Wearable and Patient-reported Outcome-based Continuous Assessment and Support Alerts in Palliative Care
- Conditions
- Patient Reported Outcome MeasuresPalliative CareDigital HealthWearable Electronic DevicesCancerCaregiver
- Interventions
- Device: Garmin VivoSmart 4Device: mema - ilumivu
- Registration Number
- NCT05273580
- Lead Sponsor
- Royal North Shore Hospital
- Brief Summary
Non-professional carers (typically family members) play a critical role in providing adequate home care. This research explores the use of wearable sensors (WS) and electronic patient-reported outcome (ePRO) surveys to monitor stress levels of advanced cancer patient/carer dyads. During wear times, WS-triggered ecological momentary assessments (EMAs) were conducted via short smartphone-based surveys. This pilot study investigates the feasibility of EMAs in community palliative care.
- Detailed Description
Non-professional carers (typically family members) play a critical role in providing adequate home care along with professional caregivers. However, the physical and emotional toll of caring for a family member can lead to distress and burn out of the carer. The latter often results in the need for temporary or permanent institutional care of the patient. This research explores the feasibility of wearable sensors (WS) and electronic patient-reported outcome (ePRO) surveys to monitor activity patterns and stress levels of advanced cancer patient/caregiver dyads in order to understand their needs better.
Throughout the study, wearable sensors are used to passively record physiological data from patient/carer dyads. During wear times, WS recordings trigger ecological momentary assessments (EMAs) conducted via surveys. This pilot investigates the feasibility and acceptability of EMAs in community palliative care and the potential for incorporating EMA-based interventions into routine care. Future studies may explore the possibility of ecological momentary interventions (EMIs) to trigger just-in-time targeted interventions.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- Palliative care patient attending at Northern Sydney Cancer Centre, RNSH
- Patient and carer dyad
- Both patient and carer consent
- Patient Karnofsky Performance Scale ≥ 50
- Patient and carer have compatible smart phone
• Unwilling or unable to give informed consent
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Carers Garmin VivoSmart 4 The respective carers who are identified by the Nurse Practitioner Cancer \& Palliative Care as eligible participants. Patients Garmin VivoSmart 4 Eligible patients will be identified by the Nurse Practitioner Cancer \& Palliative Care. Patients mema - ilumivu Eligible patients will be identified by the Nurse Practitioner Cancer \& Palliative Care. Carers mema - ilumivu The respective carers who are identified by the Nurse Practitioner Cancer \& Palliative Care as eligible participants.
- Primary Outcome Measures
Name Time Method Wearable compliance 5 weeks Wearable compliance (compliance defined HR signal detected for \>=70% of daytime hours between 7:30am to 7:30 pm)
- Secondary Outcome Measures
Name Time Method Correlative analysis of WS signals and ePRO's 5 weeks Correlative analysis of WS signals and ePRO answers with focus on:
* Intra-dyadic longitudinal trends (Is there correlation between metrics of a patient and their carer?)
* EMA trigger incidences and distribution of ePRO-stated trigger reasons including "false alarms" of the whole cohortQuantitative and qualitative exploration of EMA/EMI acceptability 2 hours Exploration of EMA/EMI acceptability by patient/carer dyads quantitatively using experience surveys and qualitatively using an (optional) focus group.
Trial Locations
- Locations (1)
Royal North Shore Hospital
🇦🇺St Leonards, New South Wales, Australia