Thomas Chatzikonstantinou, Maria Vasilopoulou, Dimitrios Kyrou, Georgios Karakatsoulis, Panagiotis Argyropaidas, Sotiria Besikli-Dimou, Panos Bonotis, Maria Chatzimina, Jana Didi, Christos Dimosthenous, Tina Garani-Papadatos, Stefan Hoffman, Christine Kakalou, Eleni Kazantzaki, Stephan Kiefer, Lefteris Koumakis, Julie Ling, Christos Maramis, Marcel Meyerheim, Cathy Payne, Christina Papangelou, Sheila Payne, Charalampos Pontikoglou, Riley Reston, Harriet Ryblom, Annette Sander, Fatima Schera, Karin E Smedby, George Zacharioudakis, Anastasia Chatzidimitriou, Michael Doubek, Niki Stavroyianni, Paolo Ghia, Helen A Papadaki, Richard Rosenquist, Norbert Graf, Pantelis Natsiavas, Kostas Stamatopoulos, Christina Karamanidou, Lydia Scarfò
{"title":"评估电子健康干预对慢性淋巴细胞白血病和骨髓增生异常综合征患者生活质量的影响：MyPal随机对照试验","authors":"Thomas Chatzikonstantinou, Maria Vasilopoulou, Dimitrios Kyrou, Georgios Karakatsoulis, Panagiotis Argyropaidas, Sotiria Besikli-Dimou, Panos Bonotis, Maria Chatzimina, Jana Didi, Christos Dimosthenous, Tina Garani-Papadatos, Stefan Hoffman, Christine Kakalou, Eleni Kazantzaki, Stephan Kiefer, Lefteris Koumakis, Julie Ling, Christos Maramis, Marcel Meyerheim, Cathy Payne, Christina Papangelou, Sheila Payne, Charalampos Pontikoglou, Riley Reston, Harriet Ryblom, Annette Sander, Fatima Schera, Karin E Smedby, George Zacharioudakis, Anastasia Chatzidimitriou, Michael Doubek, Niki Stavroyianni, Paolo Ghia, Helen A Papadaki, Richard Rosenquist, Norbert Graf, Pantelis Natsiavas, Kostas Stamatopoulos, Christina Karamanidou, Lydia Scarfò","doi":"10.1200/OP-25-00087","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The MyPal study (ClinicalTrials.gov identifier: NCT04370457) is a randomized controlled clinical trial assessing an eHealth intervention on the quality of life (QoL) of patients with chronic lymphocytic leukemia (CLL) and myelodysplastic syndromes (MDS).</p><p><strong>Methods: </strong>Patients who were receiving or had previously received treatment for CLL or MDS were randomly assigned (1:1) to access the MyPal digital health platform versus standard of care. The MyPal platform included a smartphone application used to report QoL status and symptoms via standardized questionnaires or spontaneous reporting. The primary end point was QoL at 12 months, assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 General Questionnaire and the EuroQol EQ-5D-3L. Secondary end points included physical and emotional functioning, measured by the Integrated Palliative Care Outcome Scale (IPOS) scale, satisfaction with care, measured by the EORTC PATSAT-C33, and overall survival (OS). Additionally, the Edmonton Symptom Assessment System (ESAS), Brief Pain Inventory (BPI), and Emotion Thermometers (ET) QoL questionnaires were assessed only in the intervention group.</p><p><strong>Results: </strong>A total of 171 patients (97 and 74 in the control and intervention arms, respectively) who answered multiple questionnaires were analyzed. The intervention group reported a significant decrease in pain (β<sub>2</sub> = -0.48 [-0.77 to -0.19], <i>P</i> < .001) compared with the control group (β<sub>1</sub> = 0.3 [0.09 to 0.5], <i>P</i> = .01). Communication and pain measured by IPOS reduced equally in both groups (β<sub>2</sub> = 0 [-0.03 to 0.02], <i>P</i> = .82; β<sub>2</sub> = -0.01 [-0.02 to 0], <i>P</i> = .1, respectively). Family involvement significantly increased over time only for the intervention group. The other items of EORTC QLQ-C30, EuroQol EQ-5D-3L, IPOS, and PATSAT-C33 remained unchanged in both groups. The intervention group displayed a significant improvement in all ESAS, BPI, and ET scales. OS was similar in both groups.</p><p><strong>Conclusion: </strong>The MyPal intervention improved several QoL aspects and led to a statistically significant decrease in pain compared with the control group.</p>","PeriodicalId":14612,"journal":{"name":"JCO oncology practice","volume":" ","pages":"OP2500087"},"PeriodicalIF":4.6000,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing an eHealth Intervention on Quality of Life in Patients With Chronic Lymphocytic Leukemia and Myelodysplastic Syndromes: The MyPal Randomized Controlled Trial.\",\"authors\":\"Thomas Chatzikonstantinou, Maria Vasilopoulou, Dimitrios Kyrou, Georgios Karakatsoulis, Panagiotis Argyropaidas, Sotiria Besikli-Dimou, Panos Bonotis, Maria Chatzimina, Jana Didi, Christos Dimosthenous, Tina Garani-Papadatos, Stefan Hoffman, Christine Kakalou, Eleni Kazantzaki, Stephan Kiefer, Lefteris Koumakis, Julie Ling, Christos Maramis, Marcel Meyerheim, Cathy Payne, Christina Papangelou, Sheila Payne, Charalampos Pontikoglou, Riley Reston, Harriet Ryblom, Annette Sander, Fatima Schera, Karin E Smedby, George Zacharioudakis, Anastasia Chatzidimitriou, Michael Doubek, Niki Stavroyianni, Paolo Ghia, Helen A Papadaki, Richard Rosenquist, Norbert Graf, Pantelis Natsiavas, Kostas Stamatopoulos, Christina Karamanidou, Lydia Scarfò\",\"doi\":\"10.1200/OP-25-00087\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The MyPal study (ClinicalTrials.gov identifier: NCT04370457) is a randomized controlled clinical trial assessing an eHealth intervention on the quality of life (QoL) of patients with chronic lymphocytic leukemia (CLL) and myelodysplastic syndromes (MDS).