Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study
Cancer survivors face numerous challenges, and digital health interventions can empower them by enhancing self-efficacy and patient activation. This prospective study aimed to assess the impact of a mHealth app on self-efficacy and patient activation in 166 breast and colorectal cancer survivors. Pa...
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2025-04-01
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| author | Umut Arioz Urška Smrke Valentino Šafran Simon Lin Jama Nateqi Dina Bema Inese Polaka Krista Arcimovica Anna Marija Lescinska Gaetano Manzo Yvan Pannatier Shaila Calvo-Almeida Maja Ravnik Matej Horvat Vojko Flis Ariadna Mato Montero Beatriz Calderón-Cruz José Aguayo Arjona Marcela Chavez Patrick Duflot Valérie Bleret Catherine Loly Tunç Cerit Kadir Uguducu Izidor Mlakar |
| author_facet | Umut Arioz Urška Smrke Valentino Šafran Simon Lin Jama Nateqi Dina Bema Inese Polaka Krista Arcimovica Anna Marija Lescinska Gaetano Manzo Yvan Pannatier Shaila Calvo-Almeida Maja Ravnik Matej Horvat Vojko Flis Ariadna Mato Montero Beatriz Calderón-Cruz José Aguayo Arjona Marcela Chavez Patrick Duflot Valérie Bleret Catherine Loly Tunç Cerit Kadir Uguducu Izidor Mlakar |
| author_sort | Umut Arioz |
| collection | DOAJ |
| description | Cancer survivors face numerous challenges, and digital health interventions can empower them by enhancing self-efficacy and patient activation. This prospective study aimed to assess the impact of a mHealth app on self-efficacy and patient activation in 166 breast and colorectal cancer survivors. Participants received a smart bracelet and used the app to access personalized care plans. Data were collected at baseline and follow-ups, including patient-reported outcomes and clinician feedback. The study demonstrated positive impacts on self-efficacy and patient activation. The overall trial retention rate was 75.3%. Participants reported high levels of activation (PAM levels 1–3: P = 1.0; level 4: P = 0.65) and expressed a willingness to stay informed about their disease (CASE-Cancer factor 1: P = 0.98; factor 2: P = 0.66; factor 3: P = 0.25). Usability of the app improved, with an increase in participants rating the system as having excellent usability (from 14.82% to 22.22%). Additional qualitative analysis revealed positive experiences from both patients and clinicians. This paper contributes significantly to cancer survivorship care by providing personalized care plans tailored to individual needs. The PERSIST platform shows promise in improving patient outcomes and enhancing self-management abilities in cancer survivors. Further research with larger and more diverse populations is needed to establish its effectiveness. |
| format | Article |
| id | doaj-art-d54e074e77c24ce2b2d5c8e653a7baa6 |
| institution | DOAJ |
| issn | 2076-3417 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj-art-d54e074e77c24ce2b2d5c8e653a7baa62025-08-20T02:58:47ZengMDPI AGApplied Sciences2076-34172025-04-01159471310.3390/app15094713Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective StudyUmut Arioz0Urška Smrke1Valentino Šafran2Simon Lin3Jama Nateqi4Dina Bema5Inese Polaka6Krista Arcimovica7Anna Marija Lescinska8Gaetano Manzo9Yvan Pannatier10Shaila Calvo-Almeida11Maja Ravnik12Matej Horvat13Vojko Flis14Ariadna Mato Montero15Beatriz Calderón-Cruz16José Aguayo Arjona17Marcela Chavez18Patrick Duflot19Valérie Bleret20Catherine Loly21Tunç Cerit22Kadir Uguducu23Izidor Mlakar24Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, SloveniaFaculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, SloveniaFaculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, SloveniaScience Department, Symptoma GmbH, 1010 Vienna, AustriaScience Department, Symptoma GmbH, 1010 Vienna, AustriaInstitute of Clinical and Preventive Medicine, Faculty of Medicine and Life Sciences, University of Latvia (UL), 1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, Faculty of Medicine and Life Sciences, University of Latvia (UL), 1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, Faculty of Medicine and Life Sciences, University of Latvia (UL), 1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, Faculty of Medicine and Life Sciences, University of Latvia (UL), 1586 Riga, LatviaInstitute of Informatics, University of