Salta al menu principale di navigazione Salta al contenuto principale Salta al piè di pagina del sito
FrancoAngeli Journals

Saggi

N. 127 (2023)

Sviluppo ed applicazione di strumenti di telemedicina all’interno del percorso delle pazienti con tumore mammario in fase precoce: dalla diagnosi al follow-up

DOI
https://doi.org/10.3280/mesa2023-127oa17874
Inviata
maggio 30, 2024
Pubblicato
2024-06-28

Abstract

In oncologia e in particolare nella cura del tumore mammario, il ricorso alla telemedicina si è dimostrato essere una via sicura ed efficace per migliorare la qualità della vita e dell’assistenza per i pazienti. L’emergenza Covid-19 e l’esigenza di ridurre gli accessi ai presidi ospedalieri hanno rappresentato un momento di accelerazione nel disegno e nell’utilizzo di strumenti di telemedicina.
L’uso della telemedicina può trovare ampia applicazione nell’assistenza alle pazienti affette da tumore mammario che, grazie alla cronicizzazione della malattia, hanno un bisogno continuo di assistenza e di disponibilità di informazioni chiare e accessibili.
L’efficacia degli interventi di telemedicina può essere migliorata attraverso i processi partecipativi di co-design che coinvolgano gli utenti finali e gli stakeholder in tutti gli aspetti dello sviluppo dell’intervento. Questo contributo riporta un’esperienza di co-design partecipato finalizzato allo sviluppo di un’applicazione mobile per le pazienti affette da tumore mammario all’interno della Rete Senologica dell’APSS di Trento.

