Characterizing Breakthrough Cancer Pain Using Ecological Momentary Assessment with a Smartphone App: Feasibility and Clinical Findings.
breakthrough cancer pain
ecological momentary assessment
pain characterization
pain management
smartphone application
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
03 06 2021
03 06 2021
Historique:
received:
10
05
2021
revised:
29
05
2021
accepted:
01
06
2021
entrez:
2
7
2021
pubmed:
3
7
2021
medline:
14
7
2021
Statut:
epublish
Résumé
mobile applications (apps) facilitate cancer pain ecological momentary assessment (EMA) and provide more reliable data than retrospective monitoring. The aims of this study are (a) to describe the status of persons with cancer pain when assessed ecologically, (b) to analyze the utility of clinical alarms integrated into the app, and (c) to test the feasibility of implementing an app for daily oncological pain monitoring. in this feasibility study, 21 patients (mean age = 56.95 years, SD = 10.53, 81.0% men) responded to an app-based evaluation of physical status (baseline and breakthrough cancer pain (BTcP)) and mental health variables (fatigue, mood, and coping) daily during 30 days. cancer pain characterization with the app was similar to data from the literature using retrospective assessments in terms of BTcP duration and perceived medication effectiveness. However, BTcP was less frequent when evaluated ecologically. Pain, fatigue, and mood were comparable in the morning and evening. Passive coping strategies were the most employed daily. Clinical alarms appear to be useful to detect and address adverse events. App implementation was feasible and acceptable. apps reduce recall bias and facilitate a rapid response to adverse events in oncological care. Future efforts should be addressed to integrate EMA and ecological momentary interventions to facilitate pain self-management via apps.
Sections du résumé
BACKGROUND
mobile applications (apps) facilitate cancer pain ecological momentary assessment (EMA) and provide more reliable data than retrospective monitoring. The aims of this study are (a) to describe the status of persons with cancer pain when assessed ecologically, (b) to analyze the utility of clinical alarms integrated into the app, and (c) to test the feasibility of implementing an app for daily oncological pain monitoring.
METHODS
in this feasibility study, 21 patients (mean age = 56.95 years, SD = 10.53, 81.0% men) responded to an app-based evaluation of physical status (baseline and breakthrough cancer pain (BTcP)) and mental health variables (fatigue, mood, and coping) daily during 30 days.
RESULTS
cancer pain characterization with the app was similar to data from the literature using retrospective assessments in terms of BTcP duration and perceived medication effectiveness. However, BTcP was less frequent when evaluated ecologically. Pain, fatigue, and mood were comparable in the morning and evening. Passive coping strategies were the most employed daily. Clinical alarms appear to be useful to detect and address adverse events. App implementation was feasible and acceptable.
CONCLUSION
apps reduce recall bias and facilitate a rapid response to adverse events in oncological care. Future efforts should be addressed to integrate EMA and ecological momentary interventions to facilitate pain self-management via apps.
Identifiants
pubmed: 34204871
pii: ijerph18115991
doi: 10.3390/ijerph18115991
pmc: PMC8199778
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Références
