Suchergebnisse

Most prostate cancer survivors are confronted with disease-related and treatment-related side effects that impact their quality of life. A tool that combines specific physical activity coaching with the promotion of a healthy lifestyle and self-management guidance might be a successful method to enhance a lifestyle change in these patients. As a prerequisite for useful health technology, it is important to consider a design process centred in the patients. The aim of this study was to investigate the context of the problem and the user needs to support the ideation of a low-fidelity prototype of a tool to promote a healthy lifestyle in survivors of early-stage prostate cancer survivors. A user-centred design approach was followed involving a multidisciplinary team. The prototype was developed in 3 phases. In phase 1, the context was studied with 2 systematic reviews of the state of practice and consulting with 3 specialists in Oncology, resulting in a global use case and main requirements. In phase 2, the needs and barriers of the users were studied based on literature research and validated with 3 specialists, resulting in the creation of 3 personas. In phase 3, 2 sessions were held to ideate and prioritize possible app features, based on brainstorming and selection techniques. Using the Ninja Mock and Proto.io software a low-fidelity prototype was developed, resulting in 25 interactive screens. Understanding the user needs and context seems to be essential to highlight key goals hence facilitating the bridge between ideation of the tool and the intended users tasks and experiences. The conclusion of this first stage of the design process brings valuable details (such as barriers of the users to technology and physical activity) for future iterations of design of the mobile app. ; European Union's Horizon 2020 No 722012 ; European Union's Horizon 2020 No 676201 ; ENJECT COST Action TD1405

The evidence that quality of life is a positive variable for the survival of cancer patients has prompted the interest of the health and pharmaceutical industry in considering that variable as a final clinical outcome. Sustained improvements in cancer care in recent years have resulted in increased numbers of people living with and beyond cancer, with increased attention being placed on improving quality of life for those individuals. Connected Health provides the foundations for the transformation of cancer care into a patient-centric model, focused on providing fully connected, personalized support and therapy for the unique needs of each patient. Connected Health creates an opportunity to overcome barriers to health care support among patients diagnosed with chronic conditions. This paper provides an overview of important areas for the foundations of the creation of a new Connected Health paradigm in cancer care. Here we discuss the capabilities of mobile and wearable technologies; we also discuss pervasive and persuasive strategies and device systems to provide multidisciplinary and inclusive approaches for cancer patients for mental well-being, physical activity promotion, and rehabilitation. Several examples already show that there is enthusiasm in strengthening the possibilities offered by Connected Health in persuasive and pervasive technology in cancer care. Developments harnessing the Internet of Things, personalization, patient-centered design, and artificial intelligence help to monitor and assess the health status of cancer patients. Furthermore, this paper analyses the data infrastructure ecosystem for Connected Health and its semantic interoperability with the Connected Health economy ecosystem and its associated barriers. Interoperability is essential when developing Connected Health solutions that integrate with health systems and electronic health records. Given the exponential business growth of the Connected Health economy, there is an urgent need to develop mHealth (mobile health) exponentially, making it both an attractive and challenging market. In conclusion, there is a need for user-centered and multidisciplinary standards of practice to the design, development, evaluation, and implementation of Connected Health interventions in cancer care to ensure their acceptability, practicality, feasibility, effectiveness, affordability, safety, and equity. ; European Cooperation in Science and Technology (COST) ENJECT TD 1405 ; European Union's Horizon 2020 grant number: 722012 ; Tatra banka Foundation (2018vs108) ; Research Agency in Slovakia (ITMS: 26240120038) ; Fundação para a Ciência e a Tecnologia (FCT) SFRH/BSAB/142983/2018 ; Fundação para a Ciência e a Tecnologia (FCT) UID/DTP/00617/2019