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Symptom Patterns in Young Adults with Cancer: An App-Based Study
Giulia Locatelli1, Alessandro Pasta2, Line Bentsen3
1School of Nursing, Midwifery and Paramedicine - Faculty of Health Sciences, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy; Faculty of Health Sciences, Australian Catholic University, Fitzroy Victoria, Melbourne, Australia.
Young adults with cancer frequently experience mood disturbances and fatigue. A smartphone app revealed symptom clusters and showed that higher mood disturbance impacts activity levels, aiding tailored symptom management.
Area of Science:
- Oncology
- Digital Health
- Psycho-oncology
Background:
- Young adults with cancer face unique symptom burdens.
- Understanding symptom patterns is crucial for effective care.
- Smartphone technology offers novel data collection methods.
Purpose of the Study:
- Investigate symptom patterns in young adults with cancer.
- Explore symptom frequency, severity, and co-occurrence.
- Examine the relationship between symptoms and daily activities.
Main Methods:
- Utilized a smartphone app for data collection from 161 young adults with cancer.
- Employed descriptive statistics, k-means clustering, and association rule techniques.
- Applied mixed-effects logistic regression to analyze symptom-activity relationships.
Main Results:
- Mood disturbance and fatigue were the most reported and severe symptoms.
- Two patient clusters emerged based on overall symptom severity.
- Severe fatigue, appetite issues, and nausea frequently co-occurred.
- Increased mood disturbance correlated with reduced physical and social activity.
Conclusions:
- Smartphone-based symptom tracking provides valuable insights into young adult cancer patients' experiences.
- Identified distinct symptom clusters and co-occurrences.
- Demonstrated the impact of psychological symptoms on functional status.
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