J Health Psychol. 2016 Jun;21(6):1015-25
pubmed: 25104779
J Pain Symptom Manage. 2013 Nov;46(5):619-28
pubmed: 23523361
Expert Rev Neurother. 2011 Aug;11(8):1197-216
pubmed: 21797660
JMIR Cancer. 2019 Apr 01;5(1):e10187
pubmed: 30932862
Curr Opin Support Palliat Care. 2020 Jun;14(2):94-99
pubmed: 32332210
Cancers (Basel). 2018 Jun 01;10(6):
pubmed: 29865170
Ann Behav Med. 2007 Apr;33(2):179-88
pubmed: 17447870
Clin Cornerstone. 2004;6 Suppl 1D:S15-21
pubmed: 15675653
Clin J Pain. 2011 Nov-Dec;27(9):769-74
pubmed: 21593665
Pain Med. 2021 Apr 20;22(4):915-947
pubmed: 33547465
Int J Environ Res Public Health. 2016 Apr 13;13(4):420
pubmed: 27089352
J Med Syst. 2015 Feb;39(2):1
pubmed: 25600193
Arch Phys Med Rehabil. 2017 Nov;98(11):2142-2150
pubmed: 28729168
Epidemiol Psychiatr Sci. 2013 Mar;22(1):81-91
pubmed: 22989494
Dialogues Clin Neurosci. 2018 Mar;20(1):13-22
pubmed: 29946207
J Med Internet Res. 2020 Aug 18;22(8):e18946
pubmed: 32808933
Musculoskelet Sci Pract. 2021 Apr;52:102342
pubmed: 33582619
J Med Internet Res. 2013 Sep 24;15(9):e214
pubmed: 24067298
J Med Internet Res. 2020 Aug 10;22(8):e17058
pubmed: 32663140
JMIR Mhealth Uhealth. 2018 Oct 25;6(10):e10718
pubmed: 30361196
JMIR Mhealth Uhealth. 2019 May 29;7(5):e12542
pubmed: 31144672
Ann Oncol. 2018 Oct 1;29(Suppl 4):iv166-iv191
pubmed: 30052758
J Med Internet Res. 2020 Nov 6;22(11):e22280
pubmed: 33079693
Eur J Oncol Nurs. 2015 Apr;19(2):162-8
pubmed: 25456973
Trials. 2018 Feb 27;19(1):145
pubmed: 29482614
Ann Oncol. 2011 Sep;22 Suppl 6:vi69-77
pubmed: 21908508
Int J Environ Res Public Health. 2020 Sep 09;17(18):
pubmed: 32916983
BMJ Support Palliat Care. 2018 Sep;8(3):241-249
pubmed: 29875184
Lancet Oncol. 2018 Nov;19(11):e588-e653
pubmed: 30344075
Curr Opin Anaesthesiol. 2015 Oct;28(5):559-64
pubmed: 26263120
Pain. 1999 May;81(1-2):129-34
pubmed: 10353500
JMIR Cancer. 2018 Dec 21;4(2):e10932
pubmed: 30578238
Eur J Pain. 2014 Jul;18(6):862-72
pubmed: 24921074
J Clin Oncol. 2014 May 20;32(15):1605-19
pubmed: 24733793
Fam Pract. 2011 Feb;28(1):12-21
pubmed: 20833704
Emotion. 2020 Feb;20(1):30-36
pubmed: 31961174
JMIR Perioper Med. 2020 Mar 23;3(1):e17292
pubmed: 33393915
Adv Ther. 2012 May;29(5):464-72
pubmed: 22622488
Eur J Pain. 2009 Apr;13(4):331-8
pubmed: 18707904
JMIR Res Protoc. 2015 Jun 03;4(2):e65
pubmed: 26040252
BMC Med Inform Decis Mak. 2019 May 30;19(1):106
pubmed: 31146739
Pain. 2016 Dec;157(12):2657-2663
pubmed: 27653423
BMC Palliat Care. 2018 May 28;17(1):81
pubmed: 29807537
J Pain Symptom Manage. 2014 Jan;47(1):57-76
pubmed: 23796584
JAMA. 2019 Jan 22;321(3):306-307
pubmed: 30667494
J Pain Symptom Manage. 2014 Apr;47(4):772-785.e5
pubmed: 23981487
Eur J Cancer Care (Engl). 2021 May;30(3):e13403
pubmed: 33484044
J Pain. 2018 Jul;19(7):699-716
pubmed: 29371113
Oncologist. 2020 Feb;25(2):156-160
pubmed: 31862860
Psychol Sci. 2011 Nov;22(11):1391-6
pubmed: 21960251
Clin J Pain. 2014 Apr;30(4):324-30
pubmed: 23887338
Ann Oncol. 2020 Jun;31(6):713-723
pubmed: 32173483
Pain Pract. 2014 Nov;14(8):757-69
pubmed: 24373184
JMIR Form Res. 2021 Jan 6;5(1):e20636
pubmed: 33404505
J Med Internet Res. 2014 Sep 22;16(9):e213
pubmed: 25245774
J Clin Oncol. 2014 Jun 10;32(17):1840-50
pubmed: 24733803
J Pain Symptom Manage. 2000 Oct;20(4):253-8
pubmed: 11027906
Clin J Pain. 2018 Oct;34(10):900-908
pubmed: 29659375
J Pain. 2002 Feb;3(1):38-44
pubmed: 14622852
Support Care Cancer. 2018 Oct;26(10):3649-3658
pubmed: 29730714
Clin Transl Oncol. 2019 Dec;21(12):1707-1711
pubmed: 30949931