التفاصيل البيبلوغرافية
| العنوان: |
Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study. |
| المؤلفون: |
Leppla, Lynn, Schmid, Anja, Valenta, Sabine, Mielke, Juliane, Beckmann, Sonja, Ribaut, Janette, Teynor, Alexandra, Dobbels, Fabienne, Duerinckx, Nathalie, Zeiser, Robert, Engelhardt, Monika, Gerull, Sabine, De Geest, Sabina, the SMILe study team, Bolliger, Dora, Chalandon, Yves, De DGeest, Sabina, Degen, Sabine, Fürmann, Margerita, Grossmann, Florian |
| المصدر: |
Supportive Care in Cancer; Dec2021, Vol. 29 Issue 12, p8045-8057, 13p |
| مصطلحات موضوعية: |
STEM cell transplantation, INTEGRATIVE medicine, AGILE software development, SCIENTIFIC computing, CHRONIC care model, MEDICAL software, INFECTION |
| مستخلص: |
Purpose: Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: (1) describe the development of an integrated care model (ICM) in allogeneic SteM-cell-transplantatIon faciLitated by eHealth (SMILe) by combining implementation, behavioral, and computer science methods (e.g., contextual analysis, Behavior Change Wheel, and user-centered design combined with agile software development); and (2) describe that model's characteristics and its application in clinical practice. Methods: The SMILe intervention's development consisted of four steps, with implementation science methods informing each: (1) planning its set-up within a theoretical foundation; (2) using behavioral science methods to develop the content; (3) choosing and developing its delivery method (human/technology) using behavioral and computer science methods; and (4) describing its characteristics and application in clinical practice. Results: The SMILe intervention is embedded within the eHealth enhanced Chronic Care Model, entailing four self-management intervention modules, targeting monitoring and follow-up of important medical and symptom-related parameters, infection prevention, medication adherence, and physical activity. Interventions are delivered partly face-to-face by a care coordinator embedded within the transplant team, and partly via the SMILeApp that connects patients to the transplant team, who can monitor and rapidly respond to any relevant changes within 1 year post-transplant. Conclusion: This paper provides stepwise guidance on how implementation, behavioral, and computer science methods can be used to develop interventions aiming to improve care for stem cell transplant patients in real-world clinical settings. This new care model is currently being tested in a hybrid I effectiveness-implementation trial. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
