Evidence map›Paper›PMID 40540708›Full record

ArticleJCO clinical cancer informatics2025

Patient Perspectives on Technological Barriers and Implementation Strategies Leveraged During a Real-World Remote Symptom Monitoring Program.

Tanvi V Padalkar, Nicole L Henderson, D'Ambra N Dent, Emma Hendrix, Catherine Smith, Chao-Hui Sylvia Huang, Tara Kaufmann, Chelsea McGowan, Jennifer Young Pierce, Stacey A Ingram and 6 more

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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. Article
  2. Roles undertaken by family caregivers to help individuals with cancer manage symptoms: a qualitative study of caregivers, patients, and oncology clinicians.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

16 authors.

Tanvi V PadalkarDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.ORCID 0009-0009-3605-360X
Nicole L HendersonDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0003-2101-3065
D'Ambra N DentDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.
Emma HendrixDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.ORCID 0009-0008-4978-2425
Catherine SmithDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.
Chao-Hui Sylvia HuangDepartment of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-4690-7682
Tara KaufmannDell Medical School, University of Texas at Austin, Austin, TX.ORCID 0000-0002-8875-9462
Chelsea McGowanMitchell Cancer Institute, University of South Alabama, Mobile, AL.
Jennifer Young PierceMitchell Cancer Institute, University of South Alabama, Mobile, AL.
Stacey A IngramDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.
Angela M StoverLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, Chapel Hill.ORCID 0000-0003-0983-686X
Ethan M BaschLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, Chapel Hill.ORCID 0000-0003-3813-9318
Doris HowellSupportive Care, Princess Margaret Cancer Centre Research Institute, Toronto, ON, Canada.ORCID 0000-0002-0683-8715
Bryan J WeinerDepartment of Health Systems and Population Health, University of Washington, Seattle, WA.ORCID 0000-0002-6996-9480
J Nicholas OdomDepartment of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0001-6764-0254
Gabrielle B RocqueDepartment of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0003-4188-9785

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
Evaluating the implementation and impact of navigator-delivered ePRO home symptom monitoring and managementR01NR019058 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROCQUE, GABRIELLE · 2021 to 2025
$3.1M
NCATS NIH HHS UL1 TR002489NCATS NIH HHS UM1 TR004406NCI NIH HHS T32 CA047888NINR NIH HHS R01 NR019058
6 · The paper itself

Abstract

purposeRemote symptom monitoring (RSM) using electronic patient-reported outcomes leverages digital technologies to gather real-time information on patient experiences for symptom management. This study reports a formative evaluation of technology-related barriers encountered by patients participating in RSM and implementation strategies used to address those barriers in real-world, large-scale RSM implementations.

methodsPurposive sampling was conducted to recruit patients diagnosed with cancer and participating in RSM at the University of Alabama at Birmingham and USA Health Mitchell Cancer Institute for semi-structured interviews. Interviews were coded to identify technology-related barriers using a constant comparative method. Expert Recommendations for Implementing Change list was used to address the barriers to optimize RSM implementation. Barrier-associated themes from the interviews were mapped to implementation strategies.

resultsForty participants age 24-77 years, half of whom were 60 years or older, were interviewed from December 2021 to February 2024. Three barrier themes relevant to technology utilization in RSM were identified: (1)

conclusionTechnology-related barriers may limit the uptake of RSM by patients. Addressing these barriers through multimodel assessment and intervention strategies is crucial to ensuring successful implementation of RSM in real-world settings.

Indexed as

NeoplasmsSymptom AssessmentAdultAgedFemaleHealth LiteracyHumansMaleMiddle AgedPatient Reported Outcome MeasuresTelemedicineYoung Adult

Identifiers

PMID40540708
PMCPMC12184978

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.