Development and Feasibility Assessment of Mobile Application-Based Digital Therapeutics for Postoperative Supportive Care in Gastric Cancer Patients Following Gastrectomy.

IF 3.2 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Ji-Hyeon Park, Hyuk-Joon Lee, JeeSun Kim, Yo-Seok Cho, Sunjoo Lee, Seongmin Park, Hwinyeong Choe, Eunhwa Song, Youngran Kim, Seong-Ho Kong, Do Joong Park, Byung-Ho Nam, Han-Kwang Yang
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引用次数: 0

Abstract

Purpose: This study aimed to develop and assess the feasibility and effectiveness of digital therapeutics for supportive care after gastrectomy.

Materials and method: The study included 39 patients with gastric cancer who underwent minimally invasive gastrectomy and were able to use a mobile application (app) on their smartphones. The developed research app automatically calculates and provides daily targets for calorie and protein intake based on the patient's body mass index (BMI). Patients recorded their daily diets, weights, and symptoms in the app and completed special questionnaires to assess the feasibility of the app in real-world clinical practice.

Results: At the 10-week follow-up, the mean questionnaire scores for ease of learning, usability, and effectiveness of the app (primary endpoint) were 2.32±0.41, 2.35±0.43, and 2.4±0.39 (range: 0-3), respectively. Patients were classified as underweight (<18.5, n=4), normal (18.5-24.9, n=24), or overweight (≥25.0, n=11) according to predischarge BMI. Underweight patients showed higher compliance with app usage and a higher rate of achieving the target calorie and protein intake than normal weight and overweight patients (98% vs. 77% vs. 81%, p=0.0313; 102% vs. 75% vs. 61%, P=0.0111; 106% vs. 79% vs. 64%, P=0.0429). Two patients transitioned from underweight to normal weight (50.0%), one patient (4.3%) transitioned from normal weight to underweight, and two patients (22.2%) transitioned from overweight to normal weight.

Conclusions: The mobile app is feasible and useful for postoperative supportive care in terms of ease of learning, usability, and effectiveness. Digital therapeutics may be an effective way to provide supportive care for postgastrectomy patients, particularly in terms of nutrition.

Trial registration: ClinicalTrials.gov Identifier: NCT04800991.

基于移动应用的数字疗法在胃癌患者胃切除术后辅助护理中的开发与可行性评估
目的:本研究旨在开发和评估用于胃切除术后支持性护理的数字疗法的可行性和有效性:研究对象包括 39 名接受微创胃切除术的胃癌患者,他们可以使用智能手机上的移动应用程序(App)。开发的研究应用程序可根据患者的体重指数(BMI)自动计算并提供每日卡路里和蛋白质摄入量目标。患者在应用程序中记录他们的日常饮食、体重和症状,并填写特殊问卷,以评估应用程序在实际临床实践中的可行性:在为期 10 周的随访中,应用程序的易学性、可用性和有效性(主要终点)的平均问卷得分分别为 2.32±0.41、2.35±0.43 和 2.4±0.39(范围:0-3)。患者被归类为体重不足(结论:该手机应用在易学性、可用性和有效性方面对术后支持性护理是可行且有用的。数字疗法可能是为胃切除术后患者提供支持性护理的有效方法,尤其是在营养方面:试验注册:ClinicalTrials.gov Identifier:NCT04800991.
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来源期刊
Journal of Gastric Cancer
Journal of Gastric Cancer Biochemistry, Genetics and Molecular Biology-Cancer Research
CiteScore
4.30
自引率
12.00%
发文量
36
期刊介绍: The Journal of Gastric Cancer (J Gastric Cancer) is an international peer-reviewed journal. Each issue carries high quality clinical and translational researches on gastric neoplasms. Editorial Board of J Gastric Cancer publishes original articles on pathophysiology, molecular oncology, diagnosis, treatment, and prevention of gastric cancer as well as articles on dietary control and improving the quality of life for gastric cancer patients. J Gastric Cancer includes case reports, review articles, how I do it articles, editorials, and letters to the editor.
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