A5032986783- Telemedicine and Telehealth Implementation
- Cancer survivorship and care
- Mobile Health and mHealth Applications
- Social Media in Health Education
- Electronic Health Records Systems
- Health Literacy and Information Accessibility
- Medical Research and Treatments
- Healthcare Systems and Public Health
- Artificial Intelligence in Healthcare
- Economic and Financial Impacts of Cancer
- Social and Behavioral Studies
- Traditional Chinese Medicine Studies
- COVID-19 epidemiological studies
- Digital Mental Health Interventions
- Brain Tumor Detection and Classification
- AI in cancer detection
- Delphi Technique in Research
- Cancer-related cognitive impairment studies
- Wireless Body Area Networks
- Gastric Cancer Management and Outcomes
- Mental Health Research Topics
- SARS-CoV-2 and COVID-19 Research
- Cancer Treatment and Pharmacology
- BRCA gene mutations in cancer
- Global Cancer Incidence and Screening
University of South Alabama
2022-2024
USA Mitchell Cancer Institute
2022-2023
Despite evidence of clinical benefits, widespread implementation remote symptom monitoring has been limited. We describe a process adapting intervention developed in research setting to real-world at two cancer centers.
Remote symptom monitoring (RSM) using electronic patient-reported outcomes enables patients with cancer to communicate symptoms between in-person visits. A better understanding of key RSM implementation is crucial optimize efficiency and guide efforts. This analysis evaluated the association severity alerts time response by health care team.This secondary included women stage I-IV breast who received at a large academic medical center in Southeastern United States (October 2020-September...
325 Background: Remote symptom monitoring (RSM) utilizes electronic patient-reported outcomes (ePROs) to facilitate the and management of treatment-related symptoms outside traditional healthcare appointment settings. Research suggests benefits surrounding implementation RSM; however, there is a literature gap regarding patient provider perceptions its implemented use. Methods: This qualitative study included patients providers from University Alabama at Birmingham (UAB) Mitchell Cancer...
328 Background: Disparities in pain management for Black patients with cancer are well-documented, but less is known about other symptom clusters like gastrointestinal (GI), respiratory, and urinary symptoms. This study assessed racial disparities electronically reported among White enrolled a Remote Symptom Monitoring (RSM) program. Methods: Patients at the University of Alabama Birmingham (UAB) Mitchell Cancer Institute (MCI) symptoms weekly using Patient Reported Outcomes version Common...
138 Background: Black patients with cancer report higher pain intensity for both consistent and breakthrough pain. Remote symptom monitoring (RSM) using electronic patient-reported outcomes (ePROs) allows to communicate symptoms between visits. This study evaluated whether there were racial disparities in severity reporting among White utilizing RSM ePROs. Methods: retrospective analyzed data from 1453 undergoing treatment who utilized an platform the completion of weekly PRO-CTCAEs surveys...
250 Background: Electronic patient reported outcomes (ePROs) enable patients to report symptoms from treatment in real time using their mobile device. This analysis sought better understand the trajectory of via remote symptom monitoring (RSM) during for with lung cancer. Methods: We approached cancer initiating at Mitchell Cancer Institute (MCI) between March 2022-October 2023 participate an RSM program. Patients were eligible if they (chemotherapy, targeted therapy, or immunotherapy) first...
377 Background: Previous randomized controlled trials have demonstrated benefits to patients from remote symptom monitoring (RSM) with electronic patient-reported outcomes (ePROs) including healthcare utilization. However, less is known about the impact of RSM in diverse, real-world populations. Methods: This cross-sectional analysis a hybrid, type 2 implementation-effectiveness trial evaluated on utilization amongst cancer receiving chemotherapy, immunotherapy, monoclonal antibody, or...
203 Background: Technology is increasingly used to facilitate healthcare interactions. However, poor digital literacy has the potential create disparities amongst vulnerable populations. While health been well described, little known about barriers from varied perspectives of patients, providers, and community workers. Methods: This qualitative study explored among a convenience sample (1) patients (2) providers at two academic institutions participating in digitally delivered remote symptom...
421 Background: For successful remote symptom monitoring using patient-reported outcomes, nurses should respond to alerts in a timely fashion. Where clinical trials utilized research staff for alert management, the shift standard-of-care delivery necessitates that this responsibility be added as task an already strained nursing workforce. Little is known about strategies engage improve timeliness of management. Methods: In quality improvement initiative, we aimed closures generated by...
