The goal of this randomized controlled intervention is to develop and evaluate the effectiveness of the nurse-led with AI chatbot Individualized Symptom Management Education and Home-based Exercise (AI-ISME&HE) based on The Theory of Symptom Self-Management (TSSM) on frailty, self-efficacy in cancer care, trAE, and quality of life in advanced gastric cancer patients receiving immunotherapy. The main questions it aims to answer are:
Participants will not be blinded, but the outcome evaluator will be blinded. The participants will be asked to complete three tasks for 12 weeks:
Inclusion Criteria:
Exclusion Criteria:
scshun@nycu.edu.tw+886911268998
Given the design of the exercise-based intervention, blinding of participants and intervention providers is not feasible. However, the research assistant to collect data for post-intervention follow-up evaluations will be blinded to group assignment to reduce potential bias. In addition, outcome assessments will be conducted using standardized and validated instruments, and data collection procedures will be strictly standardized to minimize measurement bias.
AI-ISME\&HE intervention group
Usual routine care
Effect of Geriatric Intervention in Frail Patients with Gastric, Biliary, and Pancreatic Cancer Receiving Palliative Chemotherapy
Frailty Assessment and Intervention in Elderly Patients with Gastric Cancer Receiving Gastrectomy and Adjuvant Chemotherapy
Exploring Physical and Psychological Needs and Quality of Life in Patients With Advanced Cancer Receiving Immunotherapy
Combined Technology Enhanced Home Exercise Program and Other Non-pharmacological Intervention for Cancer Survivors
Statewide Unified Network for Remote Intervention of Strength and Exercise
Multiple Interactive With Nutrition and Exercise Strategies in Frailty Cancer Patients
Risk-Based Geriatric Assessment-Driven Management in Older Patients Starting Chemotherapy
Multimodal Prehabilitation To Improve The Clinical Outcomes Of Frail Elderly Patients With Gastric Cancer