Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study
BackgroundTelehomecare monitoring (TM) in patients with cancer is a complex intervention. Research shows variations in the benefits and challenges TM brings to equitable access to care, the therapeutic relationship, self-management, and practice transformation. Further invest...
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JMIR Publications
2025-01-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e63099 |
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| author | Dominique Tremblay Thomas Joly-Mischlich Annick Dufour Marie-Claude Battista Djamal Berbiche José Côté Marco Décelles Catherine Forget Brigitte Guérin Manon Larivière Frédéric Lemay Manon Lemonde Éric Maillet Nathalie Moreau Michel Pavic Sara Soldera Catherine Wilhelmy |
| author_facet | Dominique Tremblay Thomas Joly-Mischlich Annick Dufour Marie-Claude Battista Djamal Berbiche José Côté Marco Décelles Catherine Forget Brigitte Guérin Manon Larivière Frédéric Lemay Manon Lemonde Éric Maillet Nathalie Moreau Michel Pavic Sara Soldera Catherine Wilhelmy |
| author_sort | Dominique Tremblay |
| collection | DOAJ |
| description |
BackgroundTelehomecare monitoring (TM) in patients with cancer is a complex intervention. Research shows variations in the benefits and challenges TM brings to equitable access to care, the therapeutic relationship, self-management, and practice transformation. Further investigation into these variations factors will improve implementation processes and produce effective outcomes.
ObjectiveThis study aims to concurrently analyze implementation and evaluate the effectiveness of TM for patients receiving anticancer oral therapy. The objectives are to (1) contextualize how and why TM is implemented according to (a) site characteristics, (b) team characteristics, and (c) characteristics of patients receiving anticancer oral therapy; (2) assess TM effectiveness for recording electronic patient-reported outcome measures (ePROMs) and patient-reported experience measures (ePREMs) according to the site, implementation process, and patient characteristics; (3) describe the acceptability and feasibility of TM from the perspectives of the people directly or indirectly involved and provide evidence-based actionable guidance in anticipation of provincewide implementation.
MethodsThis type II hybrid effectiveness-implementation study uses a concurrent mixed methods design. Evaluability assessment is integrated into an emerging practice in 3 participating sites to enable the evaluation of implementation strategies on TM clinical outcomes. Quantitative data for ePROMs and ePREMs will be collected using validated oncology questionnaire. Descriptive statistics and repeated measures using multiple linear mixed models and generalized estimating equations analyses will be undertaken alongside interpretive descriptive coding of qualitative data. Qualitative data will be gathered from key informants guided by the RE-AIM (reach, efficacy, adoption, implementation, maintenance) framework and its extension, PRISM (practical robust implementation and sustainability model). The concurrent approach allows results at multiple stages of this study to be integrated iteratively. The methodological choice aims to provide real-world data that are rigorous, rapidly usable in practice, and transferable to other settings.
ResultsQuestionnaires were pretested and the technological platform was codeveloped with members of the cancer care team and patients. Preparatory work was carried out to configure the TM platform and activate coordinating mechanisms between members of the cancer care team, patients, information technology experts, and the research team. A steering committee with 3 working groups was established to oversee the technological, clinical, and evaluation aspects of this study. Recruitment of patients for ePROMs started in February 2024, and data collection is expected to continue until March 2025. Interviews with members of the cancer care team began in November 2024. Full analysis should be completed by September 2025.
ConclusionsThis study will clarify how, why, for whom, and under what conditions TM can complement current care models. Our evaluability assessment will help to address implementation complexities and better understand intervention-to-practice operationalization so that implementation might be adapted to contextual factors without potentially harmful or inequitable impacts on patients.
