Using Biometric Sensor Data to Monitor Cancer Patients During Radiotherapy: Protocol for the OncoWatch Feasibility Study.

biometric sensor technology cancer head and neck cancer home monitoring patient-generated health data radiotherapy sensor smartwatch

Journal

JMIR research protocols
ISSN: 1929-0748
Titre abrégé: JMIR Res Protoc
Pays: Canada
ID NLM: 101599504

Informations de publication

Date de publication:
13 May 2021
Historique:
received: 01 12 2020
accepted: 12 04 2021
revised: 03 03 2021
entrez: 13 5 2021
pubmed: 14 5 2021
medline: 14 5 2021
Statut: epublish

Résumé

Patients with head and neck cancer (HNC) experience severe side effects during radiotherapy (RT). Ongoing technological advances in wearable biometric sensors allow for the collection of objective data (eg, physical activity and heart rate), which might, in the future, help detect and counter side effects before they become severe. A smartwatch such as the Apple Watch allows for objective data monitoring outside the hospital with minimal effort from the patient. To determine whether such tools can be implemented in the oncological setting, feasibility studies are needed. This protocol describes the design of the OncoWatch 1.0 feasibility study that assesses the adherence of patients with HNC to an Apple Watch during RT. A prospective, single-cohort trial will be conducted at the Department of Oncology, Rigshospitalet (Copenhagen, Denmark). Patients aged ≥18 years intended for primary or postoperative curatively intended RT for HNC will be recruited. Consenting patients will be asked to wear an Apple Watch on the wrist during and until 2 weeks after RT. The study will include 10 patients. Data on adherence, data acquisition, and biometric data will be collected. Demographic data, objective toxicity scores, and hospitalizations will be documented. The primary outcome is to determine if it is feasible for the patients to wear a smartwatch continuously (minimum 12 hours/day) during RT. Furthermore, we will explore how the heart rate and physical activity change over the treatment course. The study will assess the feasibility of using the Apple Watch for home monitoring of patients with HNC. Our findings may provide novel insights into the patient's activity levels and variations in heart rate during the treatment course. The knowledge obtained from this study will be essential for further investigating how biometric data can be used as part of symptom monitoring for patients with HNC. ClinicalTrials.gov NCT04613232; https://clinicaltrials.gov/ct2/show/NCT04613232. PRR1-10.2196/26096.

Sections du résumé

BACKGROUND BACKGROUND
Patients with head and neck cancer (HNC) experience severe side effects during radiotherapy (RT). Ongoing technological advances in wearable biometric sensors allow for the collection of objective data (eg, physical activity and heart rate), which might, in the future, help detect and counter side effects before they become severe. A smartwatch such as the Apple Watch allows for objective data monitoring outside the hospital with minimal effort from the patient. To determine whether such tools can be implemented in the oncological setting, feasibility studies are needed.
OBJECTIVE OBJECTIVE
This protocol describes the design of the OncoWatch 1.0 feasibility study that assesses the adherence of patients with HNC to an Apple Watch during RT.
METHODS METHODS
A prospective, single-cohort trial will be conducted at the Department of Oncology, Rigshospitalet (Copenhagen, Denmark). Patients aged ≥18 years intended for primary or postoperative curatively intended RT for HNC will be recruited. Consenting patients will be asked to wear an Apple Watch on the wrist during and until 2 weeks after RT. The study will include 10 patients. Data on adherence, data acquisition, and biometric data will be collected. Demographic data, objective toxicity scores, and hospitalizations will be documented.
RESULTS RESULTS
The primary outcome is to determine if it is feasible for the patients to wear a smartwatch continuously (minimum 12 hours/day) during RT. Furthermore, we will explore how the heart rate and physical activity change over the treatment course.
CONCLUSIONS CONCLUSIONS
The study will assess the feasibility of using the Apple Watch for home monitoring of patients with HNC. Our findings may provide novel insights into the patient's activity levels and variations in heart rate during the treatment course. The knowledge obtained from this study will be essential for further investigating how biometric data can be used as part of symptom monitoring for patients with HNC.
TRIAL REGISTRATION BACKGROUND
ClinicalTrials.gov NCT04613232; https://clinicaltrials.gov/ct2/show/NCT04613232.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) UNASSIGNED
PRR1-10.2196/26096.

Identifiants

pubmed: 33983123
pii: v10i5e26096
doi: 10.2196/26096
pmc: PMC8160816
doi:

Banques de données

ClinicalTrials.gov
['NCT04613232']

Types de publication

Journal Article

Langues

eng

Pagination

e26096

Informations de copyright

©Cecilie Holländer-Mieritz, Ivan R Vogelius, Claus A Kristensen, Allan Green, Judith L Rindum, Helle Pappot. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 13.05.2021.

Références

Appl Clin Inform. 2016 Sep 14;7(3):850-69
pubmed: 27623763
J Clin Med. 2019 Aug 23;8(9):
pubmed: 31450784
J Med Internet Res. 2017 Dec 19;19(12):e420
pubmed: 29258977
PLoS Med. 2016 Feb 02;13(2):e1001953
pubmed: 26836780
Lancet. 2003 Sep 20;362(9388):933-40
pubmed: 14511925
CA Cancer J Clin. 2020 May;70(3):182-199
pubmed: 32311776
J Biomed Inform. 2016 Oct;63:269-276
pubmed: 27612974
Breast Cancer Res Treat. 2018 Feb;168(1):43-55
pubmed: 29124455
Lancet Oncol. 2011 Feb;12(2):127-36
pubmed: 21236730
J Healthc Inform Res. 2018 Jun;2(1-2):1-24
pubmed: 30035250
JMIR Mhealth Uhealth. 2020 Nov 11;8(11):e22006
pubmed: 33174852
J Clin Oncol. 2008 Jul 20;26(21):3582-9
pubmed: 18559875
JMIR Mhealth Uhealth. 2020 Jul 20;8(7):e18564
pubmed: 32706744
J Pain Symptom Manage. 2014 Sep;48(3):322-32
pubmed: 24630754
J Oncol Pract. 2016 Oct;12(10):863-866
pubmed: 27624946
J Natl Cancer Inst Monogr. 2013 Dec;2013(47):162-8
pubmed: 24395986
J Oncol Pract. 2017 Feb;13(2):82-89
pubmed: 28387544
Int J Radiat Oncol Biol Phys. 2007;69(2 Suppl):S79-82
pubmed: 17848301
JMIR Mhealth Uhealth. 2019 Apr 12;7(4):e11819
pubmed: 30977740
NPJ Digit Med. 2020 Apr 14;3:55
pubmed: 32337371

Auteurs

Cecilie Holländer-Mieritz (C)

Department of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Ivan R Vogelius (IR)

Department of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Claus A Kristensen (CA)

Department of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Allan Green (A)

Telemedical Knowledge Center Capital Region of Denmark, Hillerød, Denmark.

Judith L Rindum (JL)

Telemedical Knowledge Center Capital Region of Denmark, Hillerød, Denmark.

Helle Pappot (H)

Department of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Classifications MeSH