J. Med. Internet Res. - Daily collection of self-reporting sleep disturbance data via a smartphone app in breast cancer patients receiving chemotherapy: a feasibility study.

Tópicos

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Resumo

CKGROUND: 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' demographics, interval from enrollment to first self-report, baseline Beck'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; P=.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.

Resumo Limpo

ckground improv mobil telecommun technolog enabl clinician collect patientreport outcom pro data frequent yet limit evid regard frequenc pro data can collect via smartphon applic app breast cancer patient receiv chemotherapyobject primari object studi determin feasibl app sleep disturbancerel data collect breast cancer patient receiv chemotherapi secondari object identifi variabl associ better complianc order identifi optim subgroup includ futur studi smartphonebas interventionsmethod march juli patient plan receiv neoadjuv chemotherapi breast cancer asan medic center access smartphon app enrol just start chemotherapi ask selfreport sleep pattern anxieti sever mood status via smartphon app daili basi day studi period push notif sent particip daili pm data regard patient demograph interv enrol first selfreport baselin beck depress inventori bdi score healthrel qualiti life score assess use euroqol five dimension eqdl questionnair collect ascertain factor associ complianc selfreport processresult total particip mean age year sd rang year analyz studi total daili push notif sent particip day studi period via smartphon result collect selfreport sleepdisturb data item overal complianc rate median valu individu patientlevel report rate rang longitudin daylevel complianc curv fell day reach nadir day cumul longitudin complianc curv exhibit steadi decreas day continu fall day women without form employ exhibit higher complianc rate associ patient characterist ie demograph bdi eqdl score complianc mean individu patientlevel report rate higher subgroup day lag time defin start selfreport day immedi enrol lag day sd sd respect pconclus day longitudin collect daili selfreport sleepdisturb data via smartphon app found feasibl research focus sustain complianc selfreport longer time select subpopul higher rate complianc mobil health care

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