International Registered Report Identifier (IRRID)DERR1-10.2196/63099 |
| format | Article |
| id | doaj-art-4e429714212a45a3952851508236c83e |
| institution | Kabale University |
| issn | 1929-0748 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj-art-4e429714212a45a3952851508236c83e2025-01-20T15:45:32ZengJMIR PublicationsJMIR Research Protocols1929-07482025-01-0114e6309910.2196/63099Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability StudyDominique Tremblayhttps://orcid.org/0000-0002-1798-5681Thomas Joly-Mischlichhttps://orcid.org/0000-0002-8745-7286Annick Dufourhttps://orcid.org/0009-0005-2984-595XMarie-Claude Battistahttps://orcid.org/0000-0001-9728-3761Djamal Berbichehttps://orcid.org/0000-0002-8630-1490José Côtéhttps://orcid.org/0000-0002-0617-2861Marco Décelleshttps://orcid.org/0009-0009-0917-0237Catherine Forgethttps://orcid.org/0009-0002-6558-5655Brigitte Guérinhttps://orcid.org/0000-0002-0319-4512Manon Larivièrehttps://orcid.org/0009-0005-9172-5887Frédéric Lemayhttps://orcid.org/0009-0004-2000-8699Manon Lemondehttps://orcid.org/0000-0003-3102-1915Éric Maillethttps://orcid.org/0000-0002-2222-5783Nathalie Moreauhttps://orcid.org/0009-0001-4135-5364Michel Pavichttps://orcid.org/0000-0002-7057-7492Sara Solderahttps://orcid.org/0000-0002-2813-8111Catherine Wilhelmyhttps://orcid.org/0009-0009-1521-7070 BackgroundTelehomecare monitoring (TM) in patients with cancer is a complex intervention. Research shows variations in the benefits and challenges TM brings to equitable access to care, the therapeutic relationship, self-management, and practice transformation. Further investigation into these variations factors will improve implementation processes and produce effective outcomes. ObjectiveThis study aims to concurrently analyze implementation and evaluate the effectiveness of TM for patients receiving anticancer oral therapy. The objectives are to (1) contextualize how and why TM is implemented according to (a) site characteristics, (b) team characteristics, and (c) characteristics of patients receiving anticancer oral therapy; (2) assess TM effectiveness for recording electronic patient-reported outcome measures (ePROMs) and patient-reported experience measures (ePREMs) according to the site, implementation process, and patient characteristics; (3) describe the acceptability and feasibility of TM from the perspectives of the people directly or indirectly involved and provide evidence-based actionable guidance in anticipation of provincewide implementation. MethodsThis type II hybrid effectiveness-implementation study uses a concurrent mixed methods design. Evaluability assessment is integrated into an emerging practice in 3 participating sites to enable the evaluation of implementation strategies on TM clinical outcomes. Quantitative data for ePROMs and ePREMs will be collected using validated oncology questionnaire. Descriptive statistics and repeated measures using multiple linear mixed models and generalized estimating equations analyses will be undertaken alongside interpretive descriptive coding of qualitative data. Qualitative data will be gathered from key informants guided by the RE-AIM (reach, efficacy, adoption, implementation, maintenance) framework and its extension, PRISM (practical robust implementation and sustainability model). The concurrent approach allows results at multiple stages of this study to be integrated iteratively. The methodological choice aims to provide real-world data that are rigorous, rapidly usable in practice, and transferable to other settings. ResultsQuestionnaires were pretested and the technological platform was codeveloped with members of the cancer care team and patients. Preparatory work was carried out to configure the TM platform and activate coordinating mechanisms between members of the cancer care team, patients, information technology experts, and the research team. A steering committee with 3 working groups was established to oversee the technological, clinical, and evaluation aspects of this study. Recruitment of patients for ePROMs started in February 2024, and data collection is expected to continue until March 2025. Interviews with members of the cancer care team began in November 2024. Full analysis should be completed by September 2025. ConclusionsThis study will clarify how, why, for whom, and under what conditions TM can complement current care models. Our evaluability assessment will help to address implementation complexities and better understand intervention-to-practice operationalization so that implementation might be adapted to contextual factors without potentially harmful or inequitable impacts on patients. International Registered Report Identifier (IRRID)DERR1-10.2196/63099https://www.researchprotocols.org/2025/1/e63099 |
| spellingShingle | Dominique Tremblay Thomas Joly-Mischlich Annick Dufour Marie-Claude Battista Djamal Berbiche José Côté Marco Décelles Catherine Forget Brigitte Guérin Manon Larivière Frédéric Lemay Manon Lemonde Éric Maillet Nathalie Moreau Michel Pavic Sara Soldera Catherine Wilhelmy Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study JMIR Research Protocols |
| title | Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study |
| title_full | Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study |
| title_fullStr | Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study |
| title_full_unstemmed | Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study |
| title_short | Telehomecare Monitoring for Patients Receiving Anticancer Oral Therapy: Protocol for a Mixed Methods Evaluability Study |
| title_sort | telehomecare monitoring for patients receiving anticancer oral therapy protocol for a mixed methods evaluability study |
| url | https://www.researchprotocols.org/2025/1/e63099 |
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