Adaptation and implementation of a multinational eHealth intervention for people with cancer: reflections from the field

Eileen Furlong, Andrew Darley, Patricia A Fox, Alison R Buick, Grigorios Kotronoulas, Morven Miller, Robert Smith, Christine Miaskowski, Elisabeth Patiraki, Stylianos Katsaragakis, Emma Ream, Jo Armes, Alexander Gaiger, Geir V Berg, Paul McCrone, Peter Donnan, Lisa McCann, Nora Kearney, Roma Maguire

Research output: Contribution to journalArticle

Abstract

Background: There has been an international shift in healthcare which has seen an increasing focus and development of technological and personalized at-home interventions which aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings. Objective: To describe the steps undertaken in the preparation of a multinational, multicentre randomized controlled trial to test a mobile phone-based remote symptom monitoring system, i.e. Advanced Symptom Management System Remote Technology (ASyMS), designed to enhance management of chemotherapy toxicities amongst people with cancer receiving adjuvant chemotherapy versus standard cancer centre care. Methods: Multiple steps were undertaken, including; a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardised international care procedures and the integration and evaluation of the technology within each cancer centre. Results: ASyMS was successfully implemented and deployed in clinical practice across five European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, prior to the commencement of the randomized controlled trial. Conclusions: Adapting and implementing this multinational, multicentre system required close attention to diverse considerations and unique challenges, primarily related to communication, clinical and technical issues. Success was dependent on collaborative and transparent communication amongst academics, technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the five relevant countries.
LanguageEnglish
JournalJournal of Medical Internet Research
DOIs
Publication statusAccepted/In press - 12 Dec 2018

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Telemedicine
Technology
Communication
Neoplasms
Randomized Controlled Trials
Cell Phones
Validation Studies
Adjuvant Chemotherapy
Linguistics
Industry
Guidelines
Delivery of Health Care
Drug Therapy
Health
Research

Keywords

  • multinational research
  • eHealth
  • digital health
  • cancer
  • patient related outcomes

Cite this

Furlong, Eileen ; Darley, Andrew ; Fox, Patricia A ; Buick, Alison R ; Kotronoulas, Grigorios ; Miller, Morven ; Smith, Robert ; Miaskowski, Christine ; Patiraki, Elisabeth ; Katsaragakis, Stylianos ; Ream, Emma ; Armes, Jo ; Gaiger, Alexander ; Berg, Geir V ; McCrone, Paul ; Donnan, Peter ; McCann, Lisa ; Kearney, Nora ; Maguire, Roma. / Adaptation and implementation of a multinational eHealth intervention for people with cancer : reflections from the field. In: Journal of Medical Internet Research. 2018.
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abstract = "Background: There has been an international shift in healthcare which has seen an increasing focus and development of technological and personalized at-home interventions which aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings. Objective: To describe the steps undertaken in the preparation of a multinational, multicentre randomized controlled trial to test a mobile phone-based remote symptom monitoring system, i.e. Advanced Symptom Management System Remote Technology (ASyMS), designed to enhance management of chemotherapy toxicities amongst people with cancer receiving adjuvant chemotherapy versus standard cancer centre care. Methods: Multiple steps were undertaken, including; a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardised international care procedures and the integration and evaluation of the technology within each cancer centre. Results: ASyMS was successfully implemented and deployed in clinical practice across five European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, prior to the commencement of the randomized controlled trial. Conclusions: Adapting and implementing this multinational, multicentre system required close attention to diverse considerations and unique challenges, primarily related to communication, clinical and technical issues. Success was dependent on collaborative and transparent communication amongst academics, technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the five relevant countries.",
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Furlong, E, Darley, A, Fox, PA, Buick, AR, Kotronoulas, G, Miller, M, Smith, R, Miaskowski, C, Patiraki, E, Katsaragakis, S, Ream, E, Armes, J, Gaiger, A, Berg, GV, McCrone, P, Donnan, P, McCann, L, Kearney, N & Maguire, R 2018, 'Adaptation and implementation of a multinational eHealth intervention for people with cancer: reflections from the field' Journal of Medical Internet Research. https://doi.org/10.2196/preprints.10813

Adaptation and implementation of a multinational eHealth intervention for people with cancer : reflections from the field. / Furlong, Eileen; Darley, Andrew; Fox, Patricia A; Buick, Alison R; Kotronoulas, Grigorios; Miller, Morven; Smith, Robert; Miaskowski, Christine; Patiraki, Elisabeth; Katsaragakis, Stylianos; Ream, Emma; Armes, Jo; Gaiger, Alexander; Berg, Geir V; McCrone, Paul; Donnan, Peter; McCann, Lisa; Kearney, Nora; Maguire, Roma.

In: Journal of Medical Internet Research, 12.12.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Adaptation and implementation of a multinational eHealth intervention for people with cancer

T2 - Journal of Medical Internet Research

AU - Furlong, Eileen

AU - Darley, Andrew

AU - Fox, Patricia A

AU - Buick, Alison R

AU - Kotronoulas, Grigorios

AU - Miller, Morven

AU - Smith, Robert

AU - Miaskowski, Christine

AU - Patiraki, Elisabeth

AU - Katsaragakis, Stylianos

AU - Ream, Emma

AU - Armes, Jo

AU - Gaiger, Alexander

AU - Berg, Geir V

AU - McCrone, Paul

AU - Donnan, Peter

AU - McCann, Lisa

AU - Kearney, Nora

AU - Maguire, Roma

PY - 2018/12/12

Y1 - 2018/12/12

N2 - Background: There has been an international shift in healthcare which has seen an increasing focus and development of technological and personalized at-home interventions which aim to improve health outcomes and patient-clinician communication. However, there is a notable lack of empirical evidence describing the preparatory steps of adapting and implementing technology of this kind across multiple countries and clinical settings. Objective: To describe the steps undertaken in the preparation of a multinational, multicentre randomized controlled trial to test a mobile phone-based remote symptom monitoring system, i.e. Advanced Symptom Management System Remote Technology (ASyMS), designed to enhance management of chemotherapy toxicities amongst people with cancer receiving adjuvant chemotherapy versus standard cancer centre care. Methods: Multiple steps were undertaken, including; a scoping review of empirical literature and clinical guidelines, translation and linguistic validation of study materials, development of standardised international care procedures and the integration and evaluation of the technology within each cancer centre. Results: ASyMS was successfully implemented and deployed in clinical practice across five European countries. The rigorous and simultaneous steps undertaken by the research team highlighted the strengths of the system in clinical practice, as well as the clinical and technical changes required to meet the diverse needs of its intended users within each country, prior to the commencement of the randomized controlled trial. Conclusions: Adapting and implementing this multinational, multicentre system required close attention to diverse considerations and unique challenges, primarily related to communication, clinical and technical issues. Success was dependent on collaborative and transparent communication amongst academics, technology industry, translation partners, patients, and clinicians as well as a simultaneous and rigorous methodological approach within the five relevant countries.

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