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

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

doi:10.2196/10813

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

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

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.

Original language	English
Article number	e10813
Journal	Journal of Medical Internet Research
Volume	5
Issue number	1
Early online date	14 Mar 2019
DOIs	https://doi.org/10.2196/10813
Publication status	Published - 2019

Keywords

Cancer
Methods
Patient care
Symptom management
Telemedicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2196/10813Licence: CC BY

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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., & Maguire, R. (2019). Adaptation and implementation of a mobile phone-based remote symptom monitoring system for people with cancer in Europe. Journal of Medical Internet Research, 5(1), Article e10813. https://doi.org/10.2196/10813

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title = "Adaptation and implementation of a mobile phone-based remote symptom monitoring system for people with cancer in Europe",

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.",

keywords = "Cancer, Methods, Patient care, Symptom management, Telemedicine",

author = "Eileen Furlong and Andrew Darley and Patricia Fox and Alison Buick and Grigorios Kotronoulas and Morven Miller and Adrian Flowerday and Christine Miaskowski and Elisabeth Patiraki and Stylianos Katsaragakis and Emma Ream and Jo Armes and Alexander Gaiger and Geir Berg and Paul McCrone and Peter Donnan and Lisa McCann and Roma Maguire",

year = "2019",

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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 & Maguire, R 2019, 'Adaptation and implementation of a mobile phone-based remote symptom monitoring system for people with cancer in Europe', Journal of Medical Internet Research, vol. 5, no. 1, e10813. https://doi.org/10.2196/10813

TY - JOUR

T1 - Adaptation and implementation of a mobile phone-based remote symptom monitoring system for people with cancer in Europe

AU - Furlong, Eileen

AU - Darley, Andrew

AU - Fox, Patricia

AU - Buick, Alison

AU - Kotronoulas, Grigorios

AU - Miller, Morven

AU - Flowerday, Adrian

AU - Miaskowski, Christine

AU - Patiraki, Elisabeth

AU - Katsaragakis, Stylianos

AU - Ream, Emma

AU - Armes, Jo

AU - Gaiger, Alexander

AU - Berg, Geir

AU - McCrone, Paul

AU - Donnan, Peter

AU - McCann, Lisa

AU - Maguire, Roma

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

KW - Cancer

KW - Methods

KW - Patient care

KW - Symptom management

KW - Telemedicine

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ER -

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

Abstract

Keywords

UN SDGs

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