Mobile app and wearable sensor-based patient and caregiver physical function and reported outcomes: A survey on oncologists’ current practices and preferences on data delivery.

Authors

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Elad Neeman

San Francisco Medical Center, Kaiser Permanente Northern California, San Francisco, CA

Elad Neeman, Ai Kubo, Elaine Kurtovich, Sara Aghaee, Maya Ramsey, Reem Yunis, Tatjana Kolevska, Raymond Liu, Ingrid Oakley-Girvan

Organizations

San Francisco Medical Center, Kaiser Permanente Northern California, San Francisco, CA, Kaiser Permanente Division of Research, Oakland, CA, Kaiser Permanente Northern California, Department of Research, Oakland, CA, Kaiser Permanente Northern California, Division of Research, Oakland, CA, Medable Inc., Palo Alto, CA, Napa/Solano Medical Center, Kaiser Permanente Northern California, Vallejo, CA

Research Funding

U.S. National Institutes of Health
U.S. National Institutes of Health

Background: Patient-reported outcomes and wearable sensor measures of physical function can predict important outcomes in oncology. However, mobile and wearable-sensor apps collect vast information from patients and caregivers; indiscriminate reporting may increase provider burden and reduce data reliance. This study aimed to assess medical oncologists’ current practices in utilizing such information, and their data delivery preferences. Methods: Cross-sectional survey delivered by email to all Kaiser Permanente Northern California medical oncologists, February-March 2021. Results: Thirty-eight oncologists (30% of 127) responded to the survey. Most agreed that to reduce adverse events (AEs) it is important for the oncologist to know about the following measures: 1) patient/caregiver-reported physical symptoms (92% responded either very important or essential); 2) patient/caregiver-reported physical function (87%); and 3) objective measures of gait/balance (55%) and physical activity (50%) obtained from wearable sensors. Similarly, most respondents strongly consider these data when making decisions related to treatment intent, dosage, or visit frequency. All respondents routinely rely on information from caregivers, and in case of a discrepancy, more rely on the caregiver’s report (45%) than the patient’s report (8%), and some seek additional objective information (26%). Most respondents indicated that they prefer to receive electronic information on physical function and symptoms only for “critical values” and/or to have the information accessible “as needed” in the electronic chart, but not actively delivered to them (Table). Conclusions: Oncologists believe that patient/caregiver reports of symptoms and physical function can predict AEs, and strongly rely on them in clinical decision making. The majority of respondents would like to have access to physical function/symptoms data from mobile/wearable apps, with more providers wishing to receive information prior to a visit and/or in case of “critical values”. These findings may inform future implementations of mobile/wearable technologies to track symptoms and function of cancer patients.

“How would you like to receive information from patient/caregiver mobile apps?”

Topic/preference (multiple responses allowed)
Would not want
“As needed”
Prior to visit
Periodically (e.g., every 2 weeks)
Automatically for “critical value” only
Patient/caregiver-reported physical symptoms
11%
37%
32%
18%
45%
Patient/caregiver-reported physical function
11%
45%
32%
13%
37%
Patient/caregiver-rated performance status
18%
32%
39%
16%
26%
Patient/caregiver-reported depression/anxiety symptoms
11%
34%
32%
24%
29%
Objective gait speed/balance measures
13%
37%
29%
11%
39%
Objective core strength measures
11%
39%
26%
13%
32%

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Abstract Details

Meeting

2021 ASCO Quality Care Symposium

Session Type

Poster Session

Session Title

Poster Session B: Patient Experience; Quality, Safety, and Implementation Science; Technology and Innovation in Quality of Care

Track

Technology and Innovation in Quality of Care,Patient Experience,Quality, Safety, and Implementation Science,Cost, Value, and Policy,Health Care Access, Equity, and Disparities

Sub Track

Integrating Patient Experience Assessment and Patient Reported Outcomes Into Practice

Citation

J Clin Oncol 39, 2021 (suppl 28; abstr 174)

DOI

10.1200/JCO.2020.39.28_suppl.174

Abstract #

174

Poster Bd #

Online Only

Abstract Disclosures

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