Characterizing Breakthrough Cancer Pain Using Ecological Momentary Assessment with a Smartphone App: Feasibility and Clinical Findings
Por:
Villegas F, Martinez-Borba V, Suso-Ribera C, Castilla D, Zaragoza I, Garcia-Palacios A, Ferrer C
Publicada:
1 jun 2021
Resumen:
Background: mobile applications (apps) facilitate cancer pain ecological momentary assessment (EMA) and provide more reliable data than retrospective monitoring. The aims of this study are (a) to describe the status of persons with cancer pain when assessed ecologically, (b) to analyze the utility of clinical alarms integrated into the app, and (c) to test the feasibility of implementing an app for daily oncological pain monitoring. Methods: in this feasibility study, 21 patients (mean age = 56.95 years, SD = 10.53, 81.0% men) responded to an app-based evaluation of physical status (baseline and breakthrough cancer pain (BTcP)) and mental health variables (fatigue, mood, and coping) daily during 30 days. Results: cancer pain characterization with the app was similar to data from the literature using retrospective assessments in terms of BTcP duration and perceived medication effectiveness. However, BTcP was less frequent when evaluated ecologically. Pain, fatigue, and mood were comparable in the morning and evening. Passive coping strategies were the most employed daily. Clinical alarms appear to be useful to detect and address adverse events. App implementation was feasible and acceptable. Conclusion: apps reduce recall bias and facilitate a rapid response to adverse events in oncological care. Future efforts should be addressed to integrate EMA and ecological momentary interventions to facilitate pain self-management via apps.
Filiaciones:
Villegas F:
Consorcio Hosp Prov Castellon, Pain & Radiotherapy Units, Castellon de La Plana 12002, Spain
Martinez-Borba V:
Univ Jaume 1, Dept Basic & Clin Psychol & Psychobiol, Castellon de La Plana 12071, Spain
Inst Invest Sanitaria Aragon, Zaragoza 50009, Spain
Suso-Ribera C:
Univ Jaume 1, Dept Basic & Clin Psychol & Psychobiol, Castellon de La Plana 12071, Spain
Castilla D:
Univ Valencia, Dept Personal Assessment & Psychol Treatments, Valencia 46010, Spain
CIBER Physiopathol Obes & Nutr CIBERON, Madrid 28029, Spain
Zaragoza I:
CIBER Physiopathol Obes & Nutr CIBERON, Madrid 28029, Spain
Garcia-Palacios A:
Univ Jaume 1, Dept Basic & Clin Psychol & Psychobiol, Castellon de La Plana 12071, Spain
CIBER Physiopathol Obes & Nutr CIBERON, Madrid 28029, Spain
Ferrer C:
Consorcio Hosp Prov Castellon, Pain & Radiotherapy Units, Castellon de La Plana 12002, Spain
gold, Green Published
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