@文章{信息:doi/10.2196/10296，作者=“Loh, Kah Poh和Ramsdale, Erika和Culakova, Eva和Mendler, Jason H和Liesveld, Jane L和O'Dwyer, Kristen M和McHugh, Colin和Gilles, Maxence和Lloyd, Terri和Goodman, Molly和Klepin, Heidi D和Mustian, Karen M和Schnall, Rebecca和mohiile, Supriya G”，标题=“为患有癌症的老年人提供老年评估驱动干预的新型移动健康应用程序:试点可行性和可用性研究”，期刊=“JMIR Cancer”，年=“2018”，月=“Oct”，日=“29”，卷=“4”，号=“2”，页=“e10296”，关键词=“移动健康应用;老年的评估;老年人;背景:老年癌症患者发生不良后果的风险增加。老年评估(GA)是一套可靠且经过验证的工具汇编，用于评估作为发病率和死亡率预测因素的领域，并可用于指导干预措施。然而，由于资源和时间的限制，遗传算法和遗传算法驱动的干预措施的实施很少。通过移动应用程序提供的ga驱动干预可能支持老年癌症患者及其护理人员的复杂需求。目的:我们旨在评估一种新型应用程序(TouchStream)的可行性和可用性，并确定其使用的障碍。作为探索目的，我们收集了症状负担、医疗保健利用和满意度的初步数据。 Methods: In a single-site pilot study, we included patients aged ≥65 years undergoing treatment for systemic cancer and their caregivers. TouchStream consists of a mobile app and a Web portal. Patients underwent a GA at baseline with the study team (on paper), and the results were used to guide interventions delivered through the app. A tablet preloaded with the app was provided for use at home for 4 weeks. Feasibility metrics included usability (system usability scale of >68 is considered above average), recruitment, retention (number of subjects consented who completed postintervention assessments), and percentage of days subjects used the app. For the last 8 patients, we assessed their symptom burden (severity and interference with 17-items scored from 0-10 where a higher score indicates worse symptoms) using a clinical symptom inventory, health care utilization from the electronic medical records, and satisfaction (6 items scored on a 5-point Likert Scale for both patients and caregivers where a higher score indicates higher satisfaction) using a modified satisfaction survey. Barriers to use were elicited through interviews. Results: A total of 18 patients (mean age 76.8, range 68-87) and 13 caregivers (mean age 69.8, range 38-81) completed the baseline assessment. Recruitment and retention rates were 67{\%} and 80{\%}, respectively. The mean SUS score was 74.0 for patients and 72.2 for caregivers. Mean percentage of days the TouchStream app was used was 78.7{\%}. Mean symptom severity and interference scores were 1.6 and 2.8 at preintervention, and 0.9 and 1.5 at postintervention, respectively. There was a total of 27 clinic calls during the intervention period and 15 during the postintervention period (week 5-8). One patient was hospitalized during the intervention period (week 1-4) and two patients during the postintervention period (week 5-8). Mean satisfaction scores of patients and caregivers with the mobile app were 20.4 and 23.4, respectively. Barriers fell into 3 themes: general experience, design, and functionality. Conclusions: TouchStream is feasible and usable for older patients on cancer treatment and their caregivers. Future studies should evaluate the effects of the TouchStream on symptoms and health care utilization in a randomized fashion. ", issn="2369-1999", doi="10.2196/10296", url="http://cancer.www.mybigtv.com/2018/2/e10296/", url="https://doi.org/10.2196/10296", url="http://www.ncbi.nlm.nih.gov/pubmed/30373733" }