Nurse AMIE: Addressing Metastatic Individuals Everyday in Rural PA and WV
AMIE 护士:每天应对宾夕法尼亚州和西弗吉尼亚州农村地区的转移性个体
基本信息
- 批准号:10734909
- 负责人:
- 金额:$ 54.5万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-06-24 至 2026-04-30
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
Project Summary/Abstract
Individuals with cancer who live in rural settings experience worse outcomes as compared to those in urban
settings. Individuals in rural regions have difficulty accessing supportive care services due to travel
challenges, cost of services, and overall lack of available supportive care resources. The latter issue likely
contributes greatly to the urban/rural survival differences, given that multiple studies document that regularly
addressing patient symptoms has a survival benefit in the setting of advanced cancer. Technology may provide
solutions to overcome issues of rurality, however, little work has been done to specifically leverage technology-
based solutions to deliver high quality supportive care in rural settings. Our team has developed and pilot
tested a tablet-based symptom assessment and supportive care intervention called Nurse AMIE (Addressing
Metastatic Individuals Everyday) that was well received by patients with metastatic cancer, including a subset
of rural patients living in non-metropolitan counties (Rural Urban Continuum Code (RUCC) counties of 4 or
higher). Patients were provided a tablet and cellular data plan to allow them to answer symptom questions
daily, and an embedded personalized decision tree then offered evidence based self-care interventions to
address the self-reported symptom with a goal of improving overall health and well-being. A pedometer and
resistance band were also provided, given evidence that physical activity can assist with all four of the
symptoms addressed in Nurse AMIE (fatigue, sleep, distress, and pain). These four symptoms form the basis
of the psychoneurological symptom cluster that has been noted to be associated with quality of life and survival
in oncology patients. Nurse AMIE can conduct symptom assessment, track data, and provide interventions
offline if internet access is unavailable. Our preliminary evidence demonstrates acceptability and feasibility of
the tablet-based approach as our patients logged on 57% of intervention days. Furthermore, patients using
Nurse AMIE reported high patient satisfaction with the self-care system. Based on findings from the pilot, we
propose to add a weekly survey similar to that from prior research by Basch et al. and Denis et al. to expand
the symptom assessment aspect of the platform. We propose that this distance based supportive care
intervention (Nurse AMIE) will have significant effects on rural patients overall survival (primary outcome),
cancer treatment-related symptoms, function, and health related quality of life. We will focus our efforts on
N=344 underserved or low-income adult men and women living in non-metropolitan counties (RUCC codes 4-
9) that have low access to supportive care. This work will be carried out with the help of a strong community
advisory board, and guided by the PA and WV State Offices of Rural Health. We will enroll and randomize
patients to receive the Nurse AMIE supportive care intervention or usual care. Enrollment will occur at
regularly scheduled medical visits and the intervention will extend for the length of follow-up (2 years). We will
also examine the cost effectiveness of Nurse AMIE.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Kathryn H. Schmitz其他文献
Lifestyle Behaviors and Health-Related Quality of Life in Cancer Survivors: A Latent Class Analysis
癌症幸存者的生活方式行为和健康相关的生活质量:潜在类别分析
- DOI:
- 发表时间:
2023 - 期刊:
- 影响因子:4.2
- 作者:
J. Olson;David E. Conroy;Scherezade K. Mama;Kathryn H. Schmitz - 通讯作者:
Kathryn H. Schmitz
Exercise in cancer care for people with lung cancer: A narrative synthesis
肺癌患者癌症护理中的锻炼:叙述性综合
- DOI:
10.1016/j.jsams.2024.08.002 - 发表时间:
2025-01-01 - 期刊:
- 影响因子:3.400
- 作者:
Kellie Toohey;David Mizrahi;Nicolas H. Hart;Ben Singh;Pedro Lopez;Maddison Hunter;Robert U. Newton;Kathryn H. Schmitz;Diana Adams;Lara Edbrooke;Sandi Hayes - 通讯作者:
Sandi Hayes
Recruiting Participants for Neighborhood Effects Research
招募社区影响研究参与者
- DOI:
- 发表时间:
2009 - 期刊:
- 影响因子:0
- 作者:
J. Oakes;Ann Forsyth;Mary O. Hearst;Kathryn H. Schmitz - 通讯作者:
Kathryn H. Schmitz
A Precision Medicine Approach to Improve Cancer Rehabilitation’s Impact and Integration with Cancer Care and Optimize Patient Wellness
- DOI:
10.1007/s40141-017-0145-x - 发表时间:
2017-02-13 - 期刊:
- 影响因子:1.200
- 作者:
Catherine M. Alfano;David S. Zucker;Mackenzi Pergolotti;Kirsten K. Ness;Lee W. Jones;Nathan D. Price;Kathryn H. Schmitz;Jennifer A. Ligibel - 通讯作者:
Jennifer A. Ligibel
Exercise effects on symptoms of depression and anxiety vary by patient, clinical, and intervention characteristics in cancer survivors: Results from pooled analyses of individual participant data of 26 RCTs
- DOI:
10.1007/s00520-025-09646-9 - 发表时间:
2025-07-01 - 期刊:
- 影响因子:3.000
- 作者:
Marlou-Floor Kenkhuis;Meike Doorenbos;Isa H. Mast;Neil K. Aaronson;Marc van Beurden;Martin Bohus;Kerry S. Courneya;Amanda J. Daley;Daniel A. Galvão;Martine M. Goedendorp;Wim H. van Harten;Sandi C. Hayes;Anouk E. Hiensch;Melinda L. Irwin;Marie José Kersten;Hans Knoop;Anne M. May;Alex McConnachie;Willem van Mechelen;Nanette Mutrie;Robert U. Newton;Frans Nollet;Hester S. Oldenburg;Martina E. Schmidt;Kathryn H. Schmitz;Karl-Heinz Schulz;Gabe S. Sonke;Karen Steindorf;Martijn M. Stuiver;Dennis R. Taaffe;Lene Thorsen;Miranda J. Velthuis;Joachim Wiskemann;Ilse Mesters;Cornelia M. Ulrich;Jonna K. van Vulpen;Jose A. E. Custers;Laurien M. Buffart - 通讯作者:
Laurien M. Buffart
Kathryn H. Schmitz的其他文献
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{{ truncateString('Kathryn H. Schmitz', 18)}}的其他基金
Nurse AMIE: Addressing Metastatic Individuals Everyday in Rural PA and WV
AMIE 护士:每天应对宾夕法尼亚州和西弗吉尼亚州农村地区的转移性个体
- 批准号:
10615804 - 财政年份:2021
- 资助金额:
$ 54.5万 - 项目类别:
Nurse AMIE: Addressing Metastatic Individuals Everyday in Rural PA and WV
AMIE 护士:每天应对宾夕法尼亚州和西弗吉尼亚州农村地区的转移性个体
- 批准号:
10437588 - 财政年份:2021
- 资助金额:
$ 54.5万 - 项目类别:
The COURAGE Trial: Colon Recurrence and Aerobic Exercise: A Feasibility Study
COURAGE 试验:结肠复发和有氧运动:可行性研究
- 批准号:
8867184 - 财政年份:2014
- 资助金额:
$ 54.5万 - 项目类别:
The Women In Steady Exercise Research (WISER) SurwVor Trial
女性稳定运动研究 (WISER) SurwVor 试验
- 批准号:
8072522 - 财政年份:2011
- 资助金额:
$ 54.5万 - 项目类别:
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Nurse AMIE: Addressing Metastatic Individuals Everyday in Rural PA and WV
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- 批准号:
10615804 - 财政年份:2021
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