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Journal of Cancer Survivorship
Published in: Journal of Cancer Survivorship 6/2017

Open Access 01-12-2017

Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice

Authors: J.G. Timmerman, M.G.H. Dekker-van Weering, M.M. Stuiver, W.G. Groen, M.W.J.M. Wouters, T.M. Tönis, H.J. Hermens, M.M.R. Vollenbroek-Hutten

Published in: Journal of Cancer Survivorship | Issue 6/2017

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Abstract

Purpose

The aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation.

Methods

A two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated.

Results

Seventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications.
Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow.

Conclusions

Ambulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation.

Implications for cancer survivors

Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.
Appendix
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Literature
1.
Maguire R, Papadopoulou C, Kotronoulas G, Simpson MF, McPhelim J, Irvine L. A systematic review of supportive care needs of people living with lung cancer. Eur J Oncol Nurs. 2013;17(4):449–64.CrossRefPubMed
2.
Brunelli A, Xiume F, Refai M, Salati M, Marasco R, Sciarra V, et al. Evaluation of expiratory volume, diffusion capacity, and exercise tolerance following major lung resection: a prospective follow-up analysis. Chest. 2007a;131(1):141–7.CrossRefPubMed
3.
Brunelli A, Socci L, Refai M, Salati M, Xiume F, Sabbatini A. Quality of life before and after major lung resection for lung cancer: a prospective follow-up analysis. Ann Thorac Surg. 2007b;84(2):410–6.CrossRefPubMed
4.
Sarna L, Cooley ME, Brown JK, Chernecky C, Elashoff D, Kotlerman J. Symptom severity 1 to 4 months after thoracotomy for lung cancer. Am J Crit Care. 2008;17(5):455–67. quiz 68 PubMed
5.
Ni HJ, Pudasaini B, Yuan XT, Li HF, Shi L, Yuan P. Exercise Training for Patients Pre- and Postsurgically Treated for Non-Small Cell Lung Cancer: A Systematic Review and Meta-analysis. Integr Cancer Ther. 2016.
6.
Cavalheri V, Tahirah F, Nonoyama M, Jenkins S, Hill K. Exercise training for people following lung resection for non-small cell lung cancer—a Cochrane systematic review. Cancer Treat Rev. 2014;40(4):585–94.CrossRefPubMed
7.
Crandall K, Maguire R, Campbell A, Kearney N. Exercise intervention for patients surgically treated for Non-Small Cell Lung Cancer (NSCLC): a systematic review. Surg Oncol. 2014;23(1):17–30.CrossRefPubMed
8.
Cleeland CS, Wang XS, Shi Q, Mendoza TR, Wright SL, Berry MD, et al. Automated symptom alerts reduce postoperative symptom severity after cancer surgery: a randomized controlled clinical trial. J Clin Oncol. 2011;29(8):994–1000.CrossRefPubMedPubMedCentral
9.
Rueda JR, Sola I, Pascual A, Subirana CM. Non-invasive interventions for improving well-being and quality of life in patients with lung cancer. Cochrane Database Syst Rev. 2011;9:CD004282.
10.
11.
Maguire R, Ream E, Richardson A, Connaghan J, Johnston B, Kotronoulas G, et al. Development of a novel remote patient monitoring system: the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy. Cancer Nurs. 2015;38(2):E37–47.CrossRefPubMed
12.
Kuijpers W, Groen WG, Oldenburg HS, Wouters MW, Aaronson NK, van Harten WH. Development of MijnAVL, an interactive portal to empower breast and lung cancer survivors: an iterative, Multi-Stakeholder Approach. JMIR Res Protoc. 2015;4(1):e14.CrossRefPubMedPubMedCentral
13.
14.
Groen WG, Kuijpers W, Oldenburg HS, Wouters MW, Aaronson NK, van Harten WH. Empowerment of cancer survivors through information technology: an integrative review. J Med Internet Res. 2015;17(11):e270.CrossRefPubMedPubMedCentral
15.
Hoffman AJ, Brintnall RA, Brown JK, von Eye A, Jones LW, Alderink G, et al. Virtual reality bringing a new reality to postthoracotomy lung cancer patients via a home-based exercise intervention targeting fatigue while undergoing adjuvant treatment. Cancer Nurs. 2014;37(1):23–33.CrossRefPubMed
16.
Jansen-Kosterink S, Vollenbroek-Hutten M. A Renewed Framework for the Evaluation of Telemedicine. 8th International Conference on eHealth, Telemedicine, and Social Medicine: eTELEMED 2016; April 24–28, 2016; Venice, Italy 2016.
17.
Vollenbroek-Hutten M, Tabak M, Jansen-Kosterink S, Dekker M, editors. From telemedicine technology to telemedicine services. Proceedings of the 3rd 2015 Workshop on ICTs for improving Patients Rehabilitation Research Techniques; 2015: ACM.
18.
