%0 Journal Article
%@ 2369-1999
%I JMIR Publications
%V 8
%N 3
%P e34851
%T Impact of a Personal Health Record Intervention Upon Surveillance Among Colorectal Cancer Survivors: Feasibility Study
%A Vachon,Eric
%A Robb,Bruce W
%A Haggstrom,David A
%+ School of Nursing, Indiana University, NU W427, 600 Barnhill Dr., Indianapolis, IN, 46202, United States, 1 317 278 6064, evachon@iu.edu
%K personal health record
%K colorectal cancer survivors
%K surveillance
%K health record
%K survivor
%K cancer
%K oncology
%K colorectal
%K United States
%K North America
%K feasibility
%K web-based
%K patient belief
%K patient attitude
%K survival
%D 2022
%7 11.8.2022
%9 Original Paper
%J JMIR Cancer
%G English
%X Background: There are currently an estimated 1.5 million individuals living in the United States with colorectal cancer (CRC), and although the 5-year survival rate has increased, survivors are at risk for recurrence, particularly within the first 2-3 years after treatment. National guidelines recommend continued surveillance after resection to identify recurrence early on. Adherence among survivors ranges from 23% to 94%. Novel interventions are needed to increase CRC survivors’ knowledge and confidence in managing their cancer and thus to increase adherence to follow-up surveillance. Objective: The objective of this study is to develop and test the feasibility and efficacy of a stand-alone, web-based personal health record (PHR) to increase surveillance adherence among CRC survivors, with patient beliefs about surveillance as secondary outcomes. Methods: A pre- and postintervention feasibility trial was conducted testing the efficacy of the colorectal cancer survivor (CRCS)–PHR, which had been previously developed using an iterative, user-centered design approach. Results: The average age of the sample was 58 (SD 9.9) years, with 57% (16/28) male and the majority married (20/28, 71%) and employed full-time (15/28, 54%). We observed a significant increase in adherence to colonoscopy (before: 11/21, 52% vs after: 18/21, 86%; P=.005) and CEA (14/21, 67% vs 20/21, 95%; P=.01), as well as a slight increase in CT scans (14/21, 67% vs 18/21, 86%; P=.10). The only significant impact on secondary outcome (patient beliefs) was benefits of CEA test (P=.04), as most of the beliefs were high at baseline. Conclusions: This feasibility study lays the groundwork for continued development of the CRCS-PHR to increase CRC surveillance. Patient-centered technologies, such as the CRCS-PHR, represent an important potential approach to improving the receipt of guideline-concordant care and follow-up surveillance, and not just for CRC survivors. Researchers should continue to develop patient-centered health technologies with clinician implementation in mind to increase patient self-efficacy and surveillance adherence. 
%M 35969424
%R 10.2196/34851
%U https://cancer.jmir.org/2022/3/e34851
%U https://doi.org/10.2196/34851
%U http://www.ncbi.nlm.nih.gov/pubmed/35969424