An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives
Identifieur interne : 007A54 ( Ncbi/Merge ); précédent : 007A53; suivant : 007A55An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives
Auteurs :Source :
- Journal of Medical Internet Research [ 1439-4456 ] ; 2015.
Abstract
Although many cancer survivors could benefit from supportive care, they often do not utilize such services. Previous studies have shown that patient-reported outcomes (PROs) could be a solution to meet cancer survivors’ needs, for example through an eHealth application that monitors quality of life and provides personalized advice and supportive care options. In order to develop an effective application that can successfully be implemented in current health care, it is important to include health care professionals in the development process.
The aim of this study was to investigate health care professionals’ perspectives toward follow-up care and an eHealth application, OncoKompas, in follow-up cancer care that monitors quality of life via PROs, followed by automatically generated tailored feedback and personalized advice on supportive care.
Health care professionals involved in head and neck cancer care (N=11) were interviewed on current follow-up care and the anticipated value of the proposed eHealth application (Step 1). A prototype of the eHealth application, OncoKompas, was developed (Step 2). Cognitive walkthroughs were conducted among health care professionals (N=21) to investigate perceived usability (Step 3). Interviews were recorded, transcribed verbatim, and analyzed by 2 coders.
Health care professionals indicated several barriers in current follow-up care including difficulties in detecting symptoms, patients’ perceived need for supportive care, and a lack of time to encourage survivors to obtain supportive care. Health care professionals expected the eHealth application to be of added value. The cognitive walkthroughs demonstrated that health care professionals emphasized the importance of tailoring care. They considered the navigation structure of OncoKompas to be complex. Health care professionals differed in their opinion toward the best strategy to implement the application in clinical practice but indicated that it should be incorporated in the HNC cancer care pathway to ensure all survivors would benefit.
Health care professionals experienced several barriers in directing patients to supportive care. They were positive toward the development and implementation of an eHealth application and expected it could support survivors in obtaining supportive care tailored to their needs. The cognitive walkthroughs revealed several points for optimizing the application prototype and developing an efficient implementation strategy. Including health care professionals in an early phase of a participatory design approach is valuable in developing an eHealth application and an implementation strategy meeting stakeholders’ needs.
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DOI: 10.2196/jmir.4870
PubMed: 26489918
PubMed Central: 4642398
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26489918</idno><idno type="pmc">4642398</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642398</idno><idno type="RBID">PMC:4642398</idno><idno type="doi">10.2196/jmir.4870</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000356</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000356</idno><idno type="wicri:Area/Pmc/Curation">000356</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000356</idno><idno type="wicri:Area/Pmc/Checkpoint">001520</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001520</idno><idno type="wicri:Area/Ncbi/Merge">007A54</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives</title></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="ISSN">1439-4456</idno><idno type="eISSN">1438-8871</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 sec-type="background"><title>Background</title><p>Although many cancer survivors could benefit from supportive care, they often do not utilize such services. Previous studies have shown that patient-reported outcomes (PROs) could be a solution to meet cancer survivors’ needs, for example through an eHealth application that monitors quality of life and provides personalized advice and supportive care options. In order to develop an effective application that can successfully be implemented in current health care, it is important to include health care professionals in the development process.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim of this study was to investigate health care professionals’ perspectives toward follow-up care and an eHealth application, OncoKompas, in follow-up cancer care that monitors quality of life via PROs, followed by automatically generated tailored feedback and personalized advice on supportive care.</p></sec><sec sec-type="methods"><title>Methods</title><p>Health care professionals involved in head and neck cancer care (N=11) were interviewed on current follow-up care and the anticipated value of the proposed eHealth application (Step 1). A prototype of the eHealth application, OncoKompas, was developed (Step 2). Cognitive walkthroughs were conducted among health care professionals (N=21) to investigate perceived usability (Step 3). Interviews were recorded, transcribed verbatim, and analyzed by 2 coders.