Applied Sciences and Arts Western Switzerland HES-SO, 3960 Sierre, SwitzerlandInstitute of Informatics, University of Applied Sciences and Arts Western Switzerland HES-SO, 3960 Sierre, SwitzerlandGalician Research & Development Center in Advanced Telecommunications (GRADIANT), 36214 Vigo, SpainUniversity Medical Centre Maribor (UKCM), 2000 Maribor, SloveniaUniversity Medical Centre Maribor (UKCM), 2000 Maribor, SloveniaUniversity Medical Centre Maribor (UKCM), 2000 Maribor, SloveniaResearch Group in Gastrointestinal Oncology Ourense (REGGIOu), Fundación Pública Galega de Investigación Biomédica Galicia Sur, Hospital Universitario de Ourense, SERGAS, 32005 Ourense, SpainStatistics and Methodology Unit, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, SpainStatistics and Methodology Unit, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, SpainCentre Hospitalier Universitaire de Liège (CHU), 4000 Liege, BelgiumCentre Hospitalier Universitaire de Liège (CHU), 4000 Liege, BelgiumCentre Hospitalier Universitaire de Liège (CHU), 4000 Liege, BelgiumCentre Hospitalier Universitaire de Liège (CHU), 4000 Liege, BelgiumEmoda Yazilim, 35590 Izmir, TürkiyeEmoda Yazilim, 35590 Izmir, TürkiyeFaculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, SloveniaCancer survivors face numerous challenges, and digital health interventions can empower them by enhancing self-efficacy and patient activation. This prospective study aimed to assess the impact of a mHealth app on self-efficacy and patient activation in 166 breast and colorectal cancer survivors. Participants received a smart bracelet and used the app to access personalized care plans. Data were collected at baseline and follow-ups, including patient-reported outcomes and clinician feedback. The study demonstrated positive impacts on self-efficacy and patient activation. The overall trial retention rate was 75.3%. Participants reported high levels of activation (PAM levels 1–3: P = 1.0; level 4: P = 0.65) and expressed a willingness to stay informed about their disease (CASE-Cancer factor 1: P = 0.98; factor 2: P = 0.66; factor 3: P = 0.25). Usability of the app improved, with an increase in participants rating the system as having excellent usability (from 14.82% to 22.22%). Additional qualitative analysis revealed positive experiences from both patients and clinicians. This paper contributes significantly to cancer survivorship care by providing personalized care plans tailored to individual needs. The PERSIST platform shows promise in improving patient outcomes and enhancing self-management abilities in cancer survivors. Further research with larger and more diverse populations is needed to establish its effectiveness.https://www.mdpi.com/2076-3417/15/9/4713cancer survivorshipself-efficacysatisfactionpatient activationdigital health interventions |
| spellingShingle | Umut Arioz Urška Smrke Valentino Šafran Simon Lin Jama Nateqi Dina Bema Inese Polaka Krista Arcimovica Anna Marija Lescinska Gaetano Manzo Yvan Pannatier Shaila Calvo-Almeida Maja Ravnik Matej Horvat Vojko Flis Ariadna Mato Montero Beatriz Calderón-Cruz José Aguayo Arjona Marcela Chavez Patrick Duflot Valérie Bleret Catherine Loly Tunç Cerit Kadir Uguducu Izidor Mlakar Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study Applied Sciences cancer survivorship self-efficacy satisfaction patient activation digital health interventions |
| title | Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study |
| title_full | Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study |
| title_fullStr | Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study |
| title_full_unstemmed | Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study |
| title_short | Evaluating the Benefits and Implementation Challenges of Digital Health Interventions for Improving Self-Efficacy and Patient Activation in Cancer Survivors: Single-Case Experimental Prospective Study |
| title_sort | evaluating the benefits and implementation challenges of digital health interventions for improving self efficacy and patient activation in cancer survivors single case experimental prospective study |
| topic | cancer survivorship self-efficacy satisfaction patient activation digital health interventions |
| url | https://www.mdpi.com/2076-3417/15/9/4713 |
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