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
Author(s): 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
Cancer diagnosis
Cancer Nursing
Cancer pain Treatment
Oncologic Nursing methods
Pain therapy
Telecommunication in medicine
Monitoring Physiologic
Issue Date: 2009
Date Deposited: 24-Feb-2009
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. https://doi.org/10.1007/s00520-008-0515-0
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.
DOI Link: 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

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