Evidence map›Paper›PMID 31769226›Full record

Trial reportCancer medicine2020

Outcomes of a randomized controlled trial assessing a smartphone Application to reduce unmet needs among people diagnosed with CancEr (ACE).

Patricia M Livingston, Leila Heckel, Liliana Orellana, David Ashley, Anna Ugalde, Mari Botti, Graham Pitson, Anne Woollett, Suzanne K Chambers, Phillip Parente and 10 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 2 countries.

Patricia M LivingstonFaculty of Health, Deakin University, Geelong, Vic., Australia.ORCID 0000-0001-6616-3839
Leila HeckelSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Vic., Australia.
Liliana OrellanaBiostatistics Unit, Faculty of Health, Deakin University, Geelong, Vic., Australia.
David AshleyDuke University School of Medicine, Durham, NC, USA.
Anna UgaldeSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Vic., Australia.ORCID 0000-0002-2473-8435
Mari BottiSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Vic., Australia.
Graham PitsonAndrew Love Cancer Centre, Barwon Health, University Hospital, Geelong, Vic., Australia.
Anne WoollettThe University of Melbourne, Medicine, Dentistry and Health Sciences, Melbourne, Vic., Australia.
Suzanne K ChambersFaculty of Health, University of Technology Sydney, Sydney, NSW, Australia.ORCID 0000-0003-2369-6111
Phillip ParenteFaculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Vic., Australia.
Jacqueline ChirgwinEastern Health, Department of Oncology, Box Hill, Vic., Australia.
Cathrine MihalopoulosFaculty of Health, School of Health and Social Development, Deakin University, Geelong, Vic., Australia.
Barbara LavelleFaculty of Health, Deakin University, Geelong, Vic., Australia.
Jennifer SuttonConsumer, Melbourne, Vic., Australia.
Jo Phipps-NelsonPeter MacCallum Cancer Centre, Melbourne, Vic., Australia.
Mei KrishnasamyThe University of Melbourne, Medicine, Dentistry and Health Sciences, Melbourne, Vic., Australia.
Katherine SimonsNorth Eastern Melbourne Integrated Cancer Service, Heidelberg, Vic., Australia.
Natalie HeynsberghSchool of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Vic., Australia.ORCID 0000-0002-1847-6862
Nilmini WickramasingheIverson Health Innovation Research Institute, Swinburne University, Hawthorn, Vic., Australia.
Vicki WhiteFaculty of Health, School of Psychology, Deakin University, Geelong, Vic., Australia.
Deakin University · AUEastern Health · AUThe University of Melbourne · AUBarwon Health · AUConsumers Union · USDuke University · USPaediatric Integrated Cancer Service · AUPeter MacCallum Cancer Centre · AUSwinburne University of Technology · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmartphone technology represents an opportunity to deliver practical solutions for people affected by cancer at a scale that was previously unimaginable, such as information, appointment monitoring, and improved access to cancer support services. This study aimed to determine whether a smartphone application (app) reduced the unmet needs among people newly diagnosed with cancer.

methodsA single blind, multisite randomized controlled trial to determine the impact of an app-based, 4-month intervention. Newly diagnosed cancer patients were approached at three health service treatment clinics.

resultsEighty-two people were randomized (intervention; n = 43 and control; n = 39), average age was 59.5 years (SD: 12.9); 71% female; 67% married or in a de facto relationship. At baseline, there were no differences in participants' characteristics between the groups. No significant effects, in reducing unmet needs, were demonstrated at the end of intervention (4-month) or 12-month follow-up. Overall, 94% used the app in weeks 1-4, which decreased to 41% in weeks 13-16. Mean app use time per participant: Cancer Information, 6.9 (SD: 18.9) minutes; Appointment Schedule, 5.1 (SD: 9.6) minutes; Cancer Services 1.5 minutes (SD: 6.8); Hospital Navigation, 1.4 (SD: 2.8) minutes.

conclusionsDespite consumer involvement in the design of this smartphone technology, the app did not reduce unmet needs. This may have been due to the study being underpowered. To contribute to a meaningful understanding and improved implementation of smartphone technology to support people affected by cancer, practical considerations, such as recruitment issues and access to, and confidence with, apps, need to be considered. Australian New Zealand Clinical Trials Registration (ACTRN) Trial Registration: 12616001251415; WEF 7/9/2016.

Indexed as

AustraliaCase-Control StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMobile ApplicationsNeoplasmsPrognosisSingle-Blind MethodSmartphoneTelemedicinecancer educationclinical cancer researchsmartphone technologytranslational research

Identifiers

PMID31769226
PMCPMC6970035
OpenAlexW2990467523

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.