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Gynecological Cancer Survivors' Experiences Using a Supportive Care Application During Posttreatment Follow-up: A
Zaklina Tarabar1, Ingvild Vistad, Elin Børøsund
1Author Affiliations: Sorlandet Hospital (Mrs Tarabar and Dr Vistad), Kristiansand; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo (Mrs Tarabar and Dr Vistad); Department of Digital Health Research, Division of Medicine, Oslo University Hospital (Dr Børøsund); and Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway (Dr Børøsund), Drammen, Norway.
Background:
Gynecological cancer survivors often report unmet needs during follow-up, highlighting the necessity for innovative support approaches. Mobile health technologies, including smartphone applications, offer promising solutions to meet the needs of survivors and support them through follow-up. However, there is limited knowledge regarding cancer survivors' experiences with these technologies as part of posttreatment follow-up.
Objective:
The aim of this study was to explore the experiences of gynecological cancer survivors using the Lifestyle Empowerment Techniques in Survivorship of Gynecologic Oncology (LETSGO) app as a supportive care tool for symptom self-assessment, physical activity goal setting, and encouraging a healthier lifestyle during follow-up.
Methods:
A qualitative exploratory design was employed using individual semistructured interviews with 20 women at 5 Norwegian hospitals who had access to the LETSGO app during follow-up. Data were analyzed using Braun and Clark's thematic analysis approach.
Results:
The LETSGO app contributed to an increased sense of safety by facilitating symptom monitoring and offering easy access to healthcare providers. It also motivated survivors to adopt a healthier lifestyle, including physical activity, and offered valuable, easily accessible, evidence-based knowledge, as described in the main themes: feeling safe, motivation for adopting a healthier lifestyle, and fostering health engagement through knowledge.
Conclusions:
The findings suggest that gynecological cancer survivors experienced the LETSGO app as a supportive tool in managing their health by enhancing safety, encouraging healthier lifestyle behaviors, and providing relevant, evidence-based knowledge.
Implications For Practice:
Integrating lifestyle and empowerment applications, such as the LETSGO app, into routine survivorship care could contribute to addressing the unmet needs of gynecological cancer survivors and enhance patient-centered follow-up support.
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