Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/845
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Evaluation of a mobile phone based, Advanced Symptom Management System (ASyMS©) in the management of chemotherapy related toxicity
Authors: Kearney, Nora
McCann, Lisa Ann
Norrie, John
Taylor, Lesley
Gray, Peter
McGee-Lennon, Marilyn
Sage, Meurig
Miller, Morven
Maguire, Roma
Keywords: cancer
mobile phone
technology
telehealth
telemedicine
chemotherapy
symptom
symptoms
lung cancer
breast cancer
colorectal cancer
neoplasms
symptom management
symptom improvement
evaluation
remote monitoring
mobile phone based technology
Issue Date: 2009
Publisher: Springer Verlag
Citation: Kearney N, McCann LA, Norrie J, Taylor L, Gray P, McGee-Lennon M, Sage M, Miller M & Maguire R (2009) Evaluation of a mobile phone based, Advanced Symptom Management System (ASyMS©) in the management of chemotherapy related toxicity, Supportive Care in Cancer, 17 (4), pp. 437-444.
Abstract: OBJECTIVES: To evaluate the impact of a mobile phone-based, remote monitoring, advanced symptom management system (ASyMS((c))) on the incidence, severity and distress of six chemotherapy-related symptoms (nausea, vomiting, fatigue, mucositis, hand-foot syndrome and diarrhoea) in patients with lung, breast or colorectal cancer. DESIGN: A two group (intervention and control) by five time points (baseline, pre-cycle 2, pre-cycle 3, pre-cycle 4 and pre-cycle 5) randomised controlled trial. SETTING: Seven clinical sites in the UK; five specialist cancer centres and two local district hospitals. PARTICIPANTS: One hundred and twelve people with breast, lung or colorectal cancer receiving outpatient chemotherapy. INTERVENTIONS: A mobile phone-based, remote monitoring, advanced symptom management system (ASyMS((c))). MAIN OUTCOME MEASURES: Chemotherapy-related morbidity of six common chemotherapy-related symptoms (nausea, vomiting, fatigue, mucositis, hand-foot syndrome and diarrhoea). RESULTS: There were significantly higher reports of fatigue in the control group compared to the intervention group (odds ratio = 2.29, 95%CI = 1.04 to 5.05, P = 0.040) and reports of hand-foot syndrome were on average lower in the control group (odds ratio control/intervention = 0.39, 95%CI = 0.17 to 0.92, P = 0.031). CONCLUSION: The study demonstrates that ASyMS((c)) can support the management of symptoms in patients with lung, breast and colorectal cancer receiving chemotherapy.
Type: Journal Article
URI: http://hdl.handle.net/1893/845
DOI Link: http://dx.doi.org/10.1007/s00520-008-0515-0
Rights: Published in Supportive Care In Cancer by Springer-Verlag. The original publication is available at www.springerlink.com
Affiliation: HS Research - Stirling
Cancer Care Research Centre
University of Aberdeen
University of Stirling
University of Glasgow
University of Glasgow
Kelvin Connect Ltd
Cancer Care Research Centre
Cancer Care Research Centre

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