Adaptation and implementation of a mobile phone–based remote symptom monitoring system for people with cancer in Europe

Furlong, E. et al. (2019) Adaptation and implementation of a mobile phone–based remote symptom monitoring system for people with cancer in Europe. JMIR Cancer, 5(1), e10813. (doi: 10.2196/10813) (PMID:30869641) (PMCID:PMC6437605)

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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:Articles
Additional Information:This project received funding from the European Union’s Seventh Framework Programme for research, technological development, and demonstration under grant agreement number 602289.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Kotronoulas, Dr Greg
Authors: Furlong, E., Darley, A., Fox, P., Buick, A., Kotronoulas, G., Miller, M., Flowerday, A., Miaskowski, C., Patiraki, E., Katsaragakis, S., Ream, E., Armes, J., Gaiger, A., Berg, G., McCrone, P., Donnan, P., McCann, L., and Maguire, R.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:JMIR Cancer
Publisher:JMIR Publications
ISSN:2369-1999
ISSN (Online):2369-1999
Published Online:14 March 2019
Copyright Holders:Copyright © 2019 The Authors
First Published:First published in JMIR Cancer 5(1): e10813
Publisher Policy:Reproduced under a Creative Commons License

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