Co-design of a mobile app for engaging breast cancer patients in reporting health experiences: Qualitative case study

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Fecha
2023
Profesor/a Guía
Facultad/escuela
Idioma
en
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ISSN de la revista
Título del volumen
Editor
JMIR Publications Inc.
Nombre de Curso
Licencia CC
CC BY 4.0 ATTRIBUTION 4.0 INTERNATIONAL Deed
Licencia CC
https://creativecommons.org/licenses/by/4.0/
Resumen
Background: The World Health Organization recommends incorporating patient-reported experience measures and patient-reported outcome measures to ensure care processes. New technologies, such as mobile apps, could help report and monitor patients adverse effects and doubts during treatment. However, engaging patients in the daily use of mobile apps is a challenge that must be addressed in accordance with the needs of people. Objective: We present a qualitative case study documenting the process of identifying the information needs of breast cancer patients and health care professionals during the treatment process in a Chilean cancer institution. The study aims to identify patients information requirements for integration into a mobile app that accompanies patients throughout their treatment while also providing features for reporting adverse symptoms. Methods: We conducted focus groups with breast cancer patients who were undergoing chemotherapy (n=3) or who completed chemotherapy between 3 months and 1 year (n=1). We also surveyed health care professionals (n=9) who were involved in patient care and who belonged to the oncology committee of the cancer center where the study took place. Content analysis was applied to the responses to categorize the information needs and the means to satisfy them. A user interface was designed according to the findings of the focus groups and was assessed by 3 trained information system and user interaction design experts from 2 countries, using heuristic evaluation guidelines for mobile apps. Results: Patients information needs were classified into 4 areas: An overview of the disease, information on treatment and day-To-day affairs, assistance on the normality and abnormality of symptoms during treatment, and symptoms relevant to report. Health care professionals required patients to be provided with information on the administrative and financial process. We noted that the active involvement of the following 4 main actors is required to satisfy the information needs: patients, caregivers, social network moderators, and health professionals. Seven usability guidelines were extracted from the heuristic evaluation recommendations. Conclusions: A mobile app that seeks to accompany breast cancer patients to report symptoms requires the involvement of multiple participants to handle the reports and day-To-day information needs. User interfaces must be designed with consideration of the patient s social conventions and the emotional load of the disease information. © 2023 Journal of Medical Internet Research. All rights reserved.
Notas
Indexación: Scopus
This work was funded by the ANID FONDAP (152220002), and the Center for the Prevention and Control of Cancer (CECAN).
Palabras clave
Adverse Event Reporting, Cancer, Cancer Ptient Report, Ehealth, Mhealth, Mobile health, Patient-reported experience measures, Patient-Reported Outcome Measures, Quality Of Life, Registration Systems, Software Analysis and Design
Citación
Journal of Medical Internet Research. Volume 25, Issue 1. 2023. Article number e45968
DOI
10.2196/45968
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