Jacqueline Vaughn, BSN, RN, CHSE, is a PhD candidate, Duke University School of Nursing, Durham, North Carolina. Ryan J. Shaw, PhD, RN, is Associate Professor, Duke University School of Nursing, Durham, North Carolina. Erika Summers-Goeckerman, MSN, RN, CPNP-AC, is Pediatric Blood and Marrow Transplant Nurse Practitioner, Hematology-Oncology Division, Duke Health, Durham, North Carolina. Nirmish Shah, MD, is Assistant Professor of Medicine, Hematology-Oncology Division, Duke Health, Durham, North Carolina.
Nurs Res. 2019 Jul/Aug;68(4):317-323. doi: 10.1097/NNR.0000000000000343.
Pediatric blood and marrow transplant (PBMT) patients experience significant symptom distress, and the use of mobile health (mHealth) technologies may enhance symptom management by providing patient-generated health data to foster personalized health strategies.
The aim of this study was to present a study protocol to explore feasibility, acceptability, and usability of integrating mHealth technologies to collect and monitor symptom data for PBMT patients.
An exploratory mixed-methods design is employed for 20 PBMT patients to monitor symptoms using real-time data from two mHealth devices: (a) a self-developed mHealth application and (b) a wearable tracking device. Patient-Reported Outcomes Measurement Information System surveys for fatigue, pain, and sleep disturbance are obtained monthly. Interviews are conducted to obtain further feasibility and usability data.
The study began in October 2017; data collection should be completed in 2018. Feasibility and usability results to monitor and record symptom-related data daily via mobile devices will be reported. Patient-Reported Outcomes Measurement Information System surveys and interviews will further explore patients' symptoms and experiences with the mobile devices.
This study will be among the first to explore the feasibility, acceptability, and usability of integrating multiple mHealth technologies to obtain patient-generated symptom data for the PBMT population. Results will enhance our understanding of how these data present, interact, and cluster together throughout the posttransplant period for these children and lead to symptom management strategies. Results will focus on a high-risk population that potentially stands to benefit from the use of mobile technologies.
儿科血液和骨髓移植（PBMT）患者会经历严重的症状困扰，而移动医疗（mHealth）技术的使用可以通过提供患者生成的健康数据来增强症状管理，从而促进个性化的健康策略。
本研究旨在介绍一个研究方案，以探索整合 mHealth 技术来收集和监测 PBMT 患者症状数据的可行性、可接受性和可用性。
采用探索性混合方法设计，对 20 名 PBMT 患者使用两种 mHealth 设备（a）自行开发的 mHealth 应用程序和（b）可穿戴跟踪设备来监测症状。每月获得患者报告的结果测量信息系统调查结果，用于疲劳、疼痛和睡眠障碍。进行访谈以获取进一步的可行性和可用性数据。
该研究于 2017 年 10 月开始；数据收集应在 2018 年完成。将报告通过移动设备每天监测和记录与症状相关的数据的可行性和可用性结果。患者报告的结果测量信息系统调查和访谈将进一步探讨患者的症状和对移动设备的体验。
这项研究将是第一个探索整合多种 mHealth 技术以获取 PBMT 人群患者生成的症状数据的可行性、可接受性和可用性的研究之一。结果将增强我们对这些数据在移植后期间如何呈现、相互作用和聚类的理解，从而为这些儿童的症状管理策略提供依据。结果将集中在一个高风险人群，他们可能受益于移动技术的使用。
