Patient and Provider Perspectives on Symptom Monitoring During Outpatient Chemotherapy: Interview Study

Area of Science:

• Oncology
• Digital Health
• Patient Experience

Background:

• Symptom monitoring during outpatient cancer treatment is inconsistent.
• Current methods for managing chemotherapy side effects vary widely.
• Understanding patient and provider needs is crucial for designing effective remote monitoring systems.

Purpose of the Study:

• To explore patient and provider perspectives on chemotherapy symptom monitoring.
• To identify barriers to effective symptom monitoring.
• To assess the potential of remote symptom monitoring between visits.

Main Methods:

• Semistructured interviews with 15 patients undergoing chemotherapy and 7 oncology providers.
• Thematic analysis of interview transcripts.
• Study conducted at a National Cancer Institute-Designated Comprehensive Cancer Center.

Main Results:

• Asynchronous symptom tracking and communication limitations were identified.
• Variability in symptom reporting and memory issues during chemotherapy pose challenges.
• Real-time remote monitoring offers potential for improved communication and temporal data insights.

Conclusions:

• Asynchronous, phone-dependent symptom monitoring presents significant challenges.
• Remote monitoring can enhance patient-provider communication and clinical decision-making.
• Systematic remote symptom monitoring can better prepare patients for chemotherapy cycles.