</p></sec><sec sec-type="results"><title>Results</title><p>Health care professionals indicated several barriers in current follow-up care including difficulties in detecting symptoms, patients’ perceived need for supportive care, and a lack of time to encourage survivors to obtain supportive care. Health care professionals expected the eHealth application to be of added value. The cognitive walkthroughs demonstrated that health care professionals emphasized the importance of tailoring care. They considered the navigation structure of OncoKompas to be complex. Health care professionals differed in their opinion toward the best strategy to implement the application in clinical practice but indicated that it should be incorporated in the HNC cancer care pathway to ensure all survivors would benefit.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Health care professionals experienced several barriers in directing patients to supportive care. They were positive toward the development and implementation of an eHealth application and expected it could support survivors in obtaining supportive care tailored to their needs. The cognitive walkthroughs revealed several points for optimizing the application prototype and developing an efficient implementation strategy. Including health care professionals in an early phase of a participatory design approach is valuable in developing an eHealth application and an implementation strategy meeting stakeholders’ needs.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Graeff, A" uniqKey="De Graeff A">A de Graeff</name></author><author><name sortKey="De Leeuw, Jr" uniqKey="De Leeuw J">JR de Leeuw</name></author><author><name sortKey="Ros, Wj" uniqKey="Ros W">WJ Ros</name></author><author><name sortKey="Hordijk, Gj" uniqKey="Hordijk G">GJ Hordijk</name></author><author><name sortKey="Blijham, Gh" uniqKey="Blijham G">GH Blijham</name></author><author><name sortKey="Winnubst, Ja" uniqKey="Winnubst J">JA Winnubst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Verdonck De Leeuw, Im" uniqKey="Verdonck De Leeuw I">IM Verdonck-de Leeuw</name></author><author><name sortKey="Eerenstein, Se" uniqKey="Eerenstein S">SE 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id><journal-id journal-id-type="iso-abbrev">J. Med. Internet Res</journal-id><journal-id journal-id-type="publisher-id">JMIR</journal-id><journal-title-group><journal-title>Journal of Medical Internet Research</journal-title></journal-title-group><issn pub-type="ppub">1439-4456</issn><issn pub-type="epub">1438-8871</issn><publisher><publisher-name>JMIR Publications Inc.</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26489918</article-id><article-id pub-id-type="pmc">4642398</article-id><article-id pub-id-type="publisher-id">v17i10e235</article-id><article-id pub-id-type="doi">10.2196/jmir.4870</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group><subj-group subj-group-type="article-type"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>An eHealth Application in Head and Neck Cancer Survivorship Care: Health Care Professionals' Perspectives</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Bamidis</surname><given-names>Panagiotis</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Frederix</surname><given-names>Ines</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Whitton</surname><given-names>Alexis</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>van Velsen</surname><given-names>Lex</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes"><name><surname>Duman-Lubberding</surname><given-names>Sanne</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="aff1">1</xref><address><institution>Department of Otolaryngology / Head and Neck Surgery</institution><institution>VU University Medical Center</institution><addr-line>PO Box 7057</addr-line><addr-line>Amsterdam, 1007 MB</addr-line><country>Netherlands</country><phone>31 20 444 0931</phone><fax>31 20 444 3688</fax><email>s.lubberding@vumc.nl</email></address><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-4180-557X</contrib-id></contrib><contrib id="contrib2" contrib-type="author"><name><surname>van Uden-Kraan</surname><given-names>Cornelia F</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3898-416X</contrib-id></contrib><contrib id="contrib3" contrib-type="author"><name><surname>Peek</surname><given-names>Niels</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-6393-9969</contrib-id></contrib><contrib id="contrib4" contrib-type="author"><name><surname>Cuijpers</surname><given-names>Pim</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2">2</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-5497-2743</contrib-id></contrib><contrib id="contrib5" contrib-type="author"><name><surname>Leemans</surname><given-names>C René</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-7887-083X</contrib-id></contrib><contrib id="contrib6" contrib-type="author"><name><surname>Verdonck-de