Academic Journal
Remote Symptom Assessment in Ambulatory Palliative Care: User-Centered Development of an mHealth App.
| Τίτλος: | Remote Symptom Assessment in Ambulatory Palliative Care: User-Centered Development of an mHealth App. |
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| Συγγραφείς: | Mindlis I; Parker Health Group Division of Geriatrics, Department of Family Medicine and Community Health, Robert Wood Johnson Medical School of Rutgers University, New Brunswick, New Jersey, USA., Bivona-Maldonado E; Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA., Yu Z; Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA., Ekwebelem M; Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA., Banerjee S; Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA., Reid MC; Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA., Blinderman CD; Division of Supportive Care and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA., Shalev D; Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA. |
| Πηγή: | Journal of palliative medicine [J Palliat Med] 2026 Jul; Vol. 29 (7), pp. 939-945. Date of Electronic Publication: 2026 Apr 10. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9808462 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-7740 (Electronic) Linking ISSN: 15577740 NLM ISO Abbreviation: J Palliat Med Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1998- |
| Ιατρικοί όροι (MeSH): | Palliative Care*/methods , Ambulatory Care*/methods , Symptom Assessment*/methods , Mobile Applications* , Telemedicine*, Humans ; Female ; Male ; Aged ; Middle Aged ; Aged, 80 and over ; Adult ; Focus Groups ; User-Centered Design ; Pilot Projects |
| Περίληψη: | Background: Ambulatory palliative care (PC) focuses on managing complex symptoms, yet assessment relies on recall during infrequent visits to manage daily fluctuating symptoms. We aimed to design a PC-anchored remote symptom assessment (RSA) tool with patients and clinicians. Methods: We used user-centered, Agile design to develop and iteratively refine EMA-PAL, a web-based RSA prototype. Patients and clinicians (N = 14) from an ambulatory PC clinic participated in staged prototype development and testing through focus groups and interviews. Results: EMA-PAL features patient- and provider-facing interfaces that visualize daily Edmonton Symptom Assessment System (ESAS) scores, highlight severe symptoms, and support shared review during visits. Participants endorsed EMA-PAL's potential to enhance communication and workflow efficiency and identified priorities for future development (medication tracking and workflow integration). Conclusion: This exploratory pilot suggests that PC-anchored RSA tools such as EMA-PAL may help address gaps in symptom assessment and timelier and patient-centered symptom management in ambulatory PC. |
| Competing Interests: | Author Disclosure StatementNo competing financial interests exist. |
| Grant Information: | K76 AG083287 United States AG NIA NIH HHS; T32 AG049666 United States AG NIA NIH HHS; UL1 TR002384 United States TR NCATS NIH HHS |
| Contributed Indexing: | Keywords: ambulatory palliative care; mobile applications; remote patient monitoring; symptom assessment; user-centered design |
| Entry Date(s): | Date Created: 20260410 Date Completed: 20260709 Latest Revision: 20260904 |
| Update Code: | 20260904 |
| PubMed Central ID: | PMC13535563 |
| DOI: | 10.1177/10966218261441208 |
| PMID: | 41963240 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1557-7740 |
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| DOI: | 10.1177/10966218261441208 |