Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation

Josien Timmerman, Thijs Tönis, Marit van Weering, Martijn M. Stuiver, Michel W.J.M. Wouters, Willem H. van Harten, Hermanus J. Hermens, Miriam Marie Rosé Vollenbroek-Hutten

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Abstract

Background Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). Methods A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. Results The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35–95) was rated acceptable. Conclusions A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.
Original languageEnglish
Article number155
Pages (from-to)1-11
Number of pages11
JournalBMC health services research
Volume16
Issue number1
DOIs
Publication statusPublished - 27 Apr 2016

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Survivors
Lung Neoplasms
Rehabilitation
Communication
Technology
Delivery of Health Care
Neoplasms
Physical Fitness
Interviews
Exercise
Lung
Telemedicine
Quality of Health Care
Focus Groups
Health Status
Compliance
Survival Rate
Quality of Life

Keywords

  • EWI-27734
  • BSS-Technology supported cognitive training
  • Lung cancer
  • Cancer survivorship
  • Rehabilitation
  • Telehealthcare
  • IR-103988
  • User-centered design approach

Cite this

@article{153c2105f4f440369de4032a267b5f3d,
title = "Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation",
abstract = "Background Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). Methods A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. Results The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 {\%} of LC patients and 78 {\%} of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35–95) was rated acceptable. Conclusions A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.",
keywords = "EWI-27734, BSS-Technology supported cognitive training, Lung cancer, Cancer survivorship, Rehabilitation, Telehealthcare, IR-103988, User-centered design approach",
author = "Josien Timmerman and Thijs T{\"o}nis and {van Weering}, Marit and Stuiver, {Martijn M.} and Wouters, {Michel W.J.M.} and {van Harten}, {Willem H.} and Hermens, {Hermanus J.} and Vollenbroek-Hutten, {Miriam Marie Ros{\'e}}",
year = "2016",
month = "4",
day = "27",
doi = "10.1186/s12913-016-1385-7",
language = "English",
volume = "16",
pages = "1--11",
journal = "BMC health services research",
issn = "1472-6963",
publisher = "BioMed Central Ltd.",
number = "1",

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Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors : design and evaluation. / Timmerman, Josien; Tönis, Thijs; van Weering, Marit; Stuiver, Martijn M.; Wouters, Michel W.J.M.; van Harten, Willem H.; Hermens, Hermanus J.; Vollenbroek-Hutten, Miriam Marie Rosé.

In: BMC health services research, Vol. 16, No. 1, 155, 27.04.2016, p. 1-11.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors

T2 - design and evaluation

AU - Timmerman, Josien

AU - Tönis, Thijs

AU - van Weering, Marit

AU - Stuiver, Martijn M.

AU - Wouters, Michel W.J.M.

AU - van Harten, Willem H.

AU - Hermens, Hermanus J.

AU - Vollenbroek-Hutten, Miriam Marie Rosé

PY - 2016/4/27

Y1 - 2016/4/27

N2 - Background Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). Methods A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. Results The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35–95) was rated acceptable. Conclusions A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.

AB - Background Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). Methods A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. Results The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35–95) was rated acceptable. Conclusions A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.

KW - EWI-27734

KW - BSS-Technology supported cognitive training

KW - Lung cancer

KW - Cancer survivorship

KW - Rehabilitation

KW - Telehealthcare

KW - IR-103988

KW - User-centered design approach

U2 - 10.1186/s12913-016-1385-7

DO - 10.1186/s12913-016-1385-7

M3 - Article

VL - 16

SP - 1

EP - 11

JO - BMC health services research

JF - BMC health services research

SN - 1472-6963

IS - 1

M1 - 155

ER -