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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Eligible patients will be identified by the Nurse Practitioner Cancer & Palliative Care. |
| |
| Carers | The respective carers who are identified by the Nurse Practitioner Cancer & Palliative Care as eligible participants. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Garmin VivoSmart 4 | Device | Wearable sensor to record; sleep, stress, heart rate etc. |
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| Measure | Description | Time Frame |
|---|---|---|
| Wearable compliance | Wearable compliance (compliance defined HR signal detected for >=70% of daytime hours between 7:30am to 7:30 pm) | 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Quantitative and qualitative exploration of EMA/EMI acceptability | Exploration of EMA/EMI acceptability by patient/carer dyads quantitatively using experience surveys and qualitatively using an (optional) focus group. | 2 hours |
| Correlative analysis of WS signals and ePRO's |
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Inclusion Criteria:
Exclusion Criteria:
• Unwilling or unable to give informed consent
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Palliative care patient and their respective carer attending at Northern Sydney Cancer Centre, RNSH.
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| Name | Affiliation | Role |
|---|---|---|
| Thilo Schuler | Royal North Shore Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal North Shore Hospital | St Leonards | New South Wales | 2067 | Australia |
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| Label | URL |
|---|---|
| Project website | View source |
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The results of this trial will be published in a peer reviewed journal. We are targeting high-impact palliative care journals such as 'Palliative Medicine' for publication.
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| mema - ilumivu | Device | mEMA is the a self-service platform running on both iOS and Android that is specifically designed for the administration of mobile Ecological Momentary Assessment or Experience Sampling research studies. |
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Correlative analysis of WS signals and ePRO answers with focus on:
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| 5 weeks |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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