Abstract
Background Patient-centered symptom assessment and management tools allow patients to perform
self-assessments and engage in self-symptom management. Efficacious tools exist for
reducing symptom distress; however, little is known about feature-specific use.
Objectives This article evaluates the feasibility of the iCancerHealth app as an adjunct to
usual patient education regarding cancer symptoms and medication management.
Methods We conducted a single-arm, pilot study grounded in the health outcomes model. Our
evaluation included (1) enrollment rates, (2) 2-month utilization rates, (3) patient
acceptability, and (4) clinician satisfaction with the provider-side application.
English-speaking, adult patients receiving care in the gastrointestinal oncology service
of a comprehensive cancer center were invited to participate. Research coordinators
enrolled consenting participants who had a personal, Internet-connected device; participants
registered and used the platform to complete the baseline symptom assessment in clinic.
Participants were reminded weekly to use the app and to perform a symptom report 4
to 6 weeks later.
Results A total of 64 patients were approached, of which 57 (89%; 95% exact confidence interval
[CI], 79–96%) enrolled. About half were ≥ 60 years old and 40% were women. Fifty-three
patients (93%; 95% exact CI, 85–99%) accessed at least one app feature, at least once,
from home. The most frequently used (86%) feature was Health Tracker in which participants monitored and reported symptoms; followed by My Inbox (63%) and My Medications features (60%). The mean acceptability score was 24.8 (standard deviation = 4.2),
indicating good acceptability. Clinicians reported that the app was most acceptable
with regard to facilitating in-person interactions that occurred after app use.
Conclusion In a sample of adults with various stages of gastrointestinal malignancies, the iCancerHealth
app was utilized at a high rate. Features that focused on symptoms and medication
side effects plus communication with clinicians were used most frequently. This extends
our understanding of preferences and specific feature use with patient-centered technologies.
Keywords
cancer - symptoms - mHealth - telehealth - communication
