Skip to main content

Advertisement

Log in

Advances and future directions in the use of mobile health in supportive cancer care: proceedings of the 2019 MASCC Annual Meeting symposium

  • Review Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

The role of mobile health (mHealth) technology in cancer care has evolved alongside the rapid development in digital technology. Its use can come with significant potential benefits; however, such use may also be associated with risks. This paper summarizes the latest developments around mHealth use in cancer care presented by a panel of experts at the 2019 Annual Meeting of the Multinational Association of Supportive Care in Cancer.

Methods

Through lectures, case studies, and panel discussions, speakers and participants (including cancer specialist doctors, nurses, and allied health professionals) evaluated current and emerging mHealth methods for supportive care in cancer survivorship. Focus areas and special considerations were agreed upon by consensus.

Results

Three focus areas for the use of mHealth in cancer care were identified: activation and support of self-management, exercise oncology, and enablement of survivorship care delivery. In addition to these focus areas, two special considerations were highlighted: technology-enhanced supportive cancer care for disparate populations, and ethical considerations relevant to the use of technology in supportive care.

Conclusion

mHealth has the potential to revolutionize and transform cancer care delivery. Future research should guide further advances in the use of technology in supportive cancer care and carefully explore the safety, efficacy, cost-effectiveness, and implementation of interventions delivered through mHealth platforms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. World Health Organization (2011) mHealth: new horizons for health through mobile technologies. WHO Press, Switzerland

    Google Scholar 

  2. Davis SW, Oakley-Girvan I (2015) mHealth education applications along the cancer continuum. J Cancer Educ 30(2):388–394

    PubMed  Google Scholar 

  3. Bender JL, Yue RY, To MJ, Deacken L, Jadad AR (2013) A lot of action, but not in the right direction: systematic review and content analysis of smartphone applications for the prevention, detection, and management of cancer. J Med Internet Res 15(12):e287

    PubMed  PubMed Central  Google Scholar 

  4. Jongerius C, Russo S, Mazzocco K, Pravettoni G (2019) Research-tested mobile apps for breast cancer care: systematic review. JMIR Mhealth Uhealth 7(2):e10930

    PubMed  PubMed Central  Google Scholar 

  5. Subhi Y, Bube SH, Rolskov Bojsen S, Skou Thomsen AS, Konge L (2015) Expert involvement and adherence to medical evidence in medical mobile phone apps: a systematic review. JMIR Mhealth Uhealth 3(3):e79

    PubMed  PubMed Central  Google Scholar 

  6. Foley NM, O'Connell EP, Lehane EA, Livingstone V, Maher B, Kaimkhani S, Cil T, Relihan N, Bennett MW, Redmond HP, Corrigan MA (2016) PATI: patient accessed tailored information: a pilot study to evaluate the effect on preoperative breast cancer patients of information delivered via a mobile application. Breast. 30:54–58

    CAS  PubMed  Google Scholar 

  7. Georgsson M (2019) Improving the uptake and continued use of mobile health technology: from behavioral change theory to contextual intervention design and the inclusion of the end-user. OJNI 23(1). Retrieved from https://www.himss.org/resources/improving-uptake-and-continued-use-mobile-healthtechnology-behavioral-change-theory. Accessed 13 May 2020

  8. IOM Institute of Medicine (2013) Delivering high-quality cancer care: charting a new course for a system in crisis. The National Academies Press, Washington, DC

    Google Scholar 

  9. Miller G, Schilsky R (2014) Patient engagement: revolutionary change. Available from: https://www.medscape.com/viewarticle/827329. Accessed 13 May 2020

  10. Stephenson MD, Lisy K, Stern CJ, Feyer AM, Fisher L, Aromataris EC (2019) The impact of integrated care for people with chronic conditions on hospital and emergency department utilization: a rapid review. Int J Evid Based Healthc 17(1):14–26

    PubMed  Google Scholar 

  11. Lorig KR, Holman H (2003) Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 26(1):1–7

    PubMed  Google Scholar 

  12. Darlow S, Wen KY (2016) Development testing of mobile health interventions for cancer patient self-management: a review. Health Informatics J 22(3):633–650

    PubMed  Google Scholar 

  13. Richards R, Kinnersley P, Brain K, McCutchan G, Staffurth J, Wood F (2018) Use of mobile devices to help cancer patients meet their information needs in non-inpatient settings: systematic review. JMIR Mhealth Uhealth 6(12):e10026

