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Nizet P, Touchefeu Y, Pecout S, Cauchin E, Beaudouin E, Mayol S, Fronteau C, Huon JF. Exploring the factors influencing adherence to oral anticancer drugs in patients with digestive cancer: a qualitative study. Support Care Cancer 2022; 30:2591-2604. [PMID: 34812952 PMCID: PMC8794904 DOI: 10.1007/s00520-021-06663-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 10/27/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this study was to explore the beliefs, perceptions and representations of patients in order to identify the determinants of oral anticancer drugs adherence and to take action in current practice to improve patient support in digestive oncology. METHODS We constructed a semi-directed interview guide which aimed to explore the patient's relationship with medication, their health history, their experiences at the time of the announcement of treatment, their confidence, their fears, their motivations to adhere to their treatment and the constraints linked to their treatment. The data were analysed and discussed using a thematic approach. RESULTS Seventeen patients agreed to participate in the study. The median age was 60 years. Ten patients had colorectal cancer, 3 patients had hepatocellular carcinoma, 3 patients had gastrointestinal stromal tumour and 1 patient had neuroendocrine pancreatic tumour. We identified five categories of factors influencing adherence: demographic and socioeconomic, disease-related, treatment-related, care system-related, and patient representation and pathways' factors. A majority of patients emphasised the importance of family support in the adherence process and the convenience of per os treatment compared to other intravenous treatments. However, several negative determinants emerged such as the toxicity of the treatment, fears of forgetting to take the medication, difficulties with the galenic formulation and negative beliefs of the family. CONCLUSION This study demonstrates the need to address the different dimensions of the patient in order to understand his or her behaviour with regard to adherence and to identify the levers for improvement.
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Affiliation(s)
- Pierre Nizet
- Clinical Pharmacy Unit, Nantes University Hospital, 1 Rue Gaston Veil, 44000, Nantes, France.
| | - Yann Touchefeu
- Digestive Oncology, Institut Des Maladies De L'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - Solange Pecout
- Digestive Oncology, Institut Des Maladies De L'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - Estelle Cauchin
- Digestive Oncology, Institut Des Maladies De L'Appareil Digestif, Nantes University Hospital, Nantes, France
| | - Eva Beaudouin
- INSERM, UMR 1246-SPHERE, MethodS in Patients-Centered Outcomes and HEalth ResEarch, Nantes and Tours, France
| | - Séverine Mayol
- Research Department, Nantes University Hospital, Nantes, France
| | - Clémentine Fronteau
- Clinical Pharmacy Unit, Nantes University Hospital, 1 Rue Gaston Veil, 44000, Nantes, France
| | - Jean-François Huon
- Clinical Pharmacy Unit, Nantes University Hospital, 1 Rue Gaston Veil, 44000, Nantes, France
- INSERM, UMR 1246-SPHERE, MethodS in Patients-Centered Outcomes and HEalth ResEarch, Nantes and Tours, France
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[E-consult®, an e-health application to improve breast cancer surgery patient's information]. ACTA ACUST UNITED AC 2021; 49:729-735. [PMID: 33845127 DOI: 10.1016/j.gofs.2021.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The use of new information and communication technologies is one way of better informing the patient. E-health includes telemedicine but also patient information and self-monitoring, or continuous remote monitoring with connected objects and mobile apps. It is in this context that we have developed and designed a digital application, e-consult®, which we use at the François Baclesse center, dedicated to improving information for patients. The objective of this study was to assess the performance of the e-consult® application in current practice, in order to know if the information delivered to patients was better retained with the application. METHODS We conducted a prospective, single-center study at the Cancer Center François Baclesse. One group was received in consultation with the use of e-consult®, the other without. Following the consultation, the patient was given a questionnaire concerning her illness and a satisfaction questionnaire concerning the application. RESULTS The average score obtained on the questionnaire in the group having benefited from a consultation with e-consult® (7.12/10) was significantly higher than that obtained in the group having benefited from a consultation without e-consult® (6.4/10) (P=0.0276). CONCLUSION Our study showed that patients understood better the information transmitted in consultation with the use of e-consult®. In our opinion, this is the only study evaluating an application in consultation. However, our study has several weaknesses, including the lack of randomization, a small number of patient, and unvalidated questionaries. Despite these promising results, more studies with better internal validity are needed. Future research may also study the impact of the application on the doctor-patient relationship.