Hoaas H, Andreassen HK, Lien LA, Hjalmarsen A, Zanaboni P. Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study. BMC Med Inform Decis Mak. 2016;16:26.CrossRefPubMedPubMedCentral
19.
Judi HM, Razak A, Sha’ari N, Mohamed H. Feasibility and critical success factors in implementing telemedicine. Inf Technol J. 2009;8(3):326–32.CrossRef
20.
Timmerman JG, Tönis TM, Dekker-van Weering MGH, Stuiver MM, Wouters MWJM, van Harten WH, et al. Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation. BMC Health Serv Res. 2016;16(1):1–11.CrossRef
21.
Kanning M. Using objective, real-time measures to investigate the effect of actual physical activity on affective states in everyday life differentiating the contexts of working and leisure time in a sample with students. Front Psychol. 2012;3:602.PubMed
22.
Wilhelm P, Schoebi D. Assessing mood in daily life: structural validity, sensitivity to change, and reliability of a short-scale to measure three basic dimensions of mood. Eur J Psychol Assess. 2007;23(4):258–67.CrossRef
23.
Venkatesh V, Morris MG, Gordon BD, Davis FD. User acceptance of information technology: toward a unified view. MIS Q. 2003;27(3):425–78.
24.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
25.
Hu PJ-H, editor. Evaluating telemedicine systems success: a revised model. System Sciences, 2003. Proceedings of the 36th Annual Hawaii International Conference on; 2003: IEEE.
26.
Sun N, Rau PL. The acceptance of personal health devices among patients with chronic conditions. Int J Med Inform. 2015;84(4):288–97.CrossRefPubMed
27.
Brunelli A, Refai M, Xiume F, Salati M, Marasco R, Sciarra V, et al. Oxygen desaturation during maximal stair-climbing test and postoperative complications after major lung resections. Eur J Cardiothorac Surg. 2008;33(1):77–82.CrossRefPubMed
28.
Brunelli A, Al Refai M, Monteverde M, Borri A, Salati M, Fianchini A. Predictors of exercise oxygen desaturation following major lung resection. Eur J Cardiothorac Surg. 2003;24(1):145–8.CrossRefPubMed
29.
CBS. ICT, kennis en economie 2016. In: Zaken MvE, editor. Den Haag: CBS; 2016.
30.
Courneya KS, Karvinen KH, Vallance JKH. Exercise motivation and behavior change handbook of cancer survivorship. In: Feuerstein M, editor. . US: Springer; 2007. p. 113–32.
31.
Pinto BM, Ciccolo JT. Physical activity motivation and cancer survivorship. Recent Results Cancer Res. 2011;186:367–87.CrossRefPubMed
32.
Achterkamp R, Dekker-Van Weering MG, Evering RM, Tabak M, Timmerman JG, Hermens HJ et al. Strategies to improve effectiveness of physical activity coaching systems: Development of personas for providing tailored feedback. Health Inform J. 2016.
33.
Op den Akker H, Cabrita M, Op den Akker R, Jones VM, Hermens HJ. Tailored motivational message generation: a model and practical framework for real-time physical activity coaching. J Biomed Inform. 2015;55:104–15.CrossRefPubMed
34.
Wolvers M, Bruggeman-Everts FZ, Van der Lee ML, Van de Schoot R, Vollenbroek-Hutten MM. Effectiveness, mediators, and effect predictors of internet interventions for chronic cancer-related fatigue: the design and an analysis plan of a 3-armed randomized controlled trial. JMIR Res Protoc. 2015;4(2):e77.CrossRefPubMedPubMedCentral
35.
Op den Akker H, Jones VM, Hermens HJ. Tailoring real-time physical activity coaching systems: a literature survey and model. User Model User-Adap Inter. 2014;24(5):351–92.CrossRef
36.
Broens TH, Huis in’t Veld RM, Vollenbroek-Hutten MM, Hermens HJ, van Halteren AT, Nieuwenhuis LJ. Determinants of successful telemedicine implementations: a literature study. J Telemed Telecare. 2007;13(6):303–9.CrossRefPubMed
37.
38.
Jansen-Kosterink SM. The added value of telemedicine services for physical rehabilitation. Enschede: University of Twente; 2014.
39.
Heart T, Kalderon E. Older adults: are they ready to adopt health-related ICT? Int J Med Inform. 2013;82(11):e209–e31.CrossRefPubMed
40.
Krijgsman J, Peeters J, Waverijn G, Van Lettow B, Van der Hoek L, De Jong J et al. ‘Omdat ik het belangrijk vind om goed voor mezelf te zorgen’- rapportage eHealth-doelstellingen 2016. Den Haag & Utrecht: Nictiz & Nivel2016.
41.
Bosman R, Bruyckere SD. Dutch Smartphone User - 2016 Q1: Telecompaper 2016.
Metadata
Title
Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice
Authors
J.G. Timmerman
M.G.H. Dekker-van Weering
M.M. Stuiver
W.G. Groen
M.W.J.M. Wouters
T.M. Tönis
H.J. Hermens
M.M.R. Vollenbroek-Hutten
Publication date
01-12-2017
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 6/2017
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-017-0611-6

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