A user-centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer treatment
Open accessAbstract
PURPOSE: The study aim was to develop a mobile application (app) supported by user preferences to optimise self-management of arm and shoulder exercises for upper-limb dysfunction (ULD) after breast cancer treatment. METHODS: Focus groups with breast cancer patients were held to identify user needs and requirements. Behaviour change techniques were explored by researchers and discussed during the focus groups. Concepts for content were identified by thematic analysis. A rapid review was conducted to inform the exercise programme. Preliminary testing was carried out to obtain user feedback from breast cancer patients who used the app for 8 weeks post surgery. RESULTS: Breast cancer patients' experiences with ULD and exercise advice and routines varied widely. They identified and prioritised several app features: tailored information, video demonstrations of the exercises, push notifications, and tracking and progress features. An evidence-based programme was developed with a physiotherapist with progressive exercises for passive and active mobilisation, stretching and strengthening. The exercise demonstration videos were filmed with a breast cancer patient. Early user testing demonstrated ease of use, and clear and motivating app content. CONCLUSIONS: bWell, a novel app for arm and shoulder exercises, was developed by breast cancer patients, health care professionals and academics. Further research is warranted to confirm its clinical effectiveness. IMPLICATIONS FOR CANCER SURVIVORS: Mobile health has great potential to provide patients with information specific to their needs. bWell is a promising way to support breast cancer patients with exercise routines after treatment and may improve future self-management of clinical care.
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Eliciting requirements from target groups comprising patients who are vulnerable and clinically complex, such as people with psychosis or dementia, might be challenging.
“Third, it was mentioned that eliciting requirements from target groups comprising patients who are vulnerable and clinically complex, such as people with psychosis or dementia, might be challenging.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [38]
It might not be possible to include all requirements in an eHealth technology because of practical, technical, or financial limitations.
“Second, it might not be possible to include all requirements in an eHealth technology because of practical, technical, or financial limitations.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [38]
A number of groups [38] declared no conflict of interest despite seemingly being founders of their app.
“a number of groups [38] declared no conflict of interest, despite seemingly being founders of their app.”
From Usability of Mobile Health Apps for Postoperative Care: Systematic Review (2020) · cites this paper as [38]
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- Authors
- Harder, H., Holroyd, P., Burkinshaw, L., Watten, P., Zammit, C., Harris, P. R., Good, A., & Jenkins, V.
- Affiliations
- Brighton and Sussex Medical School (GB)
- University of Sussex (GB)
- Brighton and Sussex University Hospitals NHS Trust (GB)
- Corresponding author
- Harder, Helena
- Venue
- Journal of Cancer Survivorship
- Published
- 2017-07-24
- Volume
- 11
- Issue
- 6
- Pages
- 732-742
- ISSN
- 1932-2259 (ISSN-L)
- 1932-2267
- PMC
- PMC5671540
- OpenAlex
- W2737326431
- Cited by
- 84
- References
- 82
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 11 · 2022: 11 · 2021: 17 · 2020: 8 · 2019: 10 · 2018: 5 · 2017: 1
- FWCI
- 10.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Cancer Survivorship (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- Breast Cancer Now (2014MaySP312)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- breast cancer, upper limb impairment, mobile health apps, user-centered design, self-management, behaviour change techniques, physiotherapy, cancer survivors, user needs and preferences, push notifications, progress monitoring
- MeSH terms
- Arm, Breast Neoplasms, Exercise Therapy, Humans, Middle Aged, Shoulder, Telemedicine, Survivors, Physical Therapy Modalities, Mobile Applications
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