Evidence map›Paper›PMID 34873450›Full record

ArticleDigital health

The multidisciplinary, theory-based co-design of a new digital health intervention supporting the care of oesophageal cancer patients.

Kristi Sun, Henry Goodfellow, Emmanouela Konstantara, Alison Hill, Debby Lennard, Elizabeth Lloyd-Dehler, Muntzer Mughal, Kathy Pritchard-Jones, Chris Robson, Elizabeth Murray

Open access · goldAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Co-Designing a Digital Stroke Prevention Platform: Leveraging Lived Experience and Expert Advice.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Nutrition management by a multidisciplinary team for prevention of nutritional deficits and morbidity following esophagectomy.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2023
    Article
  11. 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

10 authors at 3 institutions in 1 country.

Kristi SunResearch Department of Primary Care and Population Health, University College London, UK.ORCID https://orcid.org/0000-0002-3571-1684
Henry GoodfellowResearch Department of Primary Care and Population Health, University College London, UK.ORCID https://orcid.org/0000-0002-0979-2839
Emmanouela KonstantaraResearch Department of Primary Care and Population Health, University College London, UK.ORCID https://orcid.org/0000-0002-7205-285X
Alison HillUniversity College London Hospital, UK.
Debby LennardResearch Department of Primary Care and Population Health, University College London, UK.
Elizabeth Lloyd-DehlerResearch Department of Primary Care and Population Health, University College London, UK.
Muntzer MughalUniversity College London Hospital, UK.
Kathy Pritchard-JonesNorth Central and East London Cancer Alliance, University College London Hospitals NHS Foundation Trust, UK.
Chris RobsonResearch Department of Primary Care and Population Health, University College London, UK.
Elizabeth MurrayResearch Department of Primary Care and Population Health, University College London, UK.
University College London · GBUniversity College Hospital · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOesophageal cancer patients have complex care needs. Cancer clinical nurse specialists play a key role in coordinating their care but often have heavy workloads. Digital health interventions can improve patient care but there are few examples for oesophageal cancer. This paper aims to describe the multidisciplinary co-design process of a digital health intervention to improve the experience of care and reduce unmet needs among patients with oesophageal cancer.

methodsA theory-based, multi-disciplinary, co-design approach was used to inform the developmental process of the digital health intervention. Key user needs were elicited using mixed methodology from systematic reviews, focus groups and interviews and holistic need assessments. Overarching decisions were discussed among a core team of patients, carers, health care professionals including oncologists and cancer clinical nurse specialists, researchers and digital health providers. A series of workshops incorporating a summary of findings of key user needs resulted in the development of a minimum viable product. This was further refined after a pilot study based on feedback from end users.

resultsThe final digital health intervention consists of a mobile app feature for patients and carers connected to a dashboard with supporting additional features for clinical nurse specialist. It contains a one-way messaging function for clinical nurse specialists to communicate with patients, functions for patients to record weight and holistic need assessment results which could be viewed by their clinical nurse specialists as well as a library of informative articles.

conclusionsThe multidisciplinary co-design of a digital health intervention providing support for oesophageal cancer patients and health care professionals has been described. Future studies to establish its impact on patient outcomes are planned.

Indexed as

cancerdigitalDigital health Generaldiseasegastroenterologygeneralmedicineoncologytechnology

Identifiers

PMID34873450
PMCPMC8642779
OpenAlexW3202773565

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.