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Patient-Centered Innovations, Education and Technology for Cancer Care, Cancer Survivorship and Cancer Research
JMIR Cancer (JC) is a Pubmed-indexed, peer-reviewed journal with a focus on education, innovation and technology in cancer care, cancer survivorship and cancer research, as well as in participatory and patient-centred approaches. A sister journal of the Journal of Medical Internet Research (JMIR), a leading eHealth journal (Impact Factor 2016: 5.175), the scope of JC is broader and includes non-Internet approaches to improve cancer care and cancer research.
We invite submission of original research, viewpoints, reviews, tutorials, case studies, and non-conventional articles (e.g. open patient education material and software resources that are not yet evaluated but free for others to use/implement).
In our "Patients' Corner", we invite patients and survivors to submit short essays and viewpoints on all aspects of cancer, but in particular suggestions on how to improve the health care system, and suggestions for new technologies, applications and approaches (no article processing fees).
JC is open access and all articles are published under a Creative Commons Attribution license. JC has been accepted for indexing in PubMed Central and Pubmed.
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Background: An international shift in healthcare has seen an increasing focus on personalised, technology-enabled, in-home health interventions (eHealth interventions) that aim to improve patient outc...
Background: An international shift in healthcare has seen an increasing focus on personalised, technology-enabled, in-home health interventions (eHealth interventions) that aim to improve patient outcomes and patient-clinician communication. When tested on an international scale, the development and effectiveness of such interventions are dependent on collaborative work conducted by multidisciplinary teams to address a number of methodological and implementation considerations. Objective: To describe the processes undertaken in the preparation of an international, multi-centre randomised controlled trial that tested an eHealth intervention to enhance management of chemotherapy toxicity in people with cancer receiving adjuvant chemotherapy, via use of a mobile-phone, remote-monitoring symptom management system versus standard hospital care. Methods: Prospective, mixed-methods, involving consecutive, iterative stages of collaborative research work. Results: Testing across multiple European sites identified areas where the technology needed to be adapted, both clinically and technologically, in order to meet the diverse needs of the users within a European context prior to initiation of the RCT. Conclusions: Adapting and implementing this international, multicentre intervention required close attention to diverse considerations and unique challenges, primarily time and communication. Success was dependent on collaborative work among academics, technology industry, patients, and clinicians as well as a rigorous and iterative methodological approach to research.
Background: Catabolism and tumor-specific therapy lead to a reduced nutrient intake and weight loss in cancer patients. Maintaining a specific individualized diet can be challenging for the patient as...
Background: Catabolism and tumor-specific therapy lead to a reduced nutrient intake and weight loss in cancer patients. Maintaining a specific individualized diet can be challenging for the patient as the nutritional counseling options are limited. The monitoring of nutrient intake and frequent feedback are, however, vital for a successful nutritional therapy as they support the patient’s compliance and realization of dietary therapeutic goals. This study aims at investigating the feasibility and applicability of a novel smartphone application to assess and evaluate dietary behaviors in oncological patients. Objective: This study aims at investigating the feasibility and applicability of a novel smartphone application to assess and evaluate dietary behaviors in oncological patients. Methods: To determine dietary habits and food preferences in oncological patients, initially 1400 nutritional records were evaluated and analyzed. The results provided the basis for creating a nutritional smartphone app. Key requirements for the app included: simple handling, recording the daily intake and a comparison of nutrient-targets and the current status. In total, 39 cancer patients were included in the study. Firstly, all patients received a nutritional anamnesis, a nutritional analysis and nutritional counseling. An individual energy and nutrient aim was defined. The intervention group (n = 12) additionally used the app. Weight and body composition of each group were evaluated after four weeks. Results: The protein intake in the app group was tendentially better opposed to the control group (p = 0.064). In the controls, there was a decrease in macronutrient intake during the study period. The app group achieved a significant weight gain (p = 0.045). Especially the skeletal muscle mass showed a significant increase of in the app group (p = 0.009) compared to the control group. Conclusions: Our study indicates that patients who daily document their dietary habits by using a smartphone app are more likely to reach their nutritional goals than the control patients. Further large-scale studies are needed to confirm these initial findings and to test the applicabilty on a broader basis.