Multi-Symptom Assessment and Support for Cancer Care

多症状评估和癌症护理支持

• 批准号: 6737417
• 负责人: RALPH J COBURN
• 金额: $ 10.69万
• 依托单位: INTERACTIVE PERFORMANCE TECHNOLOGIES
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-02-16 至 2005-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6737417
• 关键词: cancer rehabilitation /care; clinical research; computer assisted patient care; computer system design /evaluation; human subject; patient care; sign /symptom; telecommunications; telemedicine

DESCRIPTION (provided by applicant): Cancer patients commonly experience multiple symptoms and side effects due to their disease or the toxicities of treatment. Poorly controlled symptoms and side effects greatly impair patients' quality of life and ability to function; they may also interfere with patient compliance, limit dose intensities, and compromise clinical outcomes. This Phase I project evaluates the feasibility of Symptom FoneNet, an Internet-enabled, computer-automated telephone monitoring and severity alerting system that detects potential symptom problems early, alerts providers, and speeds intervention. We hypothesize that regular, computer-automated multi-symptom assessments and real-time symptom severity alerts will lead to improved symptom outcomes. Our specific aims in Phase I are to: 1. Assess nurses' and physicians' functional and usability needs, requirements, and preferences for incorporating Symptom FoneNet, a computer-automated multi-symptom symptom assessment and feedback alert system, into diverse community-based cancer care practices 2. Produce a working prototype of Symptom FoneNet, incorporating nurses' and physicians' requirements and preferences, for usability and acceptance testing with clinicians and patients 3. Evaluate cancer providers' ability and willingness to use the automated multi-symptom assessment and severity alerting system and to incorporate it into their community-based oncology practices 4. Evaluate cancer patients' ability and willingness to use the telephone-based system to self-report their cancer symptoms before, during, and after cancer therapy Phase I research will assess the usability and acceptance of Symptom FoneNet by patients and providers in community-based settings in Indiana, in collaboration with Community Cancer Care, Inc. (CCC). If feasibility is demonstrated in Phase I, we will complete product development and engineering and conduct a controlled field test in a Phase II study, also with CCC.

描述（由申请人提供）：癌症患者通常会因其疾病或治疗毒性而出现多种症状和副作用。控制不佳的症状和副作用极大地损害了患者的生活质量和功能;它们还可能干扰患者的依从性，限制剂量强度，并损害临床结局。这个第一阶段项目评估了Symptom FoneNet的可行性，这是一个支持互联网的计算机自动电话监测和严重程度警报系统，可以及早发现潜在的症状问题，提醒提供者并加快干预速度。我们假设，定期的，计算机自动化的多症状评估和实时症状严重程度警报将导致改善症状的结果。 我们在第一阶段的具体目标是： 1.评估护士和医生的功能和可用性需求，要求和偏好，将Symptom FoneNet（一种计算机自动化的多症状症状评估和反馈警报系统）纳入各种基于社区的癌症护理实践 2.制作Symptom FoneNet的工作原型，结合护士和医生的要求和偏好，用于临床医生和患者的可用性和验收测试 3.评估癌症提供者使用自动多症状评估和严重程度警报系统并将其纳入其社区肿瘤学实践的能力和意愿 4.评估癌症患者在癌症治疗之前、期间和之后使用基于电话的系统自我报告癌症症状的能力和意愿 第一阶段研究将与社区癌症护理公司合作，评估印第安纳州社区环境中患者和提供者对Symptom FoneNet的可用性和接受程度。（CCC）。如果可行性在第一阶段得到证明，我们将完成产品开发和工程，并在第二阶段研究中进行受控现场测试，也与CCC合作。