Evidence map›Paper›PMID 33397321›Full record

ArticleBMC palliative care2021

Stakeholder perspectives and requirements to guide the development of digital technology for palliative cancer services: a multi-country, cross-sectional, qualitative study in Nigeria, Uganda and Zimbabwe.

Kennedy Bashan Nkhoma, Bassey Ebenso, David Akeju, Samuel Adejoh, Michael Bennett, Mike Chirenje, Adlight Dandadzi, Elizabeth Nabirye, Elizabeth Namukwaya, Eve Namisango and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Feasibility and Acceptability of mPallCareJMIR mHealth and uHealth · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. User Requirements for Comanaged Digital Health and Care: Review.Journal of medical Internet research · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

14 authors at 8 institutions in 4 countries.

Kennedy Bashan NkhomaFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK. kennedy.nkhoma@kcl.ac.uk.
Bassey EbensoNuffield Centre for International Health and Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
David AkejuDepartment of Sociology, University of Lagos, Lagos, Nigeria.
Samuel AdejohDepartment of Sociology, University of Lagos, Lagos, Nigeria.
Michael BennettAcademic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Mike ChirenjeClinical Trials Research Centre, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Adlight DandadziClinical Trials Research Centre, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Elizabeth NabiryeDepartment of Internal Medicine, Makerere University, Kampala, Uganda.
Elizabeth NamukwayaDepartment of Internal Medicine, Makerere University, Kampala, Uganda.
Eve NamisangoAfrican Palliative Care Association, Kampala, Uganda.
Kehinde OkunadeCollege of Medicine, University of Lagos, Lagos, Nigeria.
Omolola SalakoDepartment of Radiation Oncology, Lagos University Teaching Hospital, Lagos, Nigeria.
Richard HardingFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Matthew J AllsopAcademic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
University of Lagos · NGUniversity of Leeds · GBMakerere University · UGUniversity of Zimbabwe · ZWAfrican Palliative Care Association · UGCicely Saunders International · GBKing's College London · GBLagos University Teaching Hospital · NG

Funding

Medical Research Council MR/S014535/1Research England Quality-Related Global Challenges Research Fund QR GCRF
6 · The paper itself

Abstract

introductionCoverage of palliative care in low and middle-income countries is very limited, and global projections suggest large increases in need. Novel approaches are needed to achieve the palliative care goals of Universal Health Coverage. This study aimed to identify stakeholders' data and information needs and the role of digital technologies to improve access to and delivery of palliative care for people with advanced cancer in Nigeria, Uganda and Zimbabwe.

methodsWe conducted a multi-country cross-sectional qualitative study in sub-Saharan Africa. In-depth qualitative stakeholder interviews were conducted with N = 195 participants across Nigeria, Uganda and Zimbabwe (advanced cancer patients n = 62, informal caregivers n = 48, health care professionals n = 59, policymakers n = 26). Verbatim transcripts were subjected to deductive and inductive framework analysis to identify stakeholders needs and their preferences for digital technology in supporting the capture, transfer and use of patient-level data to improve delivery of palliative care.

resultsOur coding framework identified four main themes: i) acceptability of digital technology; ii) current context of technology use; iii) current vision for digital technology to support health and palliative care, and; iv) digital technologies for the generation, reporting and receipt of data. Digital heath is an acceptable approach, stakeholders support the use of secure data systems, and patients welcome improved communication with providers. There are varying preferences for how and when digital technologies should be utilised as part of palliative cancer care provision, including for increasing timely patient access to trained palliative care providers and the triaging of contact from patients.

conclusionWe identified design and practical challenges to optimise potential for success in developing digital health approaches to improve access to and enhance the delivery of palliative cancer care in Nigeria, Uganda and Zimbabwe. Synthesis of findings identified 15 requirements to guide the development of digital health approaches that can support the attainment of global health palliative care policy goals.

Indexed as

Administrative PersonnelBiomedical TechnologyCaregiversDigital TechnologyHealth PersonnelPalliative CareAdultAgedCross-Sectional StudiesData CollectionFemaleHealth Services Needs and DemandHumansMaleMiddle AgedNeoplasms

Identifiers

PMID33397321
PMCPMC7784352
OpenAlexW3118330922

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.