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Cardiovascular Symptom Tracking Among Patients With Cancer in Cardio-Oncology Care: Qualitative Study Using the
Roberto M Benzo1,2, Macy K Tetrick1, Rujul Singh1,3
1Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, 3650 Olentangy River Rd, Columbus, OH, United States, 1 614-366-4641.
JMIR Cancer
|July 23, 2026
Summary
Tracking cardiovascular symptoms during cancer treatment is complex for patients and medical teams. Understanding behavioral factors is key to improving monitoring and patient care in cardio-oncology.
Area of Science:
- Cardio-oncology
- Behavioral Science
- Digital Health
Background:
- Cardiovascular disease is a major cause of mortality in cancer survivors.
- Cancer therapies can cause cardiotoxicity, increasing cardiovascular risk.
- Effective cardiovascular symptom tracking is challenging in clinical settings.
Purpose of the Study:
- To identify barriers and facilitators for cardiovascular symptom tracking in cancer patients.
- To explore these factors using the Capability, Opportunity, Motivation-Behavior (COM-B) framework.
- To inform the development of better monitoring strategies in cardio-oncology.
Main Methods:
- Qualitative descriptive study with 12 cancer patients and 12 healthcare professionals.
- Semistructured interviews exploring perceptions of cardiovascular symptom tracking.
- Data analyzed using rapid qualitative analysis and mapped to COM-B domains.
Main Results:
- Cardiovascular symptom tracking is viewed as a shared responsibility.
- Barriers include uncertainty about symptoms, time pressures, and communication issues.
- Facilitators include perceived benefits and interest in integrated digital tools.
Conclusions:
- Behavioral and contextual factors significantly impact cardiovascular symptom tracking.
- Digital health tools should prioritize clear guidance, workflow integration, and actionable insights.
- Understanding these determinants is crucial for effective cardio-oncology monitoring.
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