Christine Tran|Adam P. Dicker|Benjamin E. Leiby|Eric Gressen|Noelle L. Williams|Heather Jim
Utilizing Digital Health to Collect Electronic Patient-Reported Outcomes in Prostate Cancer: Single-Arm Pilot Trial
Thomas Jefferson University|Thomas Jefferson University|Thomas Jefferson University|Thomas Jefferson University|Southeast Radiation Oncology Group|Levine Cancer Institute|Moffitt Cancer Center
measuring patientreported outcomes pros requires individuals perspective symptoms functional status quality life digital health enables remote electronic pro epro assessments clinical decision support tool facilitate meaningful provider interactions personalized treatmentthis study explored feasibility acceptability collecting epros using validated healthrelated quality life hrqol questionnaires prostate cancerusing apple researchkit software strength insight app created content validated hrqol tools 26item expanded prostate cancer index composite epic epic clinical practice 8item functional assessment cancer therapy advanced prostate symptom index singlearm pilot study patients receiving prostate cancer treatment thomas jefferson university hospital affiliates participants recruited instructed download strength insight complete epros week 12 weeks mixed methods approach including qualitative pre poststudy interviews used evaluate feasibility acceptability strength insight collection care management cancer treatmentthirty patients consented study 1 patient failed complete questionnaires left analysis intervention moreover 86 2529 reached satisfactory questionnaire completion defined completion 60 weekly questions 12 weeks lower bound exact onesided 95 ci 71 exceeding 70 feasibility threshold participants selfidentified high digital literacy level defined ability use understand evaluate analyze information multiple formats variety digital sources participants identified low digital literacy level defined ability gather information web interviews thematically analyzed reveal following 1 value emotional support wellness cancer treatment 2 rise social patient advocacy online patient communities networks 3 patient concerns privacy 4 desire personalized engagement toolsstrength insight demonstrated feasible acceptable method data collection epros high compliance rate confirmed app reliable tool patients localized advanced prostate cancer nearly participants reported using smartphone app easier equivalent traditional paperandpen approach providing evidence acceptability support use remote pro monitoring study expands current research involving value digital health social behavioral science augmented technology begin contribute population health management shapes psychographic segmentation demographic socioeconomic health condition behavioral factors group patients distinct personalities motivations influence choicesclinicaltrialsgov nc03197948 httpclinicaltrialsgovct2shownc03197948