在接受化疗的胃肠道癌症患者中进行症状控制的文本消息集成和聊天机器人接口的自我管理程序的可行性:试点混合方法研究:试点混合方法研究
Sameh Gomaa1, James Posey1, Babar Bashir1
1Department of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, United States.
JMIR formative research
|November 10, 2023
概括
这项研究表明,使用聊天机器人,实时化疗相关副作用监测支持系统 (RT-CAMSS) 的短信系统,改善了接受化疗的胃肠道癌症患者的患者激活.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者支持 患者支持
背景情况:
- 门诊化疗对胃肠道 (GI) 癌症患者来说是一个挑战,他们在家中管理副作用.
- 针对症状监测和管理的量身定制的,基于证据的内容在这个人群中未得到充分利用.
研究的目的:
- 将短信系统与聊天机器人接口集成,用于实时监测和主动管理肠胃癌患者的化疗副作用.
- 通过创新的数字健康解决方案,弥合门诊化疗护理的差距.
主要方法:
- 开发了实时化疗相关副作用监测支持系统 (RT-CAMSS),使用以患者为中心,基于证据的输入.
- 进行了为期2个月的试点研究,其中GI癌症患者每周三次收到量身定制的消息和每周的聊天机器人症状评估.
- 通过调查和采访收集基线和干预后数据.
主要成果:
- 在45名符合条件的胃肠道癌症患者中,有34人被录取 (76%的同意).
- 27名患者 (79%的保留率) 完成了这项研究;20人通过文本寻求额外的信息.
- 疲劳和神经病变是最常见的症状;参与患者显示显著改善患者激活度 (P=.02).
结论:
- 该RT-CAMSS干预证明了用户友好性,并为患者提供了有价值的信息.
- 移动技术为改善门诊化疗护理提供了可扩展的解决方案.
- 需要在受控临床试验中进行进一步评估.
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