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Co-created Mobile Apps for Palliative Care Using Community-Partnered Participatory Research: Development and
Jafar Al-Mondhiry1, Sarah D'Ambruoso2, Christopher Pietras3
1Division of Medical Oncology, Department of Medicine, University of Southern California, Keck School of Medicine, Los Angeles, CA, United States.
This study co-designed a mobile app for advanced cancer palliative care using community input. The app supports patient advocacy, information access, communication, and symptom management, showing feasibility for innovation.
Area of Science:
- Digital Health
- Oncology
- Palliative Care
Background:
- Palliative care for advanced cancer patients necessitates intensive monitoring and support, highlighting a critical need for innovative solutions.
- Open design formats and mobile applications can facilitate direct, co-creative solutions by engaging clinicians and stakeholders.
Purpose of the Study:
- To co-design and pretest a mobile application tailored to the palliative care priorities of clinicians and patients with advanced cancer.
- Utilize community-partnered participatory research methods to ensure the app addresses real-world needs.
Main Methods:
- Conducted workshops with patients, families, clinicians, and researchers using in-person and teleconference formats.
- Employed semistructured interviews, group discussions, and written feedback to identify core palliative care needs.
- Co-designed the mobile app prototype, 'My Wellness App,' using the no-code platform Chorus and conducted a pretest with 11 patients.
Main Results:
- Identified key themes: patient advocacy, access to vetted information, enhanced patient-clinician communication, and symptom management.
- The 'My Wellness App' prototype includes a wellness journal, self-management resources, community links, and testimonial videos.
- Pretesting revealed value in app-based communication, with suggestions for UI/UX improvements, symptom reporting, and engagement strategies.
Conclusions:
- Mobile app development via community-partnered participatory research offers a feasible, low-technology intervention for palliative care.
- Iterative redesign and user interface expertise are recommended for optimizing implementation and patient engagement.
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