Evidence map›Paper›PMID 37415085›Full record

ArticlePediatric blood & cancer2023

A novel mobile health application to support cancer surveillance needs of patients and families with cancer predisposition syndromes.

Santiago J Arconada Alvarez, Bojana Pencheva, Eleanor Westfall, Comfort Mwalija, Maren Parsell, Morgan Greenleaf, Christopher C Porter, Wilbur A Lam, Robert G Mannino, Sarah G Mitchell

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Santiago J Arconada AlvarezEmory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-0737-6679
Bojana PenchevaAflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Eleanor WestfallAflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Comfort MwalijaAppHatchery, Georgia Clinical and Translational Science Alliance, Atlanta, Georgia, USA.
Maren ParsellEmory University School of Medicine, Atlanta, Georgia, USA.
Morgan GreenleafEmory University School of Medicine, Atlanta, Georgia, USA.
Christopher C PorterAflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID 0000-0001-8774-0180
Wilbur A LamAppHatchery, Georgia Clinical and Translational Science Alliance, Atlanta, Georgia, USA.ORCID 0000-0002-0325-7990
Robert G ManninoEmory University School of Medicine, Atlanta, Georgia, USA.
Sarah G MitchellAflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.ORCID 0000-0003-1656-2799

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundAt least 5%-10% of malignancies occur secondary to an underlying cancer predisposition syndrome (CPS). For these families, cancer surveillance is recommended with the goal of identifying malignancy earlier, in a presumably more curable form. Surveillance protocols, including imaging studies, bloodwork, and procedures, can be complex and differ based on age, gender, and syndrome, which adversely affect adherence. Mobile health (mHealth) applications (apps) have been utilized in oncology and could help to facilitate adherence to cancer surveillance protocols.

methodsApplying a user-centered mobile app design approach, patients with a CPS and/or primary caregivers were interviewed to identify current methods for care management and barriers to compliance with recommended surveillance protocols. Broad themes from these interviews informed the design of the mobile app, HomeTown, which was subsequently evaluated by usability experts. The design was then converted into software code in phases, evaluated by patients and caregivers in an iterative fashion. User population growth and app usage data were assessed.

resultsCommon themes identified included general distress surrounding surveillance protocol scheduling and results, difficulty remembering medical history, assembling a care team, and seeking resources for self-education. These themes were translated into specific functional app features, including push reminders, syndrome-specific surveillance recommendations, ability to annotate visits and results, storage of medical histories, and links to reliable educational resources.

conclusionsFamilies with CPS demonstrate a desire for mHealth tools to facilitate adherence to cancer surveillance protocols, reduce related distress, relay medical information, and provide educational resources. HomeTown may be a useful tool for engaging this patient population.

Indexed as

Mobile ApplicationsNeoplasmsTelemedicineDisease SusceptibilityHumansMedical OncologySyndromecancer surveillancemHealthpediatric cancer predispositionuser-centered design

Identifiers

PMID37415085
PMCPMC11075126

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Registered trials

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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.