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Oral self-management of palbociclib (Ibrance®) using mobile technology protocol
Ann M Mazzella Ebstein1, Margaret Barton-Burke1, Venice Anthony2
1Office of Nursing Research, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Journal of Advanced Nursing
|November 27, 2020
Summary
This study explores using mobile technology for oral anticancer medication self-management in metastatic breast cancer patients. Text message reminders via smartphone improve patient adherence and satisfaction with cancer treatment.
Area of Science:
- Oncology
- Digital Health
- Patient Self-Management
Background:
- Oral anticancer medications are common but adherence can be challenging, impacting patient outcomes.
- Mobile technology offers a feasible platform for patient support and self-management in cancer care.
Purpose of the Study:
- To assess the feasibility and effectiveness of a mobile technology intervention for oral anticancer medication self-management.
- To evaluate patient and nurse satisfaction, acceptability, and usefulness of text message reminders.
Main Methods:
- A prospective, two-arm study randomized 220 metastatic breast cancer patients initiating palbociclib.
- The intervention group received unidirectional text message reminders via a secure web application on their smartphones.
- Data collected via surveys (quality of life, satisfaction) and nurse workload questionnaires; analyzed using intent-to-treat.
Main Results:
- Mobile technology interventions show promise in enhancing patient engagement with oral anticancer medication regimens.
- Text message reminders can improve medication self-management and patient satisfaction.
- The intervention is feasible, low-cost, and potentially improves nurse satisfaction in oncology care.
Conclusions:
- Mobile technology, specifically text messaging, is a viable tool to support oral anticancer medication adherence.
- This nurse-led intervention can empower patients in their cancer treatment and improve overall care experience.
- Further research can explore broader applications of digital health in oncology patient self-management.

