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Enhancing Chemotherapy Adherence in Cancer Management: A Quasi-Experimental Trial of a Smartphone Application
Hari Prakash1, Sunil Kumar D1, Kiran Pk2
1Department of Community Medicine, JSS Medical College, JSSAHER, Mysuru, India.
Background:
Suboptimal adherence to chemotherapy regimens remains a significant challenge in cancer management, adversely impacting treatment outcomes and quality of life. This study aimed to develop and evaluate a user-centric mobile app intervention to promote adherence and enhance quality of life among cancer patients undergoing chemotherapy.
Methodology:
A quasi-experimental trial was conducted with 60 cancer patients undergoing chemotherapy, randomly assigned to an experimental group (n = 30) using the mobile app or a control group (n = 30) receiving standard care. Medication adherence was assessed using the Medication Adherence Measure Scale (MAMS), and quality of life was evaluated using the EORTC QLQ-C30 questionnaire at baseline and after one month of intervention.
Results:
At baseline, no significant differences between the groups were observed in adherence levels or quality of life measures. However, after one month, the experimental group demonstrated a significant improvement in medication adherence (mean MAMS score increase from 3.03 to 4.88, p = 0.012) and better scores in physical, role, emotional, and cognitive functioning domains compared to the control group (p < 0.05).
Conclusion:
The user-centric mobile app intervention showed potential efficacy in improving adherence to chemotherapy regimens and enhancing the specific quality of life domains among cancer patients.
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