</p><p><strong>Methods: </strong>Patients who were receiving or had previously received treatment for CLL or MDS were randomly assigned (1:1) to access the MyPal digital health platform versus standard of care. The MyPal platform included a smartphone application used to report QoL status and symptoms via standardized questionnaires or spontaneous reporting. The primary end point was QoL at 12 months, assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 General Questionnaire and the EuroQol EQ-5D-3L. Secondary end points included physical and emotional functioning, measured by the Integrated Palliative Care Outcome Scale (IPOS) scale, satisfaction with care, measured by the EORTC PATSAT-C33, and overall survival (OS). Additionally, the Edmonton Symptom Assessment System (ESAS), Brief Pain Inventory (BPI), and Emotion Thermometers (ET) QoL questionnaires were assessed only in the intervention group.</p><p><strong>Results: </strong>A total of 171 patients (97 and 74 in the control and intervention arms, respectively) who answered multiple questionnaires were analyzed. The intervention group reported a significant decrease in pain (β<sub>2</sub> = -0.48 [-0.77 to -0.19], <i>P</i> < .001) compared with the control group (β<sub>1</sub> = 0.3 [0.09 to 0.5], <i>P</i> = .01). Communication and pain measured by IPOS reduced equally in both groups (β<sub>2</sub> = 0 [-0.03 to 0.02], <i>P</i> = .82; β<sub>2</sub> = -0.01 [-0.02 to 0], <i>P</i> = .1, respectively). Family involvement significantly increased over time only for the intervention group. The other items of EORTC QLQ-C30, EuroQol EQ-5D-3L, IPOS, and PATSAT-C33 remained unchanged in both groups. The intervention group displayed a significant improvement in all ESAS, BPI, and ET scales. OS was similar in both groups.</p><p><strong>Conclusion: </strong>The MyPal intervention improved several QoL aspects and led to a statistically significant decrease in pain compared with the control group.</p>\",\"PeriodicalId\":14612,\"journal\":{\"name\":\"JCO oncology practice\",\"volume\":\" \",\"pages\":\"OP2500087\"},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2025-08-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JCO oncology practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1200/OP-25-00087\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JCO oncology practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1200/OP-25-00087","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ONCOLOGY","Score":null,"Total":0}
Assessing an eHealth Intervention on Quality of Life in Patients With Chronic Lymphocytic Leukemia and Myelodysplastic Syndromes: The MyPal Randomized Controlled Trial.
Purpose: The MyPal study (ClinicalTrials.gov identifier: NCT04370457) is a randomized controlled clinical trial assessing an eHealth intervention on the quality of life (QoL) of patients with chronic lymphocytic leukemia (CLL) and myelodysplastic syndromes (MDS).
Methods: Patients who were receiving or had previously received treatment for CLL or MDS were randomly assigned (1:1) to access the MyPal digital health platform versus standard of care. The MyPal platform included a smartphone application used to report QoL status and symptoms via standardized questionnaires or spontaneous reporting. The primary end point was QoL at 12 months, assessed by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 General Questionnaire and the EuroQol EQ-5D-3L. Secondary end points included physical and emotional functioning, measured by the Integrated Palliative Care Outcome Scale (IPOS) scale, satisfaction with care, measured by the EORTC PATSAT-C33, and overall survival (OS). Additionally, the Edmonton Symptom Assessment System (ESAS), Brief Pain Inventory (BPI), and Emotion Thermometers (ET) QoL questionnaires were assessed only in the intervention group.
Results: A total of 171 patients (97 and 74 in the control and intervention arms, respectively) who answered multiple questionnaires were analyzed. The intervention group reported a significant decrease in pain (β2 = -0.48 [-0.77 to -0.19], P < .001) compared with the control group (β1 = 0.3 [0.09 to 0.5], P = .01). Communication and pain measured by IPOS reduced equally in both groups (β2 = 0 [-0.03 to 0.02], P = .82; β2 = -0.01 [-0.02 to 0], P = .1, respectively). Family involvement significantly increased over time only for the intervention group. The other items of EORTC QLQ-C30, EuroQol EQ-5D-3L, IPOS, and PATSAT-C33 remained unchanged in both groups. The intervention group displayed a significant improvement in all ESAS, BPI, and ET scales. OS was similar in both groups.
Conclusion: The MyPal intervention improved several QoL aspects and led to a statistically significant decrease in pain compared with the control group.
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