Evidence map›Paper›PMID 39626227›Full record

Trial reportJournal of medical Internet research2024

Patients' and Clinicians' Experiences Using a Real-Time Remote Monitoring System for Chemotherapy Symptom Management (ASyMS): Qualitative Study.

Lisa McCann, Liane Lewis, Olubukola Oduntan, Jenny Harris, Andrew Darley, Geir V Berg, Simone Lubowitzki, Katy Cheevers, Morven Miller, Jo Armes and 17 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02356081 (eSMART), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT02356081 nacompletednot on this map

eSMART: Randomised Controlled Trial to Evaluate Electronic Symptom Management Using the Advanced Symptom Management System (ASyMS) Remote Technology for Patients With Cancers

TypeinterventionalSponsorLouise McKeanRan2015 to 2019Enrolled829ConditionsCancerArmsASyMS intervention Group
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Patient and staff experiences with an EHR-Integrated Symptom Management Program (eSyM) in oncology.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

27 authors.

Lisa McCannDigital Health and Wellness Group (DHaWG), Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.ORCID 0000-0002-5322-5778
Liane LewisUniversity Hospital Jena, Jena, Germany.ORCID 0000-0002-6227-9292
Olubukola OduntanORCID 0000-0002-3664-8138
Jenny HarrisUniversity of Surrey, School of Health Sciences, Guildford, United Kingdom.ORCID 0000-0001-8933-117X
Andrew DarleySchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-4256-0044
Geir V BergSection for Nursing, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.ORCID 0000-0002-3464-7510
Simone LubowitzkiDepartment of Internal Medicine, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0605-8292
Katy CheeversHastings and Rother Healthcare, Hastings, United Kingdom.ORCID 0009-0009-1977-494X
Morven MillerDigital Health and Wellness Group (DHaWG), Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.ORCID 0000-0003-2368-5682
Jo ArmesUniversity of Surrey, School of Health Sciences, Guildford, United Kingdom.ORCID 0000-0002-7994-0796
Emma ReamUniversity of Surrey, School of Health Sciences, Guildford, United Kingdom.ORCID 0000-0001-5436-8036
Patricia FoxSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-4216-9176
Eileen Patricia FurlongSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID 0000-0002-1985-2620
Alexander GaigerDepartment of Internal Medicine, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-6340-3446
Grigorios KotronoulasSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-9508-9989
Elisabeth PatirakiSchool of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-1420-259X
Stylianos KatsaragakisSchool of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-2354-9958
Paul McCroneInstitute for Lifecourse Development, Faculty of Education, Health & Human Sciences, University of Greenwich, London, United Kingdom.ORCID 0000-0001-7001-4502
Christine MiaskowskiDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA, United States.ORCID 0000-0001-5170-2027
Antonella CardoneCancer Patients Europe, Brussels, Belgium.ORCID 0000-0003-3685-1512
Dawn OrrNHS 24, Glasgow, United Kingdom.ORCID 0000-0003-3891-541X
Adrian FlowerdayDocobo Limited, Leatherhead, United Kingdom.ORCID 0000-0002-3992-1478
Simon SkeneSurrey Clinical Trials Unit, University of Surrey, Guildford, United Kingdom.ORCID 0000-0002-7828-3122
Nicosha De SouzaBiomathematics and Statistics Scotland (BioSS), The Rowett Institute, Aberdeen, United Kingdom.ORCID 0000-0001-5642-7060
Peter DonnanDivision of Population Health and Genomics, School of Medicine, University of Dundee, Dundee, United Kingdom.ORCID 0000-0001-7828-0610
Roma MaguireDigital Health and Wellness Group (DHaWG), Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.ORCID 0000-0001-7935-3447

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients receiving chemotherapy require ongoing symptom monitoring and management to optimize their outcomes. In recent years, digital remote monitoring interventions have emerged to provide enhanced cancer care delivery experiences to patients and clinicians. However, patient and clinician experiential evaluations of these technologies are rare. Therefore, we explored user experiences and perceptions of one such intervention-Advanced Symptom Management System (ASyMS)-after its scaled deployment in the context of the Electronic Symptom Management System Remote Technology (eSMART) trial. The eSMART trial was a large, multicenter randomized controlled trial to evaluate the efficacy of ASyMS in 12 clinical sites in 5 European countries.

objectiveIn this qualitative study, both patients' and clinicians' experiences of using ASyMS for up to 6 cycles of chemotherapy were explored to understand the impact of ASyMS on patients' experiences, clinical practice, and supportive care delivery.

methodsFor this analysis, individual, semistructured, one-to-one interviews with 29 patients with breast, colorectal, and hematological cancers and 18 clinicians from Austria, Greece, Ireland, Norway, and the United Kingdom were conducted. Interviews focused on patients' and clinicians' experiences of using ASyMS, care organization and changes in practice following the introduction of ASyMS, perceived changes in care associated with the use of ASyMS, and its potential for future integration into routine chemotherapy care pathways.

resultsThematic analysis identified several themes that describe patients' and clinicians' experiences using ASyMS. One central orienting theme-ASyMS as a facilitator of change-was supported by 5 key themes associated with human and technology monitoring: reassurance, enhanced communications and relationships, knowing what is "normal" and what is to be expected, enhancing cancer care experiences, and informing future cancer care.

conclusionsThis study is the first to evaluate both patients' and clinicians' experiences of using a digital health intervention to remotely monitor chemotherapy symptoms across 5 countries. Experiences with ASyMS were positive from both patients' and clinicians' perspectives, although some improvements to support the wider-scale rollout and sustained implementation were identified. Overall, this study demonstrates that real-time remote monitoring systems can help patients feel more reassured during their chemotherapy treatments and can help clinicians provide the right care, at the right time, and in the right place.

trial registrationClinicalTrials.gov NCT02356081; https://clinicaltrials.gov/study/NCT02356081. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1136/bmjopen-2016-015016.

Indexed as

NeoplasmsQualitative ResearchAdultAgedAntineoplastic AgentsEuropeFemaleHumansMaleMiddle AgedTelemedicineAntineoplastic Agentscancerclinician experiencesdigital interventionspatient experiencesqualitative methodsremote monitoring

Identifiers

PMID39626227
PMCPMC11653047

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Registered trials

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.