Investigator is leaving the university

The investigators propose a pilot study of monitoring a sample of 6 older patients receiving active cancer treatment over a period of 6 months with in-home sensor monitors installed and maintained by Foresite Healthcare. The investigators also propose exploring the beliefs and attitudes of those who are not willing to allow in-home sensor monitoring by asking them to complete a brief survey related to in-home sensor monitoring. The investigators hypothesize that patients will find the equipment acceptable and unintrusive, that changes in home-monitored patient parameters will precede clinical events and that patient trajectories will be more fully characterized with the in home sensors.

Inclusion Criteria:

Arm A:

• Age ≥ 65
• Receiving systemic cancer therapy, including conventional chemotherapy, novel/targeted agents OR will begin systemic therapy within the next 4 weeks.
• Estimated life expectancy >1 year
• Anticipated to receive ongoing care at Siteman Cancer Center and its satellite sites
• Willing to have sensors installed in 1-2 primary living areas (e.g. living room and bedroom)
• Continuous home internet connection
• Able to understand and willing to sign an IRB-approved written informed consent document

Arm B:

• Age ≥ 65
• Receiving systemic cancer therapy, including conventional chemotherapy, novel/targeted agents OR will begin systemic therapy within the next 4 weeks.
• Estimated life expectancy >1 year
• Anticipated to receive ongoing care at Siteman Cancer Center and its satellite sites
• Able to understand and willing to sign an IRB-approved written informed consent document

Exclusion Criteria:

Arm A:

• Inability to read and understand English
• Only receiving hormonal agents (e.g. anti-estrogen or anti-androgen)
• Lives in institutional setting where instrumental activities of daily living are completed for patient by paid staff

Arm B:

• Inability to read and understand English
• Only receiving hormonal agents (e.g. anti-estrogen or anti-androgen)
• Lives in institutional setting where instrumental activities of daily living are completed for patient by paid staff