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Gbeasor-Komlanvi FA, Chokpon AC, Zida-Compaore WIC, Sadio A, Bali LG, Hounou-Adossi AFE, Mensah E, Patassi A, Lepere P, Ekouevi DK. [Acceptability of the use of mobile phones for HIV management in Togo]. SANTE PUBLIQUE 2020; 32:253-262. [PMID: 32989955 DOI: 10.3917/spub.202.0253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE To describe the acceptability and factors associated with the use of mobile telephones in the care of people living with HIV (PLHIV) in Lomé, Togo. METHOD A cross-sectional study was conducted from January 5th to March 31st, 2018 in Lomé. PLHIV were recruited from the Department of Infectious and Tropical Diseases of the teaching hospital “CHU Sylvanus Olympio” and the NGO “Espoir Vie Togo”. Socio-demographic and clinical data, mobile phone possession and acceptability of communication with health professionals using a mobile phone were collected with a standardized questionnaire during a face-to-face interview. RESULTS A total of 259 PLHIV (79.6% women) were recruited. The mean age (± standard deviation) of PLHIV was 43.7 ± 9.8 years and the majority (95.4%) had a mobile phone. Almost all (98.1%) of respondents declared that mobile phone could be a means to maintain contact with a health professional. Phone calls (43.0%), text messages (SMS) (35.1%), and voice messages (20.0%) were the preferred means of communication with health professionals. Factors associated with the acceptability of receiving SMS from a health professional were age < 44 years and having at least a secondary level of education. CONCLUSION PLHIV are receptive to the integration of mobile technology into the management of their condition. M-health could be an opportunity to improve the management of HIV infection in Togo.
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Charles C, Baudinet C, Cambon L, Imbert A, Pons M, Raynard B, Sauveplane D, Aromatario O, Dauchy S. Intervention par visioconférence et dynamique groupale. PSYCHO-ONCOLOGIE 2020. [DOI: 10.3166/pson-2020-0116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Recourir à la visioconférence pour proposer des séances d’éducation, de soutien ou de psychothérapie en groupe est une des solutions pour faciliter l’accès aux soins de support. Très peu de données sont disponibles sur les spécificités interactionnelles que pourrait impliquer ce dispositif encore récent. L’article a pour objectif de rendre compte de la démarche de recherche exploratoire visant à construire une grille d’observation pour étudier cette question relationnelle à partir d’un dispositif d’ateliers thématiques collectifs mené en oncologie.
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Bertucci F, Le Corroller-Soriano AG, Monneur A, Fluzin S, Viens P, Maraninchi D, Goncalves A. [E-health and "Cancer outside the hospital walls", Big Data and artificial intelligence]. Bull Cancer 2019; 107:102-112. [PMID: 31543271 DOI: 10.1016/j.bulcan.2019.07.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 06/15/2019] [Accepted: 07/04/2019] [Indexed: 12/25/2022]
Abstract
To heal otherwise in oncology has become an imperative of Public Health and an economic imperative in France. Patients can therefore receive live most of their care outside of hospital with more ambulatory care. This ambulatory shift will benefit from the digital revolution and the development of digital health or e-health. Cancer research will also benefit with Big Data and artificial intelligence, which gather and analyze a huge amount of data. In this synthesis, we describe the different e-health tools and their potential impacts in oncology, at the levels of education and information of patients and caregivers, prevention, screening and diagnosis, treatment, follow-up, and research. A few randomized studies have already demonstrated clinical benefits. Large Big Data projects such as ConSoRe and Health Data Hub have been launched in France. We also discuss the issues and limitations of "cancer outside the hospital walls and e-health" from the point of view of patients, health care professionals, health facilities and government. This new organization will have to provide remote support "outside the walls" with care and follow-up of quality, continuous and prolonged in total safety and equity. Ongoing and future randomized clinical trials will need to definitively demonstrate areas of interest, advantages and drawbacks not only for patients, but also for caregivers, health facilities and governments.
