Telecare Management of Pain and Depression in Patients With Cancer Patient Satisfaction and Predictors of Use

被引:27
作者
Johns, Shelley A. [1 ]
Kroenke, Kurt [2 ,3 ,4 ]
Theobald, Dale E. [5 ]
Wu, Jingwei [2 ]
Tu, Wanzhu [2 ,4 ]
机构
[1] Indiana Univ, Sch Nursing, Indianapolis, IN 46204 USA
[2] Indiana Univ, Dept Med, Indianapolis, IN 46204 USA
[3] Richard Roudebush VA Med Ctr, Ctr Implementing Evidence Based Practice, Indianapolis, IN 46202 USA
[4] Regenstrief Inst Inc, 5th Floor,1050 Wishard Blvd, Indianapolis, IN 46202 USA
[5] Community Hlth Network, Indianapolis, IN USA
关键词
automated symptom monitoring; cancer; depression; pain; telecare management;
D O I
10.1097/JAC.0b013e31820ef628
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Pain and depression are 2 of the most common and disabling cancer-related symptoms. In the Indiana Cancer Pain and Depression trial, 202 cancer patients with pain and/or depression were randomized to the intervention group and received centralized telecare management augmented by automated symptom monitoring (ASM). Over the 12-month trial, the average patient completed 2 ASM reports and 1 nurse call per month. Satisfaction with both ASM and care management was high regardless of patient characteristics or cancer type. Adherence was also generally good, although several predictors of fewer ASM reports and nurse calls were identified. Only a minority of ASM reports triggered a nurse call, suggesting the efficiency of coupling clinician-delivered telecare management with automated monitoring.
引用
收藏
页码:126 / 139
页数:14
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