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Optimisation and validation of a remote monitoring system (Onco-TreC) for home-based management of oral anticancer therapies: an Italian multicentre feasibility study.


ABSTRACT: INTRODUCTION:Despite the growing number of oral agents available for cancer treatment, their efficacy may be reduced due to the lack of adherence, inappropriate adverse event self-management and arbitrary dose adjustment. The management of anticancer therapies could exponentially benefit from the introduction of mobile health technologies in a highly integrated electronic oncology system. METHODS AND ANALYSIS:We plan to customise and fine-tune an existing monitoring TreC platform used in different chronic diseases in the oncology setting. This project follows a multistep approach with two major purposes: 1. participatory design techniques driven by Health Literacy and Patient Reported Outcomes principles in order to adapt the system to the oncology setting involving patients and healthcare providers; 2. a prospective training-validation, interventional, non-pharmacological, multicentre study on a series of consecutive patients with cancer (20 and 60 patients in the training and validation steps, respectively) in order to assess system capability, usability and acceptability. The novel Onco-TreC 2.0 is expected to contribute to improving the adherence and safety of cancer care, promoting patient empowerment and patient-doctor communication. ETHICS AND DISSEMINATION:Ethical approval was obtained from the Independent Ethics Committees of the participating institutions (CEIIAV protocol Number 2549/2015; reference Number 1315-PU). Informed consent will be obtained from all study participants. Findings will be disseminated through peer-reviewed journals, conferences and event presentations. TRIAL REGISTRATION NUMBER:ClinicalTrials.gov (NCT02921724); (Pre-results). Other study ID Number: IRST100.18.

SUBMITTER: Passardi A 

PROVIDER: S-EPMC5729988 | biostudies-literature | 2017 May

REPOSITORIES: biostudies-literature

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Optimisation and validation of a remote monitoring system (Onco-TreC) for home-based management of oral anticancer therapies: an Italian multicentre feasibility study.

Passardi Alessandro A   Rizzo Mimma M   Maines Francesca F   Tondini Carlo C   Zambelli Alberto A   Vespignani Roberto R   Andreis Daniele D   Massa Ilaria I   Dianti Marco M   Forti Stefano S   Piras Enrico Maria EM   Eccher Claudio C  

BMJ open 20170529 5


<h4>Introduction</h4>Despite the growing number of oral agents available for cancer treatment, their efficacy may be reduced due to the lack of adherence, inappropriate adverse event self-management and arbitrary dose adjustment. The management of anticancer therapies could exponentially benefit from the introduction of mobile health technologies in a highly integrated electronic oncology system.<h4>Methods and analysis</h4>We plan to customise and fine-tune an existing monitoring TreC platform  ...[more]

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