort="Leemans, C R" uniqKey="Leemans C" first="C. R." last="Leemans">C. R. Leemans</name><name sortKey="Leemans, C R" sort="Leemans, C R" uniqKey="Leemans C" first="C. R." last="Leemans">C. R. Leemans</name><name sortKey="Van Der Velden, L A" sort="Van Der Velden, L A" uniqKey="Van Der Velden L" first="L. A." last="Van Der Velden">L. A. Van Der Velden</name><name sortKey="Van Uden Kraan, C F" sort="Van Uden Kraan, C F" uniqKey="Van Uden Kraan C" first="C. F." last="Van Uden-Kraan">C. F. Van Uden-Kraan</name><name sortKey="Van Uden Kraan, C F" sort="Van Uden Kraan, C F" uniqKey="Van Uden Kraan C" first="C. F." last="Van Uden-Kraan">C. F. Van Uden-Kraan</name><name sortKey="Van Uden Kraan, C F" sort="Van Uden Kraan, C F" uniqKey="Van Uden Kraan C" first="C. F." last="Van Uden-Kraan">C. F. Van Uden-Kraan</name><name sortKey="Van Uden Kraan, C F" sort="Van Uden Kraan, C F" uniqKey="Van Uden Kraan C" first="C. F." last="Van Uden-Kraan">C. F. Van Uden-Kraan</name><name sortKey="Verdonck De Leeuw, I M" sort="Verdonck De Leeuw, I M" uniqKey="Verdonck De Leeuw I" first="I. M." last="Verdonck-De Leeuw">I. M. Verdonck-De Leeuw</name><name sortKey="Verdonck De Leeuw, I M" sort="Verdonck De Leeuw, I M" uniqKey="Verdonck De Leeuw I" first="I. M." last="Verdonck-De Leeuw">I. M. Verdonck-De Leeuw</name><name sortKey="Verdonck De Leeuw, I M" sort="Verdonck De Leeuw, I M" uniqKey="Verdonck De Leeuw I" first="I. M." last="Verdonck-De Leeuw">I. M. Verdonck-De Leeuw</name><name sortKey="Verdonck De Leeuw, I M" sort="Verdonck De Leeuw, I M" uniqKey="Verdonck De Leeuw I" first="I. M." last="Verdonck-De Leeuw">I. M. Verdonck-De Leeuw</name><name sortKey="Witte, B I" sort="Witte, B I" uniqKey="Witte B" first="B. I." last="Witte">B. I. Witte</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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