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

Thilo Schuler, Claire King, Teresia Matsveru, Michael Back, Katherine Clark, Dylan Chin, Ruth Lilian, Blanca Gallego, Enrico Coiera, David C. Currow

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)980-985
Number of pages6
JournalJournal of Palliative Medicine
Volume26
Issue number7
Early online date3 May 2023
DOIs
Publication statusPublished - 1 Jul 2023

Keywords

  • cancer
  • caregiver
  • digital health
  • dyad
  • ecological momentary assessment
  • palliative care
  • patient-reported outcomes
  • wearable devices

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