Zusammenfassung
Hintergrund
Der digitalen Medizin wird ein hohes Potenzial zur Verbesserung der Patientenversorgung beigemessen. Die Studienlage dazu ist aktuell sehr unbefriedigend. Jedoch gewinnt die Nutzung digitaler Techniken in der psychoonkologischen Versorgung an Bedeutung.
Ziel der Arbeit
Der vorliegende Beitrag fasst Befunde zum Themenbereich „patient reported outcomes“ (PROs) zusammen und präsentiert Ergebnisse einer Pilotstudie zur Nutzung einer psychoonkologischen App.
Material und Methoden
Bisher wurden 12 Patienten mit Brust- oder Darmkrebs in die Pilotstudie einbezogen. Sie füllten Fragebögen zur ihrer Person sowie zum Nutzungsverhalten aus.
Ergebnisse
Besonders ansprechend finden Patienten den täglichen Gesundheitscheck sowie die bereitgestellten Informationen und Tipps bezüglich der Erkrankung. Positiv wurde gesehen, dass erfasste Daten zum eigenen Gesundheitscheck oder zu krankheitsbezogenen Informationen in der Sprechstunde genutzt werden können. Hinsichtlich einer möglichen Optimierung der App wurden aus Patientensicht v. a. eine stärkere Anpassung bereitgestellter Informationen an die aktuelle Situation sowie direkte Hinweise auf neue Infos und Tipps genannt.
Schlussfolgerungen
Die psychoonkologische Gesundheits-App fand größtenteils positive Resonanz bei den Patienten. Nächste Schritte sind die (technische) Verbesserung bestimmter Funktionen, die Individualisierung der Informationen sowie eine Implementation und Evidenzprüfung im Rahmen einer randomisierten kontrollierten Studie.
Abstract
Background
Digital health is considered to have the potential to improve patient care. There are currently few studies verifying its benefits. However, the use of digital technology is gaining importance in psycho-oncological care.
Objectives
The current paper aims to summarize results on the use of patient-reported outcomes (PROs) in an oncological setting and presents the results of a pilot study on the use of a psycho-oncological health app.
Material and methods
Up until now, 12 patients with a diagnosis of breast or colorectal cancer have been included. Patients answered questionnaires concerning personal information and usage behavior.
Results
Patients particularly appreciated the daily health check and the information and health care advice with regard to their illness. It was positively regarded that the data assessed via the daily health check and illness-related information could be used in the context of doctors’ appointments. Suggestions for optimization of the app from the patients’ point of view included adaptation of information to their current situation and direct references to new information and health care advice.
Conclusions
The psycho-oncological health app was mainly well received by patients. Technical improvement of certain functions, individualization of information, implementation and collection of evidence in a randomised controlled trial are the next steps.
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Interessenkonflikt
J. Ernst und L. Broemer geben an, dass kein Interessenkonflikt besteht.
Alle beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethik-Kommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.
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Ernst, J., Broemer, L. Digital unterstützte Modelle in der Patientenbeobachtung . Forum 33, 190–195 (2018). https://doi.org/10.1007/s12312-018-0414-3
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DOI: https://doi.org/10.1007/s12312-018-0414-3