TY - JOUR
T1 - A Research Roadmap
T2 - Connected Health as an Enabler of Cancer Patient Support
AU - Ruiz Signorelli, Gabriel
AU - Lehocki, Fedor
AU - Fernandez, Matilde Mora
AU - O'Neill, Gillian
AU - O'Connor, Dominic
AU - Brennan, Louise
AU - Monteiro-Guerra, Francisco
AU - Rivero-Rodriguez, Alejandro
AU - Hors-Fraile, Santiago
AU - Munoz-Penas, Juan
AU - Dalmau, Merce Bonjorn
AU - Ll, Jorge Mota
AU - Oliveira, Ricardo B.
AU - Mrinakova, Bela
AU - Putekova, Silvia
AU - Muro, Naiara
AU - Zambrana, Francisco
AU - Garcia-Gomez, Juan M.
N1 - Funding Information:
This article/publication is based upon work from COST Action ENJECT TD 1405, supported by COST (European Cooperation in Science and Technology; www.cost.eu).
Funding Information:
The authors thank Luis Fernández-Luque and Päivi Salminen for their contributions. GRS, FMG, GON, DOC, LB, JMP, and MBD are part of Cancer: Activating Technology for Connected Health (CATCH) and are supported by a grant from the European Union's Horizon 2020 research and innovation program under a Marie Sklodowska-Curie grant (grant number: 722012). FL was supported by grants from the Tatra banka Foundation (2018vs108) and the Research Agency in Slovakia (ITMS: 26240120038). JM was supported by grants from Fundação para a Ciência e a Tecnologia (FCT; grant numbers: SFRH/BSAB/142983/2018 and UID/DTP/00617/2019) as well as from the Programa de Bolsas Santander Universidades 2018.
Publisher Copyright:
© 2019 Journal of Medical Internet Research. All rights reserved.
PY - 2019/10/29
Y1 - 2019/10/29
N2 - The evidence that quality of life is a positive variable for the survival of cancer patients has prompted the interest of the health and pharmaceutical industry in considering that variable as a final clinical outcome. Sustained improvements in cancer care in recent years have resulted in increased numbers of people living with and beyond cancer, with increased attention being placed on improving quality of life for those individuals. Connected Health provides the foundations for the transformation of cancer care into a patient-centric model, focused on providing fully connected, personalized support and therapy for the unique needs of each patient. Connected Health creates an opportunity to overcome barriers to health care support among patients diagnosed with chronic conditions. This paper provides an overview of important areas for the foundations of the creation of a new Connected Health paradigm in cancer care. Here we discuss the capabilities of mobile and wearable technologies; we also discuss pervasive and persuasive strategies and device systems to provide multidisciplinary and inclusive approaches for cancer patients for mental well-being, physical activity promotion, and rehabilitation. Several examples already show that there is enthusiasm in strengthening the possibilities offered by Connected Health in persuasive and pervasive technology in cancer care. Developments harnessing the Internet of Things, personalization, patient-centered design, and artificial intelligence help to monitor and assess the health status of cancer patients. Furthermore, this paper analyses the data infrastructure ecosystem for Connected Health and its semantic interoperability with the Connected Health economy ecosystem and its associated barriers. Interoperability is essential when developing Connected Health solutions that integrate with health systems and electronic health records. Given the exponential business growth of the Connected Health economy, there is an urgent need to develop mHealth (mobile health) exponentially, making it both an attractive and challenging market. In conclusion, there is a need for user-centered and multidisciplinary standards of practice to the design, development, evaluation, and implementation of Connected Health interventions in cancer care to ensure their acceptability, practicality, feasibility, effectiveness, affordability, safety, and equity.
AB - The evidence that quality of life is a positive variable for the survival of cancer patients has prompted the interest of the health and pharmaceutical industry in considering that variable as a final clinical outcome. Sustained improvements in cancer care in recent years have resulted in increased numbers of people living with and beyond cancer, with increased attention being placed on improving quality of life for those individuals. Connected Health provides the foundations for the transformation of cancer care into a patient-centric model, focused on providing fully connected, personalized support and therapy for the unique needs of each patient. Connected Health creates an opportunity to overcome barriers to health care support among patients diagnosed with chronic conditions. This paper provides an overview of important areas for the foundations of the creation of a new Connected Health paradigm in cancer care. Here we discuss the capabilities of mobile and wearable technologies; we also discuss pervasive and persuasive strategies and device systems to provide multidisciplinary and inclusive approaches for cancer patients for mental well-being, physical activity promotion, and rehabilitation. Several examples already show that there is enthusiasm in strengthening the possibilities offered by Connected Health in persuasive and pervasive technology in cancer care. Developments harnessing the Internet of Things, personalization, patient-centered design, and artificial intelligence help to monitor and assess the health status of cancer patients. Furthermore, this paper analyses the data infrastructure ecosystem for Connected Health and its semantic interoperability with the Connected Health economy ecosystem and its associated barriers. Interoperability is essential when developing Connected Health solutions that integrate with health systems and electronic health records. Given the exponential business growth of the Connected Health economy, there is an urgent need to develop mHealth (mobile health) exponentially, making it both an attractive and challenging market. In conclusion, there is a need for user-centered and multidisciplinary standards of practice to the design, development, evaluation, and implementation of Connected Health interventions in cancer care to ensure their acceptability, practicality, feasibility, effectiveness, affordability, safety, and equity.
KW - ACTIVITY MONITORS
KW - BREAST-CANCER
KW - Connected Health
KW - EHEALTH
KW - EXERCISE
KW - INTERVENTIONS
KW - Internet of Things
KW - MOBILE APPLICATIONS
KW - OUTCOMES
KW - PHYSICAL-ACTIVITY
KW - QUALITY-OF-LIFE
KW - SURVIVORS
KW - cancer
KW - eHealth
KW - mHealth
KW - mental health
KW - physical activity
KW - quality of life
KW - rehabilitation
KW - wearable
KW - ELECTRONICS
U2 - 10.2196/14360
DO - 10.2196/14360
M3 - Article
C2 - 31663861
SN - 1439-4456
VL - 21
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
IS - 10
M1 - 14360
ER -