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Affiliation(s)
- François Bertucci
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France.
| | - Anne-Gaëlle Le Corroller-Soriano
- Aix-Marseille université, SESSTIM, Sciences économiques & sociales de la santé & traitement de l'information médicale, Inserm UMR912, 13009 Marseille, France
| | - Audrey Monneur
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France
| | - Sylvain Fluzin
- Institut Paoli-Calmettes, direction du système d'information et de l'organisation, 13009 Marseille, France
| | - Patrice Viens
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
| | - Dominique Maraninchi
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
| | - Anthony Goncalves
- Institut Paoli-Calmettes, département d'oncologie médicale, 13009 Marseille, France; Aix-Marseille université, Centre de recherche en cancérologie de Marseille, Inserm U1068-CNRS U7258, 13009 Marseille, France
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Lefebvre H, Levert MJ, Larrivière M, Proulx M, Lecocq D. For research rooted in the everyday reality of patient experience. Appl Nurs Res 2019; 49:50-56. [PMID: 31178332 DOI: 10.1016/j.apnr.2019.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Accepted: 05/27/2019] [Indexed: 11/18/2022]
Affiliation(s)
- Hélène Lefebvre
- Faculté des sciences infirmières, Université de Montréal, C.P. 6128 Succ. Centre-Ville Montréal, Québec H3T3J7, Canada.
| | - Marie-Josée Levert
- Faculté des sciences infirmières, Université de Montréal, C.P. 6128, Succ. Centre-Ville, Montréal, QC, H3C 3J7, Canada; Centre de recherche interdisciplinaire en réadaptation de la grande région de Montréal (CRIR), C.P. 6128, Succ. Centre-Ville, Montréal, QC H3C 3J7, Canada; Groupe inter-réseaux de recherche sur l'adaptation de la famille et de son environnement (GIRAFE), C.P. 6128, Succ. Centre-Ville, Montréal, QC H3C 3J7, Canada.
| | - Maryse Larrivière
- Faculté des sciences infirmières, Université de Montréal, C.P. 6128 Succ. Centre-Ville Montréal, Québec H3T3J7, Canada
| | - Michelle Proulx
- Faculté des sciences infirmières, Université de Montréal, C.P. 6128 Succ. Centre-Ville Montréal, Québec H3T3J7, Canada
| | - Dan Lecocq
- Option science et clinique infirmières, École de santé publique, Université libre de Bruxelles, Route de Lennik, 808, 1070 Bruxelles, Belgium.
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Lefebvre H, Proulx M, Levert MJ, Néron A, Lecocq D. [A partnership to favour patient self-determination in oncology]. SOINS; LA REVUE DE RÉFÉRENCE INFIRMIÈRE 2019; 64:56-61. [PMID: 31079791 DOI: 10.1016/j.soin.2019.03.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Today's patients wish to establish a dialogue with the health professional and aspire to become partners in their care. A dedicated tool can help patients with cancer create such a partnership. Cooperative research to improve transitions in cancer care focused on this question.
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Affiliation(s)
- Hélène Lefebvre
- Faculté des sciences infirmières, université de Montréal, CP 6128, succursale Centre-Ville, Montréal, Québec, Canada, H3C 3J7.
| | - Michelle Proulx
- Faculté des sciences infirmières, université de Montréal, CP 6128, succursale Centre-Ville, Montréal, Québec, Canada, H3C 3J7
| | - Marie-Josée Levert
- Faculté des sciences infirmières, université de Montréal, CP 6128, succursale Centre-Ville, Montréal, Québec, Canada, H3C 3J7
| | - André Néron
- Université libre de Bruxelles, école de santé publique, centre de recherche en économie de la santé, gestion des institutions de soins et sciences infirmières, CP 592, 808, route de Lennik, 1070 Bruxelles, Belgique
| | - Dan Lecocq
- Université libre de Bruxelles, école de santé publique, centre de recherche en économie de la santé, gestion des institutions de soins et sciences infirmières, CP 592, 808, route de Lennik, 1070 Bruxelles, Belgique
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Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on "Cancer outside the Hospital Walls". Cancers (Basel) 2019; 11:cancers11020219. [PMID: 30769858 PMCID: PMC6406853 DOI: 10.3390/cancers11020219] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 01/06/2019] [Accepted: 02/10/2019] [Indexed: 01/21/2023] Open
Abstract
In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less "invasive", with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of "cancer outside the hospital walls" from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.