268 Background: Remote symptom monitoring (RSM) using patient-reported outcomes has been shown to reduce burden and hospitalizations in clinical trials. However, little is known about how willing patients are participate remote real-world settings, particularly for vulnerable patient populations. This study aims compare characteristics of cancer enrolled vs. who declined enrollment into RSM. Methods: prospective used data that assessed the Inclusion criteria included participants’ age ≥18...
441 Background: As remote symptom monitoring (RSM) using electronic patient-reported outcomes (ePROs) is increasingly implemented as part of standard-of-care, practices must be prepared to train diverse clinical teams. Little known about best for training multidisciplinary teams engage effectively with ePROs. Methods: This quality improvement initiative evaluated a approach RSM Plan Do Study Act (PDSA) cycles conducted in oncology at the University Alabama Birmingham (UAB). Multiple team...
379 Background: Within remote symptom monitoring (RSM) programs, nurses may respond to many alerts in a given day. The shift standard-of-care delivery necessitates adding this responsibility an already strained nursing workforce. Thus, selecting the right symptoms alert is critical and requires care minimize non-actionable alerts. Little known about strategies reduce burden on nursing. Methods: In quality improvement initiative, we aimed improve nurse’s perception of utility “noise” or that...
202 Background: As technological advances are developed and implemented in healthcare, cancer patients with low digital health literacy may be at increased risk of inequities. This study explored recommendations for improving related to electronic patient-reported outcome (ePRO) based remote symptom monitoring (RSM). Methods: qualitative study, conducted December 2021-May 2023, included (1) oncology providers from University Alabama Birmingham South Mitchell Cancer Institute participating...
340 Background: Remote symptom monitoring (RSM) by electronic patient-reported outcomes (ePRO) data can elicit actionable symptoms from patients with cancer. However, different cancer diagnoses are likely to have differing profiles and variability in alerts. To understand potential workflow needs, this analysis was conducted determine which types of severity alerts be expected based on type. Methods: Cancer initiating chemotherapy, immunotherapy, or targeted therapy at 2 academic centers...
345 Background: Use of electronic patient-reported outcome data allows patients to report symptoms in real time. This analysis aims better understand the trajectory for reported via Remote Symptom Monitoring (RSM) by receiving gastrointestinal (GI) cancer treatment. Methods: retrospective cohort study included initiating GI treatment (chemotherapy, targeted therapy, and immunotherapy) between August 2022 April 2023 at USA Health Mitchell Cancer Institute (MCI). Patients were eligible if they...
270 Background: Patients now have the ability to utilize electronic patient reported outcomes (ePROs) for remote symptom monitoring (RSM). This analysis seeks better understand trajectory of symptoms during treatment patients with gynecologic cancer participating in RSM. Methods: We approached gynecological initiating at Mitchell Cancer Institute (MCI) between 7/1/21-4/30/2022. were eligible if they starting chemotherapy, targeted therapy, or immunotherapy a new cancer. seeking second...
272 Background: Despite evidence of clinical benefits, widespread implementation remote symptom monitoring has been limited. We describe a process adapting intervention developed in research setting to real-world at two cancer centers. Methods: This formative evaluation assessed core components and adaptations improve acceptability fit using Stirman’s Framework for Modifications Adaptations. Implementation outcomes were evaluated pilot studies the centers testing technology (Phase I)...
341 Background: Remote symptom monitoring (RSM) using electronic patient reported outcomes (ePROs) allow for patients with cancer to communicate symptoms their clinical team between clinic visits. Prior randomized control trials of RSM focused on advanced cancer, and less data are available early stage cancers. The University Alabama at Birmingham (UAB) implemented (I-III) (IV) active treatment. This study evaluates nurses’ real-world response time alerts by varying severity stages. Methods:...
351 Background: One key challenge of practice transformation activities, such as remote symptom monitoring (RSM) using electronic patient reported outcomes (ePROs), is identification patients starting treatment. In real-world settings, reliance on referrals likely to miss patients. We describe the difficulties encountered in and subsequent changes implemented protocol remediate this. Methods: conducted two PDSA cycles focused engagement for RSM at Mitchel Cancer Institute (MCI). Target...