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Open Access 01-12-2021 | Care | Original Article

Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study

Authors: Lynn Leppla, Anja Schmid, Sabine Valenta, Juliane Mielke, Sonja Beckmann, Janette Ribaut, Alexandra Teynor, Fabienne Dobbels, Nathalie Duerinckx, Robert Zeiser, Monika Engelhardt, Sabine Gerull, Sabina De Geest, the SMILe study team

Published in: Supportive Care in Cancer | Issue 12/2021

Abstract

Purpose

Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: (1) describe the development of an integrated care model (ICM) in allogeneic SteM-cell-transplantatIon faciLitated by eHealth (SMILe) by combining implementation, behavioral, and computer science methods (e.g., contextual analysis, Behavior Change Wheel, and user-centered design combined with agile software development); and (2) describe that model’s characteristics and its application in clinical practice.

Methods

The SMILe intervention’s development consisted of four steps, with implementation science methods informing each: (1) planning its set-up within a theoretical foundation; (2) using behavioral science methods to develop the content; (3) choosing and developing its delivery method (human/technology) using behavioral and computer science methods; and (4) describing its characteristics and application in clinical practice.

Results

The SMILe intervention is embedded within the eHealth enhanced Chronic Care Model, entailing four self-management intervention modules, targeting monitoring and follow-up of important medical and symptom-related parameters, infection prevention, medication adherence, and physical activity. Interventions are delivered partly face-to-face by a care coordinator embedded within the transplant team, and partly via the SMILeApp that connects patients to the transplant team, who can monitor and rapidly respond to any relevant changes within 1 year post-transplant.

Conclusion

This paper provides stepwise guidance on how implementation, behavioral, and computer science methods can be used to develop interventions aiming to improve care for stem cell transplant patients in real-world clinical settings. This new care model is currently being tested in a hybrid I effectiveness-implementation trial.

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Title: Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study
Authors: Lynn Leppla
Anja Schmid
Sabine Valenta
Juliane Mielke
Sonja Beckmann
Janette Ribaut
Alexandra Teynor
Fabienne Dobbels
Nathalie Duerinckx
Robert Zeiser
Monika Engelhardt
Sabine Gerull
Sabina De Geest
the SMILe study team
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Care
Stem Cell Transplantation
Stem Cell Transplantion
Stem Cell Transplantation
Published in: Supportive Care in Cancer / Issue 12/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-021-06328-0

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Abstract

Purpose

Methods

Results

Conclusion

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