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Peyrilles E, Lepage-Seydoux C, Sejean K, Bonan B. [Implementation of a remote oncology-monitoring program for cancer patients in outpatient care unit: A major challenge for the different actors]. Bull Cancer 2018; 105:357-367. [PMID: 29499998 DOI: 10.1016/j.bulcan.2018.01.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 12/07/2017] [Accepted: 01/08/2018] [Indexed: 12/01/2022]
Abstract
INTRODUCTION The development of outpatient departments requires health professionals to reorganize practices for a better patient monitoring and a better patient care pathway. OBJECTIVE To evaluate, using indicators, the impact of an oncology-monitoring program on activity and organizational fluidity in a Cytotoxic Preparation Unit and clinical departments. Method the clinical and biological data are collected between two injections by calling the patient two days prior chemotherapy is performed by a specialist nurse of an outsourced medical call center. After medical and pharmaceutical validation, early preparations (D-1) for expensive and non-expensive molecules are performed. RESULTS The program is started in February 2016. After 3 months, 382 patients were included into the program. Twenty-three patients on average are called per day related to 1162 completed clinical questionnaires (87%). Among the files, 47% are complete at D-2 (biological and clinical data). The early preparation rate of expensive drugs, zero before the program for financial reasons, has reached 40% at 3 months. The destroyed preparation rate because of non-administration decreased from 5 to 2%. DISCUSSION Preliminary results show a significant patient compliance, feasibility of early preparation of expensive and non-expensive chemotherapy. These are preliminary results of a one-year study. They will be completed by an evaluation of patients' and health professionals' satisfaction, evaluation of length of stay, optimization of operations for clinical departments and CPU. The D-2 biological data collection must be improved. A strong doctor/pharmacist collaboration is essential for better patient care pathway.
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Affiliation(s)
- Elodie Peyrilles
- Hôpital Foch, service pharmacie, 40, rue Worth, 92151 Suresnes, France.
| | | | - Karine Sejean
- Hôpital Foch, service pharmacie, 40, rue Worth, 92151 Suresnes, France
| | - Brigitte Bonan
- Hôpital Foch, service pharmacie, 40, rue Worth, 92151 Suresnes, France
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Ozaydin B, Zengul F, Oner N, Delen D. Text-mining analysis of mHealth research. Mhealth 2017; 3:53. [PMID: 29430456 PMCID: PMC5803006 DOI: 10.21037/mhealth.2017.12.02] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 11/23/2017] [Indexed: 01/06/2023] Open
Abstract
In recent years, because of the advancements in communication and networking technologies, mobile technologies have been developing at an unprecedented rate. mHealth, the use of mobile technologies in medicine, and the related research has also surged parallel to these technological advancements. Although there have been several attempts to review mHealth research through manual processes such as systematic reviews, the sheer magnitude of the number of studies published in recent years makes this task very challenging. The most recent developments in machine learning and text mining offer some potential solutions to address this challenge by allowing analyses of large volumes of texts through semi-automated processes. The objective of this study is to analyze the evolution of mHealth research by utilizing text-mining and natural language processing (NLP) analyses. The study sample included abstracts of 5,644 mHealth research articles, which were gathered from five academic search engines by using search terms such as mobile health, and mHealth. The analysis used the Text Explorer module of JMP Pro 13 and an iterative semi-automated process involving tokenizing, phrasing, and terming. After developing the document term matrix (DTM) analyses such as single value decomposition (SVD), topic, and hierarchical document clustering were performed, along with the topic-informed document clustering approach. The results were presented in the form of word-clouds and trend analyses. There were several major findings regarding research clusters and trends. First, our results confirmed time-dependent nature of terminology use in mHealth research. For example, in earlier versus recent years the use of terminology changed from "mobile phone" to "smartphone" and from "applications" to "apps". Second, ten clusters for mHealth research were identified including (I) Clinical Research on Lifestyle Management, (II) Community Health, (III) Literature Review, (IV) Medical Interventions, (V) Research Design, (VI) Infrastructure, (VII) Applications, (VIII) Research and Innovation in Health Technologies, (IX) Sensor-based Devices and Measurement Algorithms, (X) Survey-based Research. Third, the trend analyses indicated the infrastructure cluster as the highest percentage researched area until 2014. The Research and Innovation in Health Technologies cluster experienced the largest increase in numbers of publications in recent years, especially after 2014. This study is unique because it is the only known study utilizing text-mining analyses to reveal the streams and trends for mHealth research. The fast growth in mobile technologies is expected to lead to higher numbers of studies focusing on mHealth and its implications for various healthcare outcomes. Findings of this study can be utilized by researchers in identifying areas for future studies.
