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Digital Life Coaching During Stem Cell Transplantation: Development and Usability Study.

Rahul Banerjee1, Chiung-Yu Huang2, Lisa Dunn1

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This summary is machine-generated.

Digital life coaching (DLC) shows feasibility for multiple myeloma patients undergoing autologous stem cell transplantation (SCT). Most patients engaged with coaches, indicating potential for improved well-being during intensive cancer treatment.

Keywords:
cancerdigital healthdigital life coachingfeasibilityhigh-dose chemotherapylife coachingmobile phonemultiple myelomapatient engagementstem cell therapystem cell transplantation

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Area of Science:

  • Oncology
  • Digital Health
  • Patient Support

Background:

  • High-dose chemotherapy and autologous stem cell transplantation (SCT) for multiple myeloma can worsen quality of life (QOL) and increase distress.
  • Digital life coaching (DLC) improves QOL in SCT survivors but hasn't been studied during the acute peri-SCT period.
  • The peri-SCT period involves symptom exacerbations and hospitalization, posing challenges to patient well-being.

Purpose of the Study:

  • To investigate the feasibility of patient engagement with DLC during the intensive peri-SCT period for multiple myeloma.
  • To assess patient participation and adherence to virtual life coaching during high-dose chemotherapy and autologous SCT.

Main Methods:

  • A single-arm pilot study enrolled adult multiple myeloma patients undergoing autologous SCT.
  • Patients received 16 weeks of virtual access to a life coach starting pre-SCT.
  • Engagement was defined as bidirectional conversations every 4 weeks; secondary outcomes included QOL, distress, and sleep.

Main Results:

  • 17 out of 20 screened patients enrolled; 15 underwent SCT.
  • 73% of patients demonstrated ongoing DLC engagement, with frequent communication during hospitalization.
  • Patient-reported outcomes showed expected QOL decline post-SCT, with high distress levels before and after the procedure.

Conclusions:

  • DLC appears feasible for older multiple myeloma patients during intensive treatments like autologous SCT.
  • Limitations include small sample size and potential selection bias.
  • A larger randomized trial is warranted to confirm DLC's efficacy in improving patient well-being during SCT.