Leeuw</surname><given-names>Irma M</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-4507-4607</contrib-id></contrib></contrib-group><aff id="aff1"><sup>1</sup><institution>Department of Otolaryngology / Head and Neck Surgery</institution><institution>VU University Medical Center</institution><addr-line>Amsterdam</addr-line><country>Netherlands</country></aff><aff id="aff2"><sup>2</sup><institution>Department of Clinical Psychology</institution><institution>VU University</institution><addr-line>Amsterdam</addr-line><country>Netherlands</country></aff><aff id="aff3"><sup>3</sup><institution>Health e-Research Centre</institution><institution>University of Manchester</institution><addr-line>Manchester</addr-line><country>United Kingdom</country></aff><author-notes><corresp>Corresponding Author: Irma M Verdonck-de Leeuw <email>im.verdonck@vumc.nl</email></corresp></author-notes><pub-date pub-type="collection"><month>10</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>21</day><month>10</month><year>2015</year></pub-date><volume>17</volume><issue>10</issue><elocation-id>e235</elocation-id><history><date date-type="received"><day>26</day><month>6</month><year>2015</year></date><date date-type="rev-request"><day>20</day><month>7</month><year>2015</year></date><date date-type="rev-recd"><day>29</day><month>8</month><year>2015</year></date><date date-type="accepted"><day>22</day><month>9</month><year>2015</year></date></history><permissions><copyright-statement>©Sanne Duman-Lubberding, Cornelia F van Uden-Kraan, Niels Peek, Pim Cuijpers, C René Leemans, Irma M Verdonck-de Leeuw. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.10.2015. </copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.jmir.org/,">http://www.jmir.org/,</ext-link> as well as this copyright and license information must be included.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://www.jmir.org/2015/10/e235/"></self-uri><abstract><sec sec-type="background"><title>Background</title><p>Although many cancer survivors could benefit from supportive care, they often do not utilize such services. Previous studies have shown that patient-reported outcomes (PROs) could be a solution to meet cancer survivors’ needs, for example through an eHealth application that monitors quality of life and provides personalized advice and supportive care options. In order to develop an effective application that can successfully be implemented in current health care, it is important to include health care professionals in the development process.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim of this study was to investigate health care professionals’ perspectives toward follow-up care and an eHealth application, OncoKompas, in follow-up cancer care that monitors quality of life via PROs, followed by automatically generated tailored feedback and personalized advice on supportive care.</p></sec><sec sec-type="methods"><title>Methods</title><p>Health care professionals involved in head and neck cancer care (N=11) were interviewed on current follow-up care and the anticipated value of the proposed eHealth application (Step 1). A prototype of the eHealth application, OncoKompas, was developed (Step 2). Cognitive walkthroughs were conducted among health care professionals (N=21) to investigate perceived usability (Step 3). Interviews were recorded, transcribed verbatim, and analyzed by 2 coders.</p></sec><sec sec-type="results"><title>Results</title><p>Health care professionals indicated several barriers in current follow-up care including difficulties in detecting symptoms, patients’ perceived need for supportive care, and a lack of time to encourage survivors to obtain supportive care. Health care professionals expected the eHealth application to be of added value. The cognitive walkthroughs demonstrated that health care professionals emphasized the importance of tailoring care. They considered the navigation structure of OncoKompas to be complex. Health care professionals differed in their opinion toward the best strategy to implement the application in clinical practice but indicated that it should be incorporated in the HNC cancer care pathway to ensure all survivors would benefit.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Health care professionals experienced several barriers in directing patients to supportive care. They were positive toward the development and implementation of an eHealth application and expected it could support survivors in obtaining supportive care tailored to their needs. The cognitive walkthroughs revealed several points for optimizing the application prototype and developing an efficient implementation strategy. Including health care professionals in an early phase of a participatory design approach is valuable in developing an eHealth application and an implementation strategy meeting stakeholders’ needs.</p></sec></abstract><kwd-group><kwd>cancer</kwd><kwd>tertiary prevention</kwd><kwd>participatory design approach</kwd><kwd>follow-up care</kwd><kwd>supportive care</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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