Automated home monitoring and management of patient-reported symptoms during chemotherapy: results of the symptom care at home RCT.

ABSTRACT: Technology-aided remote interventions for poorly controlled symptoms may improve cancer symptom outcomes. In a randomized controlled trial, the efficacy of an automated symptom management system was tested to determine if it reduced chemotherapy-related symptoms. Prospectively, 358 patients beginning chemotherapy were randomized to the Symptom Care at Home (SCH) intervention (n = 180) or enhanced usual care (UC) (n = 178). Participants called the automated monitoring system daily reporting severity of 11 symptoms. SCH participants received automated self-management coaching and nurse practitioner (NP) telephone follow-up for poorly controlled symptoms. NPs used a guideline-based decision support system. Primary endpoints were symptom severity across all symptoms, and the number of severe,

SUBMITTER: Mooney KH 

PROVIDER: S-EPMC5345623 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature