1. Wearable-Triggered Ecological Momentary Assessments Are Feasible in People With Advanced Cancer and Their Family Caregivers: Feasibility Study from an Outpatient Palliative Care Clinic at a Cancer Center.
- Author
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Schuler, Thilo, King, Claire, Matsveru, Teresia, Back, Michael, Clark, Katherine, Chin, Dylan, Lilian, Ruth, Gallego, Blanca, Coiera, Enrico, and Currow, David C.
- Subjects
PILOT projects ,CAREGIVERS ,SPECIALTY hospitals ,WEARABLE technology ,HEALTH outcome assessment ,DIGITAL health ,COMMUNITY health services ,CANCER patients ,CANCER treatment ,SLEEP disorders ,HEART beat ,RESEARCH funding ,PALLIATIVE treatment ,OUTPATIENT services in hospitals ,PSYCHOLOGICAL stress - Abstract
Background: Emerging digital health approaches could play a role in better personalized palliative care. Aim: We conducted a feasibility study testing wearable sensor (WS)-triggered ecological momentary assessments (EMAs) and electronic patient-reported outcomes in community palliative care with patient–caregiver dyads. Design: All wore consumer-grade WS for five weeks. Sensor-detected "stress" (heart rate variability algorithm) that passed individualized thresholds triggered a short smartphone survey. Daily sleep surveys, weekly symptom surveys (Integrated Palliative care Outcome Scale), and a poststudy experience survey were conducted. Setting/Participants: Fifteen dyads (n = 30) were recruited from an outpatient palliative care clinic for people with cancer. Results: Daytime sensor wear-time had 73% adherence. Participants perceived value in this support. Quantity and severity of "stress" events were higher in patients. Sleep disturbance was similar but for different reasons: patients (physical symptoms) and caregivers (worrying about the patient). Conclusions: EMAs are feasible and valued in community palliative care. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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