Riferimenti bibliografici

  1. Aapro M., Bossi P., Dasari A., Fallowfield L., Gascón P., Geller M., ... & Porzig S. (2020). Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives. Supportive care in cancer, 28: 4589-4612. DOI: 10.1007/s00520-020-05539-1.
  2. Abernethy A. et al. (2022). The Promise of Digital Health: Then, Now, and the Future. Discussion paper, 2022, Published online June 27. DOI: 10.31478/202206e.
  3. Abrahams H.J., Gielissen M.F., Donders R.R., Goedendorp M.M., van der Wouw A.J., Verhagen C.A., & Knoop H. (2017). The efficacy of internetbased cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: a randomized controlled trial. Cancer, 123(19): 3825-3834. DOI: 10.1002/cncr.30815.
  4. Abrahams H.J.G., Gielissen M.F.M., Donders R.R.T., Goedendorp M.M., van der Wouw A.J., Verhagen C.A.H.H.V.M., & Knoop H. (2017). The efficacy of Internet-based cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: A randomized controlled trial. Cancer, 123: 3825-3834. DOI: 10.1002/cncr.30815.
  5. Al‐Shamsi H.O., Alhazzani W., Alhuraiji A., Coomes E.A., Chemaly R.F., Almuhanna M., ... & Xie C. (2020). A practical approach to the management of cancer patients during the novel coronavirus disease 2019 (COVID‐19) pandemic: an international collaborative group. The oncologist, 25(6): e936-e945. DOI: 10.1634/theoncologist.2020-0213.
  6. Ames S.L., Wolffsohn J.S., & Mcbrien N.A. (2005). The development of a symptom questionnaire for assessing virtual reality viewing using a head-mounted display. Optometry and Vision Science, 82(3): 168-176. DOI: 10.1097/01.OPX.0000156307.95086.6.
  7. Attai D.J., Cowher M.S., Al-Hamadani M., Schoger J.M., Staley A.C., & Landercasper J. (2015). Twitter social media is an effective tool for breast cancer patient education and support: patient-reported outcomes by survey. Journal of medical Internet research, 17(7): e188. DOI: 10.2196/jmir.4721.
  8. Barello S., Triberti S., Graffigna G., Libreri C., Serino S., Hibbard J.H. et al. (2016). eHealth for Patient Engagement: a systematic review. Front Psychol, 6, 2013. DOI: 10.3389/fpsyg.2015.02013.
  9. Boyd H., McKernon S., Mullen B., & Old A. (2012). Improving healthcare through the use of co-design. New Zealand Madical Journal, 125(1357): 76-87.
  10. Brandsen T., Steen T., & Verschuere B. (2018). Co-creation and co-production in public services: Urgent issues in practice and research. In: Co-production and co-creation, 3-8. New York: Routledge.
  11. Bødker S., Dindler C., Iversen O.S., & Smith R.C. (2022). Can You Define Participatory Design for Me?. In: Participatory Design, 1-4. Cham: Springer International Publishing.
  12. Chauhan V., Galwankar S., Arquilla B., Garg M., Di Somma S., El-Menyar A., ... & Stawicki S.P. (2020). Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission. Journal of emergencies, trauma, and shock, 13(1), 20. DOI: 10.4103/JETS.JETS_32_20.
  13. Chelf J.H., Agre P., Axelrod A., Cheney L., Cole D.D., Conrad K., ... & Weaver C. (2001). Cancer-related patient education: an overview of the last decade of evaluation and research. Oncology nursing forum, 28(7): 1139-1147.
  14. Chen Y.Y., Guan B.S., Li Z.K, & Li X.Y. (2018). Effect of telehealth intervention on breast cancer patients’ quality of life and psychological outcomes: A meta-analysis. J. Telemed. Telecare, 24: 157-167.
  15. Chirico A., Maiorano P., Indovina P., Milanese C., Giordano G.G., Alivernini F., ... & Giordano A. (2020). Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of cellular physiology, 235(6): 5353-5362. DOI: 10.1002/jcp.29422.
  16. Chung I.Y., Jung M., Park Y.R., Cho D., Chung H., Min Y.H., Park H.J., Lee M., Lee S.B., Chung S. et al. (2020). Exercise promotion and distress reduction using a mobile app-based community in breast cancer survivors. Front. Oncol., 9, 1505.
  17. Colakoglu S., Johnson A., Mureau M.A., Douglass S., Kaoutzanis C., Chong T.W., ... & Cohen J.B. (2021). Telehealth: Could it be an avenue to microvascular breast reconstruction for patients with geographical barriers?. Journal of reconstructive microsurgery, 37(07): 597-601. DOI: 10.1055/s-0041-1723821.
  18. Cruz F.O.A.M., Vilela R.A., Ferreira E.B., Melo N.S., & Dos Reis P.E.D. (2019). Evidence on the use of mobile apps during the treatment of breast cancer: systematic review. JMIR mHealth and uHealth, 7(8), e13245. DOI: 10.2196/13245.
  19. de Ligt K.M., van Egdom L.S., Koppert L.B., Siesling S., & van Til J.A. (2019). Opportunities for personalised follow‐up care among patients with breast cancer: A scoping review to identify preference‐sensitive decisions. European journal of cancer care, 28(3), e13092. DOI: 10.1111/ecc.13092.
