The Preferences of Patients With Cancer Regarding Apps to Help Meet Their Illness-Related Information Needs: Qualitative Interview Study.
Access to Information
/ psychology
Adolescent
Adult
Aged
Aged, 80 and over
Anxiety
/ epidemiology
Cell Phone
/ instrumentation
Female
Health Information Exchange
/ supply & distribution
Humans
Information Seeking Behavior
/ physiology
Interviews as Topic
Male
Middle Aged
Mobile Applications
/ standards
Neoplasms
/ epidemiology
Patient Preference
/ statistics & numerical data
Qualitative Research
Quality of Life
Self Concept
United Kingdom
/ epidemiology
Young Adult
education, medical
medical information exchange
mobile apps
smartphone
Journal
JMIR mHealth and uHealth
ISSN: 2291-5222
Titre abrégé: JMIR Mhealth Uhealth
Pays: Canada
ID NLM: 101624439
Informations de publication
Date de publication:
31 07 2019
31 07 2019
Historique:
received:
28
03
2019
accepted:
04
06
2019
revised:
04
06
2019
entrez:
2
8
2019
pubmed:
2
8
2019
medline:
28
7
2020
Statut:
epublish
Résumé
The shift from inpatient to outpatient and community cancer care means that more patients with cancer need to manage their condition at home, without the direct supervision of their clinician. Subsequently, research has reported that many patients with cancer have unmet information needs during their illness. Mobile devices, such as mobile phones and tablet computers, provide an opportunity to deliver information to patients remotely. Before designing an app intervention to help patients with cancer to meet their information needs, in-depth qualitative research is required to gain an understanding of the views of the target users. We aimed to develop an app intervention to help patients meet their illness-related information needs in noninpatient settings. This study explored the information needs of patients with cancer and their preferences for an app and desired app features. Specifically, the perceived acceptability of an app, desired app features, and the potential benefits and disadvantages of, and barriers to, an app were explored. Qualitative, one-on-one semistructured interviews were conducted with patients with urological, colorectal, breast, or gynecological cancers (N=23) across two hospitals in South Wales. Interviews were audio-taped, transcribed, and analyzed using a thematic analysis. Findings indicated that barriers to information exchange and understanding in consultations, and identification of reliable information sources between consultations, appeared to contribute to patients' unmet information needs. Consequently, app feature suggestions included a question prompt list, a glossary of cancer terms, a resources feature, and a contacts feature. Anticipated benefits of this type of app included a more informed patient, improved quality of life, decreased anxiety, and increased confidence to participate in their care. The anticipated barriers to app use are likely to be temporary or can be minimized with regard to these findings during app development and implementation. This study highlights the desire of patients with cancer for an app intervention to help them meet their information needs during and between consultations with their clinicians. This study also highlights the anticipated acceptability and benefits of this type of intervention; however, further research is warranted.
Sections du résumé
BACKGROUND
The shift from inpatient to outpatient and community cancer care means that more patients with cancer need to manage their condition at home, without the direct supervision of their clinician. Subsequently, research has reported that many patients with cancer have unmet information needs during their illness. Mobile devices, such as mobile phones and tablet computers, provide an opportunity to deliver information to patients remotely. Before designing an app intervention to help patients with cancer to meet their information needs, in-depth qualitative research is required to gain an understanding of the views of the target users.
OBJECTIVE
We aimed to develop an app intervention to help patients meet their illness-related information needs in noninpatient settings. This study explored the information needs of patients with cancer and their preferences for an app and desired app features. Specifically, the perceived acceptability of an app, desired app features, and the potential benefits and disadvantages of, and barriers to, an app were explored.
METHODS
Qualitative, one-on-one semistructured interviews were conducted with patients with urological, colorectal, breast, or gynecological cancers (N=23) across two hospitals in South Wales. Interviews were audio-taped, transcribed, and analyzed using a thematic analysis.
RESULTS
Findings indicated that barriers to information exchange and understanding in consultations, and identification of reliable information sources between consultations, appeared to contribute to patients' unmet information needs. Consequently, app feature suggestions included a question prompt list, a glossary of cancer terms, a resources feature, and a contacts feature. Anticipated benefits of this type of app included a more informed patient, improved quality of life, decreased anxiety, and increased confidence to participate in their care. The anticipated barriers to app use are likely to be temporary or can be minimized with regard to these findings during app development and implementation.
CONCLUSIONS
This study highlights the desire of patients with cancer for an app intervention to help them meet their information needs during and between consultations with their clinicians. This study also highlights the anticipated acceptability and benefits of this type of intervention; however, further research is warranted.
Identifiants
pubmed: 31368446
pii: v7i7e14187
doi: 10.2196/14187
pmc: PMC6693303
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14187Informations de copyright
©Rebecca Richards, Paul Kinnersley, Kate Brain, John Staffurth, Fiona Wood. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 31.07.2019.
Références
J Med Internet Res. 2001 Apr-Jun;3(2):E15
pubmed: 11720957
Br J Cancer. 2004 Jul 5;91(1):62-8
pubmed: 15162147
CA Cancer J Clin. 2003 Nov-Dec;53(6):356-71
pubmed: 15224975
Health Serv Res. 2004 Aug;39(4 Pt 1):1005-26
pubmed: 15230939
Patient Educ Couns. 2005 Jun;57(3):250-61
pubmed: 15893206
Soc Sci Med. 2006 May;62(10):2565-76
pubmed: 16303220
Eur J Cancer Care (Engl). 2007 Mar;16(2):109-21
pubmed: 17371419
J Ambul Care Manage. 2007 Oct-Dec;30(4):308-17
pubmed: 17873662
Cancer. 2008 Jul 15;113(2):225-37
pubmed: 18484592
Patient Educ Couns. 2009 Mar;74(3):295-301
pubmed: 19150199
Psychooncology. 2013 Mar;22(3):490-8
pubmed: 22307579
Patient Educ Couns. 2012 Nov;89(2):345-52
pubmed: 23021856
BMC Geriatr. 2013 May 06;13:43
pubmed: 23647949
J Biomed Inform. 2013 Oct;46(5):947-54
pubmed: 23810858
J Med Internet Res. 2014 Jul 16;16(7):e172
pubmed: 25048379
Psychooncology. 2015 Mar;24(3):245-52
pubmed: 25082386
J Med Internet Res. 2015 Jan 30;17(1):e30
pubmed: 25639757
J Cancer Educ. 2016 Jun;31(2):348-57
pubmed: 25712202
J Cancer Surviv. 2016 Feb;10(1):62-70
pubmed: 25956402
World J Surg. 2015 Oct;39(10):2441-9
pubmed: 26178658
Health Psychol Res. 2016 Jun 23;4(1):4786
pubmed: 27403460
Patient Educ Couns. 2017 Jan;100(1):5-7
pubmed: 27432014
Bull Cancer. 2016 Oct;103(10):841-848
pubmed: 27497498
J Cancer Educ. 2018 Jun;33(3):610-614
pubmed: 27853983
Psychooncology. 2017 Nov;26(11):1741-1748
pubmed: 28024096
J Health Psychol. 2019 Aug;24(9):1201-1209
pubmed: 28810403
BMJ Open. 2018 Mar 12;8(3):e019576
pubmed: 29530909
JMIR Mhealth Uhealth. 2018 Dec 14;6(12):e10026
pubmed: 30552082
Eur J Cancer Care (Engl). 1996 Sep;5(3):132-8
pubmed: 9117045