A Research Roadmap: Connected Health as an Enabler of Cancer Patient Support

Gabriel Ruiz Signorelli*, Fedor Lehocki, Matilde Mora Fernandez, Gillian O'Neill, Dominic O'Connor, Louise Brennan, Francisco Monteiro-Guerra, Alejandro Rivero-Rodriguez, Santiago Hors-Fraile, Juan Munoz-Penas, Merce Bonjorn Dalmau, Jorge Mota Ll, Ricardo B. Oliveira, Bela Mrinakova, Silvia Putekova, Naiara Muro, Francisco Zambrana, Juan M. Garcia-Gomez

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


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.

Original languageEnglish
Article number14360
Number of pages15
JournalJournal of Medical Internet Research
Issue number10
Publication statusPublished - 29 Oct 2019


  • Connected Health
  • Internet of Things
  • cancer
  • eHealth
  • mHealth
  • mental health
  • physical activity
  • quality of life
  • rehabilitation
  • wearable

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