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Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe

Furlong, Eileen, Darley, Andrew, Fox, Patricia, Buick, Alison, Kotronoulas, Grigorios, Miller, Morven, Flowerday, Adrian, Miaskowski, Christine, Patiraki, Elisabeth, Katsaragakis, Stylianos , Ream, Emma, Armes, Jo, Gaiger, Alexander, Berg, Geir, McCrone, Paul, Donnan, Peter, McCann, Lisa and Maguire, Roma (2019) Adaptation and Implementation of a Mobile Phone–Based Remote Symptom Monitoring System for People With Cancer in Europe JMIR Cancer, 5 (1), e10813. pp. 1-14.

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Abstract

Background: There has been an international shift in health care, which has seen an increasing focus and development of technological and personalized at-home interventions that aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings.

Objective: This study aimed to describe the steps undertaken in the preparation of a multinational, multicenter randomized controlled trial (RCT) to test a mobile phone–based remote symptom monitoring system, that is, Advanced Symptom Management System (ASyMS), designed to enhance management of chemotherapy toxicities among people with cancer receiving adjuvant chemotherapy versus standard cancer center care.

Methods: There were 13 cancer centers across 5 European countries (Austria, Greece, Ireland, Norway, and the United Kingdom). Multiple steps were undertaken, including a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardized international care procedures, and the integration and evaluation of the technology within each cancer center.

Results: The ASyMS was successfully implemented and deployed in clinical practices across 5 European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, before the commencement of the RCT.

Conclusions: Adapting and implementing this multinational, multicenter system required close attention to diverse considerations and unique challenges primarily related to communication and clinical and technical issues. Success was dependent on collaborative and transparent communication among academics, the technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the 5 relevant countries.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Furlong, Eileen
Darley, Andrew
Fox, Patricia
Buick, Alison
Kotronoulas, Grigorios
Miller, Morven
Flowerday, Adrian
Miaskowski, Christine
Patiraki, Elisabeth
Katsaragakis, Stylianos
Ream, Emmae.ream@surrey.ac.uk
Armes, Jojo.armes@surrey.ac.uk
Gaiger, Alexander
Berg, Geir
McCrone, Paul
Donnan, Peter
McCann, Lisal.mccann@surrey.ac.uk
Maguire, Romar.maguire@surrey.ac.uk
Date : 14 March 2019
Funders : European Union’s Seventh Framework Programme
DOI : 10.2196/10813
Copyright Disclaimer : © Eileen Furlong, Andrew Darley, Patricia Fox, Alison Buick, Grigorios Kotronoulas, Morven Miller, Adrian Flowerday, Christine Miaskowski, Elisabeth Patiraki, Stylianos Katsaragakis, Emma Ream, Jo Armes, Alexander Gaiger, Geir Berg, Paul McCrone, Peter Donnan, Lisa McCann, Roma Maguire. Originally published in JMIR Cancer (http://cancer.jmir.org), 14.03.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on http://cancer.jmir.org/, as well as this copyright and license information must be included.
Uncontrolled Keywords : Telemedicine; Methods; Patient care; Cancer; Symptom management
Depositing User : Clive Harris
Date Deposited : 09 Apr 2019 10:14
Last Modified : 09 Apr 2019 10:14
URI: http://epubs.surrey.ac.uk/id/eprint/851000

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