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Affiliation(s)
- Bunyamin Ozaydin
- Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Ferhat Zengul
- Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Nurettin Oner
- Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Dursun Delen
- Department of Management Science and Information Systems, Center for Health Systems Innovation, Oklahoma State University, Stillwater, OK, USA
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Vignot S, Servagi-Vernat S, Brouard B, Merrouche Y. Applications mobiles pour la préparation de l’ECN : une offre en construction. Presse Med 2017; 46:1110-1112. [DOI: 10.1016/j.lpm.2017.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2016] [Revised: 06/21/2017] [Accepted: 08/02/2017] [Indexed: 10/18/2022] Open
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Marmorat T, Canat HL, Préau M, Farsi F. Dispenser des anticancéreux oraux à l’officine. Contraintes professionnelles et pistes d’actions. SANTE PUBLIQUE 2017. [DOI: 10.3917/spub.171.0089] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Heudel P, Livartowski A, Arveux P, Willm E, Jamain C. [The ConSoRe project supports the implementation of big data in oncology]. Bull Cancer 2016; 103:949-950. [PMID: 27816168 DOI: 10.1016/j.bulcan.2016.10.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 09/30/2016] [Accepted: 10/03/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Pierre Heudel
- Centre Léon-Bérard, 28, Prom. Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
| | | | - Patrick Arveux
- Centre Georges-François-Leclerc, 1, rue du Professeur-Marion, 21000 Dijon, France
| | - Eddy Willm
- Institut du cancer de Montpellier, 208, avenue des Apothicaires, 34298 Montpellier, France
| | - Christophe Jamain
- Département recherche et développement, Unicancer, 101, rue de Tolbiac, 75654 Paris cedex 13, France
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Brouard B, Bardo P, Bonnet C, Mounier N, Vignot M, Vignot S. Mobile applications in oncology: is it possible for patients and healthcare professionals to easily identify relevant tools? Ann Med 2016; 48:509-515. [PMID: 27348761 DOI: 10.1080/07853890.2016.1195010] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
AIM Mobile applications represent promising tools in management of chronic diseases, both for patients and healthcare professionals, and especially in oncology. Among the large number of mobile health (mhealth) applications available in mobile stores, it could be difficult for users to identify the most relevant ones. This study evaluated the business model and the scientific validation for mobile applications related to oncology. METHODS A systematic review was performed over the two major marketplaces. Purpose, scientific validation, and source of funding were evaluated according to the description of applications in stores. Results were stratified according to targeted audience (general population/patients/healthcare professionals). RESULTS Five hundred and thirty-nine applications related to oncology were identified: 46.8% dedicated to healthcare professionals, 31.5% to general population, and 21.7% to patients. A lack of information about healthcare professionals' involvement in the development process was noted since only 36.5% of applications mentioned an obvious scientific validation. Most apps were free (72.2%) and without explicit support by industry (94.2%). CONCLUSIONS There is a need to enforce independent review of mhealth applications in oncology. The economic model could be questioned and the source of funding should be clarified. Meanwhile, patients and healthcare professionals should remain cautious about applications' contents. Key messages A systematic review was performed to describe the mobile applications related to oncology and it revealed a lack of information on scientific validation and funding. Independent scientific review and the reporting of conflicts of interest should be encouraged. Users, and all health professionals, should be aware that health applications, whatever the quality of their content, do not actually embrace such an approach.
