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Updated: Jun 14, 2025

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Evaluating the SEND eHealth Application to Improve Patients' Secure Message Writing.

Jordan M Alpert1, Tithi B Amin2, Zhang Zhongyue3

  • 1Center for Value-Based Care Research, Cleveland Clinic, 9500 Euclid Ave, Mail Code: G-10, Cleveland, OH, 44195, USA. alpertj@ccf.org.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
|September 2, 2024
PubMed
Summary

A new web application, SEND, helps cancer patients communicate better with doctors via secure messaging (SM). The tool enhances patient-clinician communication, leading to improved care and faster responses.

Keywords:
CommunicationEHealthPatient-centerednessSecure messaging

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Area of Science:

  • Oncology
  • Digital Health
  • Health Communication

Background:

  • Secure messaging (SM) is vital for cancer patient-clinician communication and symptom management.
  • Patients often need guidance on effectively phrasing messages for optimal communication.
  • Existing communication tools may not adequately address patient needs for message clarity.

Purpose of the Study:

  • To evaluate the engagement, satisfaction, acceptability, and appropriateness of the SEND application.
  • To assess the impact of a user-centered, web-based tool on patient-clinician communication in cancer care.
  • To determine if the SEND application empowers patients with effective message-writing techniques.

Main Methods:

  • A user-centered, web-based application (SEND) was developed with interactive tutorials and quizzes.
  • 101 patients with various cancer diagnoses used the SEND application.
  • Post-use surveys assessed patient experience regarding engagement, satisfaction, acceptability, and appropriateness.

Main Results:

  • 65% of patients engaged with the SEND application, with an average interaction time of 15 minutes.
  • High levels of satisfaction (90.4%), acceptability (85.4%), and appropriateness (88.6%) were reported.
  • No significant differences in outcomes were observed across demographic groups (age, sex, race, education).

Conclusions:

  • The SEND application shows potential as an eHealth intervention to enhance patient-clinician communication in oncology.
  • Empowering patients with effective messaging skills via SEND can improve the quality of secure messaging.
  • Improved SM quality may lead to quicker responses and more patient-centered care in cancer treatment.