Wearable-Triggered Ecological Momentary Assessments Are Feasible in People With Advanced Cancer and Their Family Caregivers: Feasibility Study from an Outpatient Palliative Care Clinic at a Cancer Center.

Schuler, T; King, C; Matsveru, T; Back, M; Clark, K; Chin, D; Lilian, R; Gallego, B; Coiera, E; Currow, DC

Wearable-Triggered Ecological Momentary Assessments Are Feasible in People With Advanced Cancer and Their Family Caregivers: Feasibility Study from an Outpatient Palliative Care Clinic at a Cancer Center.

Schuler, T King, C Matsveru, T Back, M Clark, K Chin, D Lilian, R Gallego, B Coiera, E Currow, DC

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Publisher:: Mary Ann Liebert
Publication Type:: Journal Article
Citation:: J Palliat Med, 2023, 26, (7), pp. 980-985
Issue Date:: 2023-07

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Field	Value	Language
dc.contributor.author	Schuler, T
dc.contributor.author	King, C
dc.contributor.author	Matsveru, T
dc.contributor.author	Back, M
dc.contributor.author	Clark, K
dc.contributor.author	Chin, D
dc.contributor.author	Lilian, R
dc.contributor.author	Gallego, B
dc.contributor.author	Coiera, E
dc.contributor.author	Currow, DC
dc.date.accessioned	2023-09-21T04:55:46Z
dc.date.available	2023-09-21T04:55:46Z
dc.date.issued	2023-07
dc.identifier.citation	J Palliat Med, 2023, 26, (7), pp. 980-985
dc.identifier.issn	1096-6218
dc.identifier.issn	1557-7740
dc.identifier.uri	http://hdl.handle.net/10453/172237
dc.description.abstract	Background: Emerging digital health approaches could play a role in better personalized palliative care. Aim: We conducted a feasibility study testing wearable sensor (WS)-triggered ecological momentary assessments (EMAs) and electronic patient-reported outcomes in community palliative care with patient-caregiver dyads. Design: All wore consumer-grade WS for five weeks. Sensor-detected "stress" (heart rate variability algorithm) that passed individualized thresholds triggered a short smartphone survey. Daily sleep surveys, weekly symptom surveys (Integrated Palliative care Outcome Scale), and a poststudy experience survey were conducted. Setting/Participants: Fifteen dyads (n = 30) were recruited from an outpatient palliative care clinic for people with cancer. Results: Daytime sensor wear-time had 73% adherence. Participants perceived value in this support. Quantity and severity of "stress" events were higher in patients. Sleep disturbance was similar but for different reasons: patients (physical symptoms) and caregivers (worrying about the patient). Conclusions: EMAs are feasible and valued in community palliative care.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Mary Ann Liebert
dc.relation.ispartof	J Palliat Med
dc.relation.isbasedon	10.1089/jpm.2022.0535
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Gerontology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Caregivers
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Ecological Momentary Assessment
dc.subject.mesh	Outpatients
dc.subject.mesh	Neoplasms
dc.subject.mesh	Wearable Electronic Devices
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Palliative Care
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Caregivers
dc.subject.mesh	Outpatients
dc.subject.mesh	Ecological Momentary Assessment
dc.subject.mesh	Wearable Electronic Devices
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Caregivers
dc.subject.mesh	Feasibility Studies
dc.subject.mesh	Ecological Momentary Assessment
dc.subject.mesh	Outpatients
dc.subject.mesh	Neoplasms
dc.subject.mesh	Wearable Electronic Devices
dc.title	Wearable-Triggered Ecological Momentary Assessments Are Feasible in People With Advanced Cancer and Their Family Caregivers: Feasibility Study from an Outpatient Palliative Care Clinic at a Cancer Center.
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-21T04:55:45Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	26
utslib.citation.issue	7

Abstract:

Background: Emerging digital health approaches could play a role in better personalized palliative care. Aim: We conducted a feasibility study testing wearable sensor (WS)-triggered ecological momentary assessments (EMAs) and electronic patient-reported outcomes in community palliative care with patient-caregiver dyads. Design: All wore consumer-grade WS for five weeks. Sensor-detected "stress" (heart rate variability algorithm) that passed individualized thresholds triggered a short smartphone survey. Daily sleep surveys, weekly symptom surveys (Integrated Palliative care Outcome Scale), and a poststudy experience survey were conducted. Setting/Participants: Fifteen dyads (n = 30) were recruited from an outpatient palliative care clinic for people with cancer. Results: Daytime sensor wear-time had 73% adherence. Participants perceived value in this support. Quantity and severity of "stress" events were higher in patients. Sleep disturbance was similar but for different reasons: patients (physical symptoms) and caregivers (worrying about the patient). Conclusions: EMAs are feasible and valued in community palliative care.

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http://hdl.handle.net/10453/172237