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      Individualized eHealth Support for Oncological Therapy Management

      review-article
      a , b , *
      Breast Care
      S. Karger AG
      Patient-reported outcome, Mobile medical device, eHealth

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          Abstract

          eHealth support for oncological therapy management has different faces. In addition to the direct support of therapy-supportive measures such as the promotion of physical activities, monitoring of the diet and observation of the quality of life through eHealth approaches are possible. Many solutions are now in transition between research and routine use. The most substantial evidence today is in the area of symptom monitoring. Independent studies have shown a significant survival benefit among other advantages as well. There is also a good overlap in eHealth and physical activity. More and more solutions are coming onto the market, which also has an impact for cancer patients. In the field of nutrition, there are only a few successful approaches both within and outside oncology. In contrast, the application of eHealth for the detection of disease-related malnutrition seems promising. Innovative approaches involving “artificial intelligence” or “Internet of Things” are slowly finding their place in both research and routine. For routine care, it will be necessary for doctors, nurses, and patients to know what a real medical eHealth application is and which are just lifestyle products without the needed quality for professional medical usage.

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          Most cited references13

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          Randomized Trial Comparing a Web-Mediated Follow-up With Routine Surveillance in Lung Cancer Patients.

          The use of web-based monitoring for lung cancer patients is growing in interest because of promising recent results suggesting improvement in cancer and resource utilization outcomes. It remains an open question whether the overall survival (OS) in these patients could be improved by using a web-mediated follow-up rather than classical scheduled follow-up and imaging.
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            eHealth for improving quality of life in breast cancer patients: A systematic review

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              Is Open Access

              A systematic review of tailored eHealth interventions for weight loss

              Objective The aim of this study is to review the evidence for tailored eHealth weight-loss interventions, describing in detail: 1. how tailoring was implemented in these studies and 2. whether these tailored approaches were effective in producing weight loss compared with generic or inactive controls. Methods A systematic review was carried out. Five databases were searched up until 15 March, 2018, including: EBSCO, Science Direct, Pubmed, EMBASE and Web of Science, using combinations of the concepts ‘tailoring’, ‘eHealth’ and ‘overweight’. Results Eight articles relating to six interventions were accepted. Tailoring was carried out in a number of ways, based on, for example, anthropometric data, health-related behaviours (e.g. dietary intake, physical activity), goals (e.g. weight goal), theoretical determinants (e.g. confidence/willingness to change behaviours), psychosocial factors (e.g. social support) and participant location. Systems acquired data using strategies that ranged from online questionnaire administration, to the dynamic gathering of data from web-based diaries, websites, mobile applications and SMS messaging. Tailored interventions were more effective in supporting weight loss than generic or waitlist controls in four of the six articles. Effect sizes were very small to moderate, with evidence for fluctuations in effect sizes and differences of effect between tailoring and non-tailoring interventions, and between tailoring types, over time. Conclusions We contribute an enhanced understanding of the variety of methods used for the tailoring of eHealth interventions for weight loss and propose a model for categorising tailoring approaches.
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                Author and article information

                Journal
                BRC
                BRC
                10.1159/issn.1661-3791
                Breast Care
                S. Karger AG
                1661-3791
                1661-3805
                2019
                June 2019
                29 May 2019
                : 14
                : 3
                : 130-134
                Affiliations
                [_a] aBreast Center, Department of Gynecology and Obstetrics and CCC Munich, University of Munich (LMU), Munich, Germany
                [_b] bCANKADO Service GmbH, Kirchheim b.München, Germany
                Author notes
                *Prof. Dr. Timo Schinköthe, CANKADO Service GmbH, Am Strassland 6, DE–85551 Kirchheim b.München (Germany), E-Mail t.schinkoethe@cankado.com
                Article
                500900 PMC6600052 Breast Care 2019;14:130-134
                10.1159/000500900
                PMC6600052
                31316310
                6b527b41-2bbc-4a60-a06a-9fcffba49a44
                © 2019 S. Karger AG, Basel

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                : 24 April 2019
                : 30 April 2019
                Page count
                Figures: 2, Pages: 5
                Categories
                Review Article

                Oncology & Radiotherapy,Geriatric medicine,Cardiovascular Medicine,Clinical Psychology & Psychiatry,Public health
                Patient-reported outcome,eHealth,Mobile medical device

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