  20. de Rezende L.F., Francisco V.E., & Franco R.L. (2021). Telerehabilitation for patients with breast cancer through the COVID-19 pandemic. Breast cancer research and treatment, 185(1): 257-259. DOI: 10.1007/s10549-020-05926-6.
  21. Doyle C., Lennox L., & Bell D. (2013). A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ open, 3(1): e001570. DOI: 10.1136/bmjopen-2012-001570.
  22. Dragoni M., Eccher C., Ferro A., Bailoni T., Maimone R., Zorzi A., ... & Ghidini C. (2023). Supporting patients and clinicians during the breast cancer care path with AI: The Arianna solution. Artificial Intelligence in Medicine, 102514. DOI: 10.1016/j.artmed.2023.102514.
  23. Eccher C., Gios L., Zanutto A., Bizzarri G., Conforti D., & Forti S. (2020). TreC platform. An integrated and evolving care model for patients’ empowerment and data repository. Journal of Biomedical Informatics, 102, 103359. DOI: 10.1016/j.jbi.2019.103359.
  24. Eyles H., Jull A., Dobson R., Firestone R., Whittaker R., Te Morenga L., ... & Mhurchu C.N. (2016). Co-design of mHealth delivered interventions: a systematic review to assess key methods and processes. Current Nutrition Reports, 5: 160-167. DOI: 10.1007/s13668-016-0165-7.
  25. Falcicchio C., Di Lallo D., Fabi A., Bonucci A., Perrone M., Pace A., ... & Pugliese P. (2021). Use of rehabilitation pathways in women with breast cancer in the first 12 months of the disease: a retrospective study. BMC cancer, 21: 1-8. DOI: 10.1186/s12885-021-07927-0.
  26. Ferro A., Cristofolini P., Garcia‐Etienne C.A., Caffo O., Pellegrini M., Fantò C., ... & Guarrera G.M. (2021). Learning from organisational changes in the management of breast cancer patients during the COVID‐19 pandemic: Preparing for a second wave at a breast unit in northern Italy. The International Journal of Health Planning and Management, 36(4): 1030-1037. DOI: 10.1002/hpm.3181.
  27. Galiano‐Castillo N., Cantarero‐Villanueva I., Fernández‐Lao C., Ariza‐García A., Díaz‐Rodríguez L., Del‐Moral‐Ávila R., & Arroyo‐Morales M. (2016). Telehealth system: A randomized controlled trial evaluating the impact of an internet‐based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer, 122(20): 3166-3174. DOI: 10.1002/cncr.30172.
  28. Gallagher J., Parle M., & Cairns D. (2002). Appraisal and psychological distress six months after diagnosis of breast cancer. Br. J. Health Psychol., 7: 365-376.
  29. Galligioni E., Berloffa F., Caffo O. et al. (2009). Development and daily use of an electronic oncological patient record for the total management of cancer patients: 7 years’ experience. Ann Oncol., 20: 349-352.
  30. Gambalunga F., Iacorossi L., Notarnicola I., Serra V., Piredda M., & De Marinis M.G. (2021). Mobile health in adherence to oral anticancer drugs: a scoping review. CIN: Computers, Informatics, Nursing, 39(1): 17-23. DOI: 10.1097/CIN.0000000000000643.
  31. Gehrke A., Lee S.S., Hilton K., Ganster B., Trupp R., McCullough C., ... & Feuerstein M. (2018). Development of the Cancer Survivor Profile-Breast Cancer (CSPro-BC) app: patient and nurse perspectives on a new navigation tool. Journal of Cancer Survivorship, 12: 291-305. DOI: 10.1007/s11764-017-0668-2.
  32. Green T., Bonner A., Teleni L., Bradford N., Purtell L., Douglas C., ... & Chan R.J. (2020). Use and reporting of experience-based codesign studies in the healthcare setting: a systematic review. BMJ quality & safety, 29(1): 64-76. DOI: 10.1136/bmjqs-2019-009570.
  33. Hazin R., & Qaddoumi I. (2010). Teleoncology: Current and future applications for improving cancer care globally. Lancet Oncol., 11: 204-210.
  34. Im E.O., Ji X., Kim S., Chee E., Bao T., Mao J.J. et al. (2019). Challenges in a technology based cancer pain management program among Asian American breast cancer survivors. Comput Inform Nurs, 37(5): 243e9. DOI: 10.1097/cin.0000000000000503.
  35. Jiménez-Rodríguez D., Santillán García A., Montoro Robles J., Rodríguez Salvador M.D.M., Muñoz Ronda F.J., & Arrogante O. (2020). Increase in video consultations during the COVID-19 pandemic: healthcare professionals’ perceptions about their implementation and adequate management. International journal of environmental research and public health, 17(14), 5112. DOI: 10.3390/ijerph17145112.
  36. Kesson E.M., Allardice G.M., George W.D., Burns H.J., & Morrison D.S. (2012). Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. Bmj, 344. DOI: 10.1136/bmj.e2718.
  37. Mano M.P., Ponti A., Angiolini C., Cataliotti L., Datta G., Giordano L., Panizza P., Pietribiasi F., Taffurelli M., Rovea P., Santini D., Tomatis M., & Rosselli Del Turco M. (2013). Indicatori di qualità per la cura del carcinoma mammario nelle Breast Unit in Italia: una proposta congiunta GISMa-Senonetwork. -- Tratto da: https://www.senonetwork.it/it/documenti/raccomandazioni%2dsenonetwork/1-3967-1-.
