Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice

J. G. Timmerman*, M. G.H. Dekker-van Weering, M.M. Stuiver, Wim G. Groen, M.W.J.M. Wouters, T. M. Tönis, H. J. Hermens, M. M.R. Vollenbroek-Hutten

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

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    Abstract

    Purpose: The aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation. Methods: A two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated. Results: Seventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications. Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow. Conclusions: Ambulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation. Implications for cancer survivors: Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.

    Original languageEnglish
    Pages (from-to)720-731
    Number of pages12
    JournalJournal of cancer survivorship
    Volume11
    Issue number6
    DOIs
    Publication statusPublished - 1 Dec 2017

    Fingerprint

    Survivors
    Lung Neoplasms
    Outpatients
    Exercise
    Delivery of Health Care
    Physicians
    Workflow
    Physical Therapists
    Life Style
    Referral and Consultation
    Anxiety
    Technology
    Lung
    Neoplasms

    Keywords

    • Cancer survivorship
    • Feasibility
    • Implementation
    • Lung cancer
    • Rehabilitation
    • Telehealthcare

    Cite this

    @article{384458ae94434f979a7575180a09bf26,
    title = "Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors: actual use and feasibility in clinical practice",
    abstract = "Purpose: The aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation. Methods: A two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated. Results: Seventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications. Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow. Conclusions: Ambulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation. Implications for cancer survivors: Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.",
    keywords = "Cancer survivorship, Feasibility, Implementation, Lung cancer, Rehabilitation, Telehealthcare",
    author = "Timmerman, {J. G.} and {Dekker-van Weering}, {M. G.H.} and M.M. Stuiver and Groen, {Wim G.} and M.W.J.M. Wouters and T{\"o}nis, {T. M.} and Hermens, {H. J.} and Vollenbroek-Hutten, {M. M.R.}",
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    Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors : actual use and feasibility in clinical practice. / Timmerman, J. G.; Dekker-van Weering, M. G.H.; Stuiver, M.M.; Groen, Wim G.; Wouters, M.W.J.M.; Tönis, T. M.; Hermens, H. J.; Vollenbroek-Hutten, M. M.R.

    In: Journal of cancer survivorship, Vol. 11, No. 6, 01.12.2017, p. 720-731.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Ambulant monitoring and web-accessible home-based exercise program during outpatient follow-up for resected lung cancer survivors

    T2 - actual use and feasibility in clinical practice

    AU - Timmerman, J. G.

    AU - Dekker-van Weering, M. G.H.

    AU - Stuiver, M.M.

    AU - Groen, Wim G.

    AU - Wouters, M.W.J.M.

    AU - Tönis, T. M.

    AU - Hermens, H. J.

    AU - Vollenbroek-Hutten, M. M.R.

    N1 - Open Access Article

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    Y1 - 2017/12/1

    N2 - Purpose: The aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation. Methods: A two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated. Results: Seventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications. Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow. Conclusions: Ambulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation. Implications for cancer survivors: Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.

    AB - Purpose: The aim of this study is to evaluate the feasibility of a telehealthcare application for operable lung cancer (OLC) patients, consisting of ambulant symptom and physical activity monitoring (S&PAM) and a web-accessible home-based exercise program (WEP), and identify possible barriers for successful adoption and implementation. Methods: A two-stage mixed methods design was used, in which 22 OLC patients and their treating healthcare professionals (HCPs) participated from pre-surgery to three (stage 1; n = 10) or six (stage 2; n = 12) months post-surgery. Actual use and acceptability (usability, usefulness, and satisfaction) were evaluated. Results: Seventeen OLC patients (age (SD): 59 (8) years; 8 female) actively used the modules. S&PAM use varied from 1 to 11 monitoring days prior to outpatient consultations. Patients used WEP most frequently during the first 5 weeks, with an average of four logins a week. Fifty-eight percent used WEP beyond 7 weeks. No adverse situations occurred, and patients felt confident using the applications. Perceived added value included active lifestyle promotion, decreased anxiety, and accessibility to specialized HCPs. Physiotherapists used WEP as intended. Contrarily, physicians scarcely used information from S&PAM. To promote future adoption, strategies should focus on high-level patient tailoring of the technology, and formalization of including the applications in the clinical workflow. Conclusions: Ambulant monitoring and web-accessible home exercise is clinically feasible for OLC patients. However, low level of adoption by referring physicians may hamper successful implementation. Implications for cancer survivors: Patients perceived both ambulant monitoring and web-accessible exercise as an added value to regular care and feasible to use in the period before and after lung resection.

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    KW - Feasibility

    KW - Implementation

    KW - Lung cancer

    KW - Rehabilitation

    KW - Telehealthcare

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    U2 - 10.1007/s11764-017-0611-6

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