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Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study.

Publication ,  Journal Article
Vaughn, J; Gollarahalli, S; Shaw, RJ; Docherty, S; Yang, Q; Malhotra, C; Summers-Goeckerman, E; Shah, N
Published in: Nurs Res
2020

BACKGROUND: Pediatric blood and marrow transplant (PBMT) patients experience significant symptom distress. Mobile health (mHealth) technologies can be leveraged to improve understanding of the patient's symptom experience by providing continuous, real-time, in situ, patient-generated symptom data. This rich data stream can subsequently enhance symptom management strategies. However, limited research has been conducted in this area. OBJECTIVES: This pilot study seeks to (a) explore the feasibility of integrating mHealth technologies to monitor symptom data for PBMT patients and (b) evaluate the study design, measures, and procedures. METHODS: An exploratory longitudinal design was employed to assess the feasibility of monitoring 10 PBMT patients' symptoms using data from two mHealth technologies: (a) a smartphone mHealth application (app) to collect symptom data and (b) a wearable tracking device (Apple watch) to collect physiological data. Feasibility was measured as usability and acceptability. Monthly patient interviews and an end-of-study feasibility survey were employed and analyzed to further understand reasons for sustained interest in and attrition from the study. RESULTS: Overall usability of the wearable was 51%, and app was 56%. Children reported devices were easy to use and acceptable. The study demonstrated acceptability with an enrollment rate of 83% and an attrition rate of 30%, with 70% of the children remaining in the study for at least 40 days. DISCUSSION: This pilot study is among the first to explore the feasibility of using mobile technologies to longitudinally obtain patient-generated symptom data to enhance understanding of the PBMT symptom experience. In addition, it will improve our understanding of how these data present, interact, and cluster together throughout the posttransplant period.

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Published In

Nurs Res

DOI

EISSN

1538-9847

Publication Date

2020

Volume

69

Issue

2

Start / End Page

142 / 148

Location

United States

Related Subject Headings

  • Wearable Electronic Devices
  • Transplants
  • Telemedicine
  • Symptom Assessment
  • Surveys and Questionnaires
  • Smartphone
  • Pilot Projects
  • Pediatrics
  • Patient Compliance
  • Nursing
 

Citation

APA
Chicago
ICMJE
MLA
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Vaughn, J., Gollarahalli, S., Shaw, R. J., Docherty, S., Yang, Q., Malhotra, C., … Shah, N. (2020). Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study. Nurs Res, 69(2), 142–148. https://doi.org/10.1097/NNR.0000000000000403
Vaughn, Jacqueline, Siddharth Gollarahalli, Ryan J. Shaw, Sharron Docherty, Qing Yang, Chandni Malhotra, Erika Summers-Goeckerman, and Nirmish Shah. “Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study.Nurs Res 69, no. 2 (2020): 142–48. https://doi.org/10.1097/NNR.0000000000000403.
Vaughn J, Gollarahalli S, Shaw RJ, Docherty S, Yang Q, Malhotra C, et al. Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study. Nurs Res. 2020;69(2):142–8.
Vaughn, Jacqueline, et al. “Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study.Nurs Res, vol. 69, no. 2, 2020, pp. 142–48. Pubmed, doi:10.1097/NNR.0000000000000403.
Vaughn J, Gollarahalli S, Shaw RJ, Docherty S, Yang Q, Malhotra C, Summers-Goeckerman E, Shah N. Mobile Health Technology for Pediatric Symptom Monitoring: A Feasibility Study. Nurs Res. 2020;69(2):142–148.

Published In

Nurs Res

DOI

EISSN

1538-9847

Publication Date

2020

Volume

69

Issue

2

Start / End Page

142 / 148

Location

United States

Related Subject Headings

  • Wearable Electronic Devices
  • Transplants
  • Telemedicine
  • Symptom Assessment
  • Surveys and Questionnaires
  • Smartphone
  • Pilot Projects
  • Pediatrics
  • Patient Compliance
  • Nursing