    PubMed  PubMed Central  Google Scholar 

  14. Hernandez Silva E, Lawler S, Langbecker D (2019) The effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review. J Cancer Surviv 13(1):97–107

    PubMed  Google Scholar 

  15. Flores Mateo G, Granado-Font E, Ferre-Grau C, Montana-Carreras X (2015) Mobile phone apps to promote weight loss and increase physical activity: a systematic review and meta-analysis. J Med Internet Res 17(11):e253

    PubMed  PubMed Central  Google Scholar 

  16. Nouri R, R Niakan Kalhori S, Ghazisaeedi M, Marchand G, Yasini M (2018) Criteria for assessing the quality of mHealth apps: a systematic review. J Am Med Inform Assoc 25(8):1089–1098

    PubMed  Google Scholar 

  17. McKay FH, Wright A, Shill J, Stephens H, Uccellini M (2019) Using health and well-being apps for behavior change: a systematic search and rating of apps. JMIR Mhealth Uhealth 7(7):e11926

    PubMed  PubMed Central  Google Scholar 

  18. Howell DD (2018) Supported self-management for cancer survivors to address long-term biopsychosocial consequences of cancer and treatment to optimize living well. Curr Opin Support Palliat Care 12(1):92–99

    PubMed  Google Scholar 

  19. Adams K, Greiner AC, Corrigan JM (2004) Report of a summit: the first annual crossing the quality chasm summit: a focus on communities. National Academies Press, Washington, DC

    Google Scholar 

  20. Richards T, Snow R, Schroter S (2016) Co-creating health: more than a dream. BMJ 354:i4550

    PubMed  Google Scholar 

  21. Roberts AL, Fisher A, Smith L, Heinrich M, Potts HWW (2017) Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv 11(6):704–719

    PubMed  PubMed Central  Google Scholar 

  22. Basch E, Deal AM, Dueck AC, Scher HI, Kris MG, Hudis C, Schrag D (2017) Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. JAMA 318(2):197–198

    PubMed  PubMed Central  Google Scholar 

  23. Seto E, Leonard KJ, Cafazzo JA, Barnsley J, Masino C, Ross HJ (2012) Mobile phone-based telemonitoring for heart failure management: a randomized controlled trial. J Med Internet Res 14(1):e31

    PubMed  PubMed Central  Google Scholar 

  24. Warrington L, Absolom K, Conner M, Kellar I, Clayton B, Ayres M, Velikova G (2019) Electronic systems for patients to report and manage side effects of cancer treatment: systematic review. J Med Internet Res 21(1):e10875

    PubMed  PubMed Central  Google Scholar 

  25. Stout NL, Baima J, Swisher AK, Winters-Stone KM, Welsh J (2017) A systematic review of exercise systematic reviews in the cancer literature (2005–2017). PM R 9(9s2):S347–Ss84

    PubMed  PubMed Central  Google Scholar 

  26. 2018 Physical Activity Guidelines Advisory Committee (2018) 2018 Physical Activity Guidelines Advisory Committee Scientific Report. U.S. Department of Health and Human Services, Washington D.C

    Google Scholar 

  27. Purswani JM, Ohri N, Champ C (2018) Tracking steps in oncology: the time is now. Cancer Manag Res 10:2439–2447

    PubMed  PubMed Central  Google Scholar 

  28. Schaffer K, Panneerselvam N, Loh KP, Herrmann R, Kleckner IR, Dunne RF, Lin PJ, Heckler CE, Gerbino N, Bruckner LB, Storozynsky E, Ky B, Baran A, Mohile SG, Mustian KM, Fung C (2019) Systematic review of randomized controlled trials of exercise interventions using digital activity trackers in patients with cancer. J Natl Compr Cancer Netw 17(1):57–63

    CAS  Google Scholar 

  29. Kessels E, Husson O, van der Feltz-Cornelis CM (2018) The effect of exercise on cancer-related fatigue in cancer survivors: a systematic review and meta-analysis. Neuropsychiatr Dis Treat 14:479–494

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Peterson BM, Johnson C, Case KR, Shackelford DYK, Brown JM, Lalonde TL, Hayward R (2018) Feasibility of a combined aerobic and cognitive training intervention on cognitive function in cancer survivors: a pilot investigation. Pilot Feasibility Stud 4:50