  38. Mendes-Santos C., Nunes F., Weinderpass E., Santana R., & Andersson G. (2022). Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study. JMIR Cancer, Jan-Mar, 8(1): e33550.
  39. Mendes-Santos C., Weiderpass E., Santana R., & Andersson G. (2019). A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): study protocol. Internet Interventions, 17, 100236. DOI: 10.1016/j.invent.2019.01.004.
  40. Merz V., Ferro A., Piras E.M., Zanutto A., Caffo O., & Messina C. (2020). Electronic Medical Record-Assisted Telephone Follow-Up of Breast Cancer Survivors During the COVID-19 Pandemic: A Single Institution Experience. JCO Oncol Pract, 17: e44-e52. © by American Society of Clinical Oncology.
  41. Mobasheri M.H., Johnston M., King D., Leff D., Thiruchelvam P., & Darzi A. (2014). Smartphone breast applications – What’s the evidence?. The Breast, 23(5): 683-689. DOI: 10.1016/j.breast.2014.07.006.
  42. Myers J.S., Cook-Wiens G., Baynes R., Jo M.Y., Bailey C., Krigel S., ... & Asher A. (2020). Emerging from the haze: a multicenter, controlled pilot study of a multidimensional, psychoeducation-based cognitive rehabilitation intervention for breast cancer survivors delivered with telehealth conferencing. Archives of physical medicine and rehabilitation, 101(6): 948-959. DOI: 10.1016/j.apmr.2020.01.021.
  43. Narayanan S., Lopez G., Powers-James C., Fellman B. M., Chunduru A., Li Y., ... & Cohen L. (2021). Integrative oncology consultations delivered via telehealth in 2020 and in-person in 2019: paradigm shift during the COVID-19 world pandemic. Integrative cancer therapies, 20. DOI: 10.1177/1534735421999101.
  44. Noble N., Mackenzie L., Carey M., Proietto A., Sanson-Fisher R., Walker G., & Silcock J. (2019). Cross-sectional survey to inform the development of a telehealth support model: a feasibility study for women undergoing breast cancer surgery. Pilot and Feasibility Studies, 5(1): 1-7. DOI: 10.1186/s40814-019-0426-5.
  45. Noorbergen T.J., Adam M.T., Roxburgh M., & Teubner T. (2021). Co-design in mHealth systems development: insights from a systematic literature review. AIS Transactions on Human-Computer Interaction, 13(2): 175-205. DOI: 10.17705/1thci.00147.
  46. Nouri S., Khoong E.C., Lyles C.R., & Karliner L. (2020). Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catalyst Innovations in Care Delivery, 1(3): 1-13.
  47. Palumbo R. (2016). Contextualizing co-production of health care: a systematic literature review. International Journal of Public Sector Management, 29(1): 72-90. DOI: 10.1108/IJPSM-07-2015-0125.
  48. Pangarsa E.A. (2023). The effect of multidisciplinary team on survival rates of women with breast cancer: a systematic review and meta-analysis. Annals of Medicine & Surgery, 85: 2940-2948.
  49. Programma Nazionale Esiti (2023). -- Tratto da: https://pne.agenas.it/home.
  50. Sanders E.B.N., & Stappers P.J. (2014). Probes, toolkits and prototypes: three approaches to making in codesigning. CoDesign, 10(1): 5-14. DOI: 10.1080/15710882.2014.888183.
  51. Shi N., Wong A.K.C., Wong F.K.Y., & Sha L. (2023). Mobile Health Application-Based Interventions to Improve Self-management of Chemotherapy-Related Symptoms Among People with Breast Cancer Who Are Undergoing Chemotherapy: A Systematic Review. The Oncologist, 28: e175-e182.
  52. Singleton A.C., Raeside R., Partridge S.R., Hyun K.K., Tat-Ko J., Sum S.C.M., ... & Redfern J. (2022). Supporting women’s health outcomes after breast cancer treatment comparing a text message intervention to usual care: the EMPOWER-SMS randomised clinical trial. Journal of Cancer Survivorship, 1-13. DOI: 10.1007/s11764-022-01209-9.
  53. Sirintrapun S.J., & Lopez A.M. (2018). Telemedicine in cancer care. American Society of Clinical Oncology Educational Book, 38: 540-545. DOI: 10.1200/EDBK_200141.
  54. Uhm K.E., Yoo J.S., Chung S.H., Lee J.D., Lee I., Kim J.I. et al. (2017). Effects of exercise intervention in breast cancer patients:is mobile health (mHealth) with pedometer more effective than conventional program using brochure?. Breast Canc Res Treat, 161(3): 443e52. DOI: 10.1007/s10549-016-4065-8.
  55. Voorberg W.H., Bekkers V.J., & Tummers L.G. (2015). A systematic review of co-creation and co-production: Embarking on the social innovation journey. Public management review, 17(9): 1333-1357. DOI: 10.1080/14719037.2014.930505.
  56. WHO Global Observatory for eHealth World Health Organization (2011). MHealth: New Horizons for Health through Mobile Technologies. [Internet] [cited 2019 Sep 22]. -- Available from: http://www.who.int/goe/publications/goe_mhealth_web.pd.
  57. Williams S.A. (2004). The effect of education in managing side effects in women receiving chemotherapy for treatment of breast cancer. Number 1/2004, 31(1): E16-E23. DOI: 10.1188/04.ONF.E16-E23.

Metriche

Caricamento metriche ...