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Affiliation(s)
- Benoit Brouard
- a Oncology Hematology Department , Louis Pasteur Hospital , Chartres Le Coudray , France
| | - Pascale Bardo
- b Pharmacy Department , Henri Mondor Hospital - Assistance Publique Hôpitaux de Paris , Créteil , France
| | - Clément Bonnet
- c Oncology Department , Cochin Hospital - Assistance Publique Hôpitaux de Paris , Paris , France
| | - Nicolas Mounier
- d Oncology Hematology Department , L'Archet Hospital , Nice , France
| | - Marina Vignot
- e Institute of Cardiometabolism and Nutrition ICAN - Pitié Salpêtrière Hospital , Paris , France
| | - Stéphane Vignot
- a Oncology Hematology Department , Louis Pasteur Hospital , Chartres Le Coudray , France
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Kempf E, Prévost A, Rousseau B, Macquin-Mavier I, Louvet C, Tournigand C. [Are cancer outpatients ready for e-medicine?]. Bull Cancer 2016; 103:841-848. [PMID: 27497498 DOI: 10.1016/j.bulcan.2016.06.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Revised: 06/20/2016] [Accepted: 06/20/2016] [Indexed: 11/16/2022]
Abstract
INTRODUCTION E-health offers new opportunities for improving cancer outpatients' monitoring. The aim of this study was to assess the level and the use of electronic communication tools owned by cancer outpatients currently undergoing antitumoral treatment. METHODS This observational study consecutively recruited patients undergoing treatment at two day hospital oncology units from 1st to 31 October 2015. Each patient completed one standardised, anonymous questionnaire. RESULTS Overall, 386 questionnaires were analysed, of which 244 and 142 patients were from each hospital. Of these patients, 73% had access to the Internet either directly or through a third party. More than 90% of the patients owned a mobile phone, and half of them had a smartphone with Internet access. An increasing age and the socioeconomic class level were significantly associated with the use of the Internet and of a smartphone. Half of the patients had accessed websites dedicated to health topics and a quarter had used mobile applications on health topics. One-third of those patients found these electronic tools helpful. After adjustment, an increasing age was significantly associated with a decreased use of such tools. The majority (87%) of the patients enjoyed receiving text message reminders from their hospital about their consultation schedule. CONCLUSION Three in four cancer outpatients under treatment have access to the Internet and half use websites dedicated to health topics, with an impact of the age and the socioeconomic class level. Developing e-communication tools between caregivers and patients might be considered to improve their home monitoring.
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Affiliation(s)
- Emmanuelle Kempf
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | | | - Benoit Rousseau
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - Isabelle Macquin-Mavier
- AP-HP, hôpital universitaire Henri-Mondor, unité de pharmacologie clinique, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - Christophe Louvet
- Institut mutualiste Montsouris, département d'oncologie médicale, 42, boulevard Jourdan, 75014 Paris, France
| | - Christophe Tournigand
- AP-HP, hôpital universitaire Henri-Mondor, département d'oncologie médicale, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
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Applications mobiles en oncologie : offre pour les utilisateurs francophones et questionnement sur le modèle de développement. Bull Cancer 2015; 102:716-8. [DOI: 10.1016/j.bulcan.2015.06.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2015] [Revised: 06/07/2015] [Accepted: 06/11/2015] [Indexed: 11/16/2022]
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Masika MM, Omondi GB, Natembeya DS, Mugane EM, Bosire KO, Kibwage IO. Use of mobile learning technology among final year medical students in Kenya. Pan Afr Med J 2015; 21:127. [PMID: 26327964 PMCID: PMC4546722 DOI: 10.11604/pamj.2015.21.127.6185] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2015] [Accepted: 03/26/2015] [Indexed: 11/21/2022] Open
Abstract
Introduction Mobile phone penetration has increased exponentially over the last decade as has its application in nearly all spheres of life including health and medical education. This study aimed at assessing the use of mobile learning technology and its challenges among final year undergraduate students in the College of Health sciences, University of Nairobi. Methods This was a cross-sectional descriptive study conducted among final year undergraduate students at the University of Nairobi, College of Health Sciences. Self-administered, anonymous questionnaires were issued to all final year students in their lecture rooms after obtaining informed consent. Data on demographics, mobile device ownership and mobile learning technology use and its challenges was collected. Data entry and analysis was done using SPSS®. Chi-square and t-test were used for bivariate analysis. Results We had 292 respondents; 62% were medical students, 16% were nursing students, 13% were pharmacy students and 9% were dental surgery students. The majority were female (59%) and the average age was 24 years. Eighty eight percent (88%) of the respondents owned a smart device and nearly all of them used it for learning. 64% of the respondents used medical mobile applications. The main challenges were lack of a smart device, lack of technical know-how in accessing or using apps, sub-optimal internet access, cost of acquiring apps and limited device memory. Conclusion Mobile learning is increasingly popular among medical students and should be leveraged in promoting access and quality of medical education.
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Affiliation(s)
- Moses Muia Masika
- Department of Medical Microbiology, School of Medicine, University of Nairobi, Kenya
| | | | | | | | - Kefa Ogonyo Bosire
- Department of Pharmacology and Pharmacognosy, School of Pharmacy, University of Nairobi, Kenya
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