    PubMed  PubMed Central  Google Scholar 

  31. Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893

    PubMed  Google Scholar 

  32. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, McTiernan A, Rock CL, Thompson C, Gansler T, Andrews KS, 2006 Nutrition, Physical Activity and Cancer Survivorship Advisory Committee, American Cancer Society (2006) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 56(6):323–353

    PubMed  Google Scholar 

  33. Kruse C, Betancourt J, Ortiz S, Valdes Luna SM, Bamrah IK, Segovia N (2019) Barriers to the use of mobile health in improving health outcomes in developing countries: systematic review. J Med Internet Res 21(10):e13263

    PubMed  PubMed Central  Google Scholar 

  34. Kruse CS, Karem P, Shifflett K, Vegi L, Ravi K, Brooks M (2018) Evaluating barriers to adopting telemedicine worldwide: a systematic review. J Telemed Telecare 24(1):4–12

    Google Scholar 

  35. Moffatt JJ, Eley DS (2011) Barriers to the up-take of telemedicine in Australia--a view from providers. Rural Remote Health 11(2):1581

    PubMed  Google Scholar 

  36. Aamira J, Ali SM, Boulos MNK, Anjum N, Ishaq M (2018) Enablers and inhibitors: a review of the situation regarding mHealth adoption in low- and middle-income countries. Health Policy Technol 7(1):88–97

    Google Scholar 

  37. Cox A, Lucas G, Marcu A, Piano M, Grosvenor W, Mold F, Maguire R, Ream E (2017) Cancer survivors’ experience with Telehealth: a systematic review and thematic synthesis. J Med Internet Res 19(1):e11

    PubMed  PubMed Central  Google Scholar 

  38. Cassidy RJ, Zhang X, Switchenko JM, Patel PR, Shelton JW, Tian S, Nanda RH, Steuer CE, Pillai RN, Owonikoko TK, Ramalingam SS, Fernandez FG, Force SD, Gillespie TW, Curran WJ, Higgins KA (2018) Health care disparities among octogenarians and nonagenarians with stage III lung cancer. Cancer 124(4):775–784

    PubMed  PubMed Central  Google Scholar 

  39. Cervantez SR, Tenner LL, Schmidt S, Aduba IO, Jones JT, Ali N, Singh-Carlson S (2018) Symptom burden and palliative referral disparities in an ambulatory South Texas Cancer Center. Front Oncol 8:443

    PubMed  PubMed Central  Google Scholar 

  40. Check DK, Samuel CA, Rosenstein DL, Dusetzina SB (2016) Investigation of racial disparities in early supportive medication use and end-of-life care among Medicare beneficiaries with stage IV breast cancer. J Clin Oncol 34(19):2265–2270

    PubMed  PubMed Central  Google Scholar 

  41. Dixit N, Crawford GB, Lemonde M, Rittenberg CN, Fernandez-Ortega P (2016) Left behind: cancer disparities in the developed world. Support Care Cancer 24(8):3261–3264

    PubMed  Google Scholar 

  42. John DA, Kawachi I, Lathan CS, Ayanian JZ (2014) Disparities in perceived unmet need for supportive services among patients with lung cancer in the cancer care outcomes research and surveillance consortium. Cancer. 120(20):3178–3191

    PubMed  PubMed Central  Google Scholar 

  43. Napoles AM, Ortiz C, Santoyo-Olsson J, Stewart AL, Lee HE, Duron Y, Dixit N, Luce J, Flores D (2017) Post-treatment survivorship care needs of Spanish-speaking Latinas with breast cancer. J Community Support Oncol 15(1):20–27

    PubMed  PubMed Central  Google Scholar 

  44. McDougall JA, Blair CK, Wiggins CL, Goodwin MB, Chiu VK, Rajput A et al (2019) Socioeconomic disparities in health-related quality of life among colorectal cancer survivors. J Cancer Surviv 13(3):459–467

    PubMed  PubMed Central  Google Scholar 

  45. Estacio EV, Whittle R, Protheroe J (2019) The digital divide: examining socio-demographic factors associated with health literacy, access and use of internet to seek health information. J Health Psychol 24(12):1668–1675

    PubMed  Google Scholar 

  46. Ginossar T (2016) Predictors of online cancer prevention information seeking among patients and caregivers across the digital divide: a cross-sectional, Correlational Study. JMIR Cancer 2(1):e2

    PubMed  PubMed Central  Google Scholar 

  47. Chang BL, Bakken S, Brown SS, Houston TK, Kreps GL, Kukafka R, Safran C, Stavri PZ (2004) Bridging the digital divide: reaching vulnerable populations. J Am Med Inform Assoc 11(6):448–457

    PubMed  PubMed Central  Google Scholar 

  48. Gustafson DH, McTavish FM, Stengle W, Ballard D, Jones E, Julesberg K et al (2005) Reducing the digital divide for low-income women with breast cancer: a feasibility study of a population-based intervention. J Health Commun 10(Suppl 1):173–193

    PubMed  Google Scholar 

  49. Nagler RH, Ramanadhan S, Minsky S, Viswanath K (2013) Recruitment and retention for community-based eHealth interventions with populations of low socioeconomic position: strategies and challenges. J Commun 63(1):201–220

    PubMed  PubMed Central  Google Scholar 

  50. Napoles AM, Santoyo-Olsson J, Chacon L, Stewart AL, Dixit N, Ortiz C (2019) Feasibility of a mobile phone app and telephone coaching survivorship care planning program among Spanish-speaking breast cancer survivors. JMIR Cancer 5(2):e13543

    PubMed  PubMed Central  Google Scholar 

  51. Fallahzadeh R, Rokni SA, Ghasemzadeh H, Soto-Perez-de-Celis E, Shahrokni A (2018) Digital health for geriatric oncology. JCO Clin Cancer Inform 2:1–12

    PubMed  Google Scholar 

  52. Cortez NG, Cohen IG, Kesselheim AS (2014) FDA regulation of mobile health technologies. N Engl J Med 371(4):372–379

    CAS  PubMed  Google Scholar 

  53. Greenhalgh T, Russell J (2010) Why do evaluations of eHealth programs fail? An alternative set of guiding principles. PLoS Med 7(11):e1000360

    PubMed  PubMed Central  Google Scholar 

  54. Lucivero F, Jongsma KR (2018) A mobile revolution for healthcare? Setting the agenda for bioethics. J Med Ethics 44:685–689

    PubMed  PubMed Central  Google Scholar 

  55. Carter A, Liddle J, Hall W, Chenery H (2015) Mobile phones in research and treatment: ethical guidelines and future directions. JMIR Mhealth Uhealth 3(4):e95

    PubMed  PubMed Central  Google Scholar 

  56. Zhou L, Bao J, Watzlaf V, Parmanto B (2019) Barriers to and facilitators of the use of mobile health apps from a security perspective: mixed-methods study. JMIR Mhealth Uhealth 7(4):e11223

    PubMed  PubMed Central  Google Scholar 

  57. Yardley L, Choudhury T, Patrick K, Michie S (2016) Current issues and future directions for research into digital behavior change interventions. Am J Prev Med 51(5):814–815

    PubMed  Google Scholar 

  58. Prochaska JO, Velicer WF (1997) The transtheoretical model of health behavior change. Am J Health Promot 12(1):38–48

    CAS  PubMed  Google Scholar 

  59. Nasi G, Cucciniello M, Guerrazzi C (2015) The performance of mHealth in cancer supportive care: a research agenda. J Med Internet Res 17(1):e9

    PubMed  PubMed Central  Google Scholar 

  60. Shaw J, Desveaux L, Agarwal P, Palma DC (2018) Beyond “implementation”: digital health innovation and service design. Npj Digital Med 1:48. https://doi.org/10.1038/s41746-018-0059-8

  61. Iribarren SJ, Cato K, Falzon L, Stone PW (2017) What is the economic evidence for mHealth? A systematic review of economic evaluations of mHealth solutions. PLoS One 12(2):e0170581

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Raymond J. Chan or Alexandre Chan.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(DOCX 15 kb).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chan, R.J., Howell, D., Lustberg, M.B. et al. Advances and future directions in the use of mobile health in supportive cancer care: proceedings of the 2019 MASCC Annual Meeting symposium. Support Care Cancer 28, 4059–4067 (2020). https://doi.org/10.1007/s00520-020-05513-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-020-05513-x

Keywords

Navigation