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Cited by 68Mobile Health and mHealth ApplicationsHealth Literacy and Information AccessibilityCancer survivorship and care

PATI: Patient accessed tailored information: A pilot study to evaluate the effect on preoperative breast cancer patients of information delivered via a mobile application

Open access
Foley, N.M., O'Connell, E.P., Lehane, E.A., Livingstone, V., Maher, B., Kaimkhani, S., Cil, T., Relihan, N. +3 more·2016·The Breast
DOI 10.1016/j.breast.2016.08.012
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Abstract

OBJECTIVES: The information needs of cancer patients are highly variable. Literature suggests an improved ability to modulate personalised stress, increased patient involvement with decision making, greater satisfaction with treatment choices and reduced anxiety levels in cancer patients who have access to information. The aim of this project was to evaluate the effects of a mobile information application on anxiety levels of patients undergoing surgery for breast cancer. MATERIALS AND METHODS: An application was developed for use with Apple iPad containing information on basic breast cancer biology, different treatments used and surgical techniques. Content and face validity studies were performed. A randomized control trial was designed, with a 1:2 allocation. Data collected include basic demographics and type of surgery. Questionnaires used included: the HADS, Mini-MAC, information technology familiarity and information satisfaction. RESULTS: A total of 39 women participated. 13 women had access to an iPad containing additional information and 26 women acted as controls. The mean age was 54 and technology familiarity was similar among both groups. Anxiety and depression scores at seven days were significantly lower in control patients without access to the additional information provided by the mobile application (p = 0.022 and 0.029 respectively). CONCLUSION: Anxiety and depression in breast cancer patients is both multifactorial and significant, with anxiety levels directly correlating with reduced quality of life. Intuitively, information should improve anxiety levels, however, we have demonstrated that surgical patients with less information reported significantly lower anxiety. We advise the thorough testing and auditing of information initiatives before deployment.

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  • At 7 days after surgery, participants who were more educated about their breast cancer surgery procedure experienced more anxiety than control participants.

    “They found that at 7 days after surgery, participants who were more educated about their breast cancer surgery procedure experienced more anxiety than the control participants.”

    From Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review (2019) · cites this paper as [12]

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Authors
Foley, N. M., O'Connell, E. P., Lehane, E. A., Livingstone, V., Maher, B., Kaimkhani, S., Cil, T., Relihan, N., Bennett, M. W., Redmond, H. P., & Corrigan, M. A.
Affiliations
  • Cork University Hospital (IE)
  • University College Cork (IE)
  • University of Toronto (CA)
  • Royal College of Surgeons in Ireland (IE)
Corresponding author
Foley, N.M.
ORCID
Venue
The Breast
Publisher
Elsevier BV
Published
2016-12
Volