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移动健康用于药物及副作用监测:肺癌治疗期间患者对用于管理口服化疗的智能设备的态度

mHealth for Medication and Side Effect Monitoring: Patients' Attitudes Toward Smart Devices for Managing Oral Chemotherapy During Lung Cancer Treatment.

作者信息

Baglione Anna N, Tolman Sarah, Dapaah Chloe, Johnson Danielle, Wells Kristen J, Hall Richard D, Gentzler Ryan D, Barnes Laura E

机构信息

University of Virginia, Charlottesville, VA, USA.

San Diego State University, San Diego, CA, USA.

出版信息

Int Conf Pervasive Comput Technol Healthc. 2023;488:570-583. doi: 10.1007/978-3-031-34586-9_38. Epub 2023 Jun 11.

Abstract

In recent years, new treatments have become available which have improved survival rates in lung cancer patients. One promising treatment option is the rapidly growing field of oral targeted therapies, which employs drugs that interfere with specific molecules involved in the growth, progression, and spread of cancer. However, these therapies can cause a variety of symptoms and adverse events that can impair quality of life. mHealth technologies may help individuals with lung cancer better track their side effects and manage medications on a day-to-day basis. However, understanding patients' attitudes toward smart devices such as smartphones, smartwatches, and smart pill bottles, as well as their specific needs when using these devices, is critical before design and deployment studies of medication adherence can be carried out. In this study, we conducted interviews with 9 individuals with stage III-IV lung cancer at a National Cancer Institute-designated comprehensive cancer center in the Mid-Atlantic region of the United States to assess the feasibility of using such devices for managing medication and medication related side-effects. We evaluated patients' attitudes towards the design and function of smart devices and how these devices fit into their daily life. Our results may help clinicians and researchers to co-develop effective mHealth system deployments for side effect and medication management in oncology populations.

摘要

近年来,出现了一些新的治疗方法,提高了肺癌患者的生存率。一种很有前景的治疗选择是迅速发展的口服靶向治疗领域,该领域使用的药物会干扰参与癌症生长、进展和扩散的特定分子。然而,这些治疗方法可能会导致各种症状和不良事件,从而损害生活质量。移动健康技术可能有助于肺癌患者更好地跟踪其副作用,并在日常生活中管理药物。然而,在开展药物依从性的设计和部署研究之前,了解患者对智能手机、智能手表和智能药瓶等智能设备的态度,以及他们使用这些设备时的具体需求至关重要。在本研究中,我们在美国中大西洋地区一家由美国国立癌症研究所指定的综合癌症中心,对9名III-IV期肺癌患者进行了访谈,以评估使用此类设备管理药物及药物相关副作用的可行性。我们评估了患者对智能设备设计和功能的态度,以及这些设备如何融入他们的日常生活。我们的研究结果可能有助于临床医生和研究人员共同开发有效的移动健康系统,用于肿瘤患者的副作用和药物管理。

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