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Acceptance and expectations of an App for physical activity in breast cancer patients : exploring the feasibility of implementing and using the Pinktrainer during breast cancer treatment in outpatient setting at Ziekenhuisgroep Twente : combining the perspectives of patients and health care professionals

Kerklaan, Sarah (2019) Acceptance and expectations of an App for physical activity in breast cancer patients : exploring the feasibility of implementing and using the Pinktrainer during breast cancer treatment in outpatient setting at Ziekenhuisgroep Twente : combining the perspectives of patients and health care professionals.

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Abstract:Background: Breast cancer is the most common cancer in women worldwide. Breast cancer treatment results in side-effects, such as fatigue and nausea, has an impact on the quality of life, and has a high economic burden. Improving quality of life and decreasing economic burden is warranted. The eHealth treatment ‘Pinktrainer’ is a newly developed application that provides a complementary, physical activity intervention for breast cancer patients, and could help in the prevention and managing of breast cancer treatment-related side effects through physical activity (PA) intervention. This study aimed to explore the feasibility of implementing and using the Pinktrainer as part of the treatment of breast cancer patients in outpatient setting at Ziekenhuisgroep Twente (ZGT). Methods: The Centre for eHealth Research (CeHRes) Roadmap was used to structure this study using the relevant phases: the Contextual Inquiry, the Design, and the Operationalisation. The Unified Theory of Acceptance and Use of Technology (UTAUT) model and Effective Technology Use Model (ETUM) were used to create semi-structured interviews conducted with primary involved health care professionals (HCPs) in the breast cancer care process. Interviews were coded and analysed inductively. An extended version of the UTAUT model by Timmerman et al. (1) was used to create a baseline questionnaire that analysed expected clinical usability and acceptance of the Pinktrainer in patients, using statements scored on a 7-point Likert scale. The baseline questionnaire is part of an ongoing pilot-study of the Pinktrainer. Scenario-based methods were used to inform both HCPs and patients on the Pinktrainer before the interviews and questionnaires were conducted. Results: Seven HCPs were interviewed, resulting in six main categories with corresponding codes and subcodes. The categories centred on ideas of implementation, actual use of the Pinktrainer in the care process, expected effectiveness of the Pinktrainer, and the effect of the Pinktrainer on current work processes and work values. Intangible, i.e. substantive and organisational, and tangible, i.e. physical and practical, conditions and obstacles were expected for implementation, in which general support from all involved HCPs, skills training, and clear agreements on privacy and data-exchange were the most mentioned conditions for successful implementation, and workload and insufficient resources the most mentioned obstacles. Both the added value and cost-effectiveness of the Pinktrainer were expected to be good. The baseline questionnaire had three respondents. Results from the questionnaires showed a high overall acceptance of the Pinktrainer by all patients (score 6,06 out of 7), with a positive intention to use (score 7 out of 7), and preference for Pinktrainer treatment over regular treatment. The expected clinical usability of both the Pinktrainer treatment and the Pinktrainer application was good (score >5 out of 6). Discussion & Conclusion: This study found that both the HCPs and breast cancer patients at ZGT would accept the Pinktrainer in treatment, with a good expected clinical usability. It is recommended to further elaborate the proposed Pinktrainer treatment by the HCPs, and to adopt it in the breast cancer care process at ZGT with its corresponding four main values identified in this study. Screening patients before their Pinktrainer treatment should be done to identify patients requiring supportive strategies to increase their access and use of the Pinktrainer. The next step will be to continue the implementation process of the Pinktrainer at ZGT by further analysing the identified conditions and obstacles in this study, and by analysing the internal and external context of the Pinktrainer and of the care process. An implementation plan and business modelling are recommended for this process, in which co-creation with the stakeholders should be key to ensure successful integration, implementation, and adoption of the Pinktrainer at ZGT. The CeHRes Roadmap and NASSS framework are recommended to plan, implement and scale-up the Pinktrainer treatment at ZGT.
Item Type:Essay (Master)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Health Sciences MSc (66851)
Link to this item:http://purl.utwente.nl/essays/79859
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