Effect of Fitbit and iPad Wearable Technology in Health-Related Quality of Life in Adolescent and Young Adult Cancer Patients.
Effect of Fitbit and iPad Wearable Technology in Health-Related Quality of Life in Adolescent and Young Adult Cancer Patients.
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Fitbit 和 iPad 可穿戴技术对青少年癌症患者健康相关生活质量的影响。
DOI：
10.1089/jayao.2018.0022
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发表时间：
2018
影响因子：
2
通讯作者：
Tamara J. Dunn
中科院分区：
文献类型：
--
作者：
Ilana R Yurkiewicz;Pamela J Simon;M. Liedtke;Gary Dahl;Tamara J. Dunn
目的
患有癌症的青少年和年轻成人（AYA）患者面临着疲劳，体力活动减少和社会孤立方面的重大挑战，这可能会对生活质量产生负面影响。本研究调查了使用数字可穿戴技术（Fitbits，沿着同步iPad）是否会影响AYA老年癌症患者的健康相关生活质量（HRQOL）。
材料和方法
这是一项前瞻性队列研究，在癌症诊断时，在学术医疗中心为所有15至29岁的AYA患者提供Fitbits和iPad。患者完成了由兰德（兰德-36）开发的简明健康调查表，在进入研究时和6个月随访或治疗结束时（以先发生者为准）评估HRQOL的8个维度。在随访时，患者还完成了一份评估用户体验的问卷，包括可穿戴设备使用频率、享受、挑战和在线社区的参与。
结果
33名患者参加了这项研究。大多数患者表示喜欢数字技术，并使用这些设备来跟踪他们健康的多个方面（85%）。大多数人还报告了身体活动的主观增加（79%）。干预后，参与者在兰德-36测量的HRQOL的所有八个维度上都表现出显著改善（p < 0.00至0.01）。
结论
在诊断时分发可穿戴技术可能为改善青少年和年轻癌症患者的HRQOL提供一种途径。
PURPOSE
Adolescent and young adult (AYA) patients with cancer face significant challenges with regard to fatigue, reduced physical activity, and social isolation, which may negatively impact quality of life. This study investigated whether the use of digital wearable technology (Fitbits, along with synced iPads) can affect health-related quality of life (HRQOL) in AYA aged patients with cancer.
MATERIALS AND METHODS
This was a prospective cohort study that offered Fitbits and iPads to all AYA patients aged 15 to 29 at an academic medical center at the time of cancer diagnosis. Patients completed the Short Form Health Survey developed by RAND (RAND-36) assessing eight dimensions of HRQOL on entering the study and at the time of their 6-month follow-up or the end of treatment, whichever occurred first. At the time of follow-up, patients also completed a questionnaire that assessed user experience, including frequency of wearable device use, enjoyment, challenges, and participation, in online communities.
RESULTS
Thirty-three patients participated in the study. Most patients reported enjoying the digital technology and using the devices to track multiple aspects of their health (85%). Most also reported a subjective increase in physical activity (79%). After the intervention, participants demonstrated significant improvements across all eight dimensions of HRQOL measured by the RAND-36 (p < 0.00 to 0.01).
CONCLUSION
Distributing wearable technology at the time of diagnosis may provide an avenue for improving HRQOL in adolescents and young adults with cancer.