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Related Experiment Video

Updated: Jun 1, 2025

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Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability

Dominique Tremblay1, Thomas Joly-Mischlich2, Annick Dufour3

  • 1Nursing School, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.

JMIR Research Protocols
|January 20, 2025
PubMed
Summary

This study evaluates telehomecare monitoring (TM) for oral anticancer therapy, analyzing its effectiveness and implementation across diverse patient and site characteristics. Findings will guide equitable, province-wide TM integration.

Keywords:
anticancer oral therapyelectronic patient-reported experienceelectronic patient-reported outcomesevaluability studyimplementation.mixed methodsoncologytelehealthtelehomecare monitoringvirtual care

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Area of Science:

  • Oncology
  • Health Services Research
  • Digital Health

Background:

  • Telehomecare monitoring (TM) in cancer care presents varied benefits and challenges.
  • Understanding these variations is crucial for improving TM implementation and outcomes.

Purpose of the Study:

  • To concurrently analyze the implementation and effectiveness of TM for patients on oral anticancer therapy.
  • To contextualize TM implementation based on site, team, and patient characteristics.
  • To assess TM's effectiveness in capturing electronic patient-reported outcomes (ePROMs) and experiences (ePREMs), and to evaluate its acceptability and feasibility.

Main Methods:

  • A type II hybrid effectiveness-implementation study with a concurrent mixed methods design.
  • Utilizing evaluability assessment across 3 sites to evaluate TM implementation strategies.
  • Collecting quantitative ePROMs/ePREMs data and qualitative data from key informants using RE-AIM and PRISM frameworks.

Main Results:

  • A telehomecare monitoring platform was co-developed and configured with cancer care teams and patients.
  • Patient recruitment for ePROMs began in February 2024, with interviews commencing in November 2024.
  • Full data analysis is anticipated by September 2025.

Conclusions:

  • This study will elucidate the conditions under which TM can enhance cancer care models.
  • The evaluability assessment aims to address implementation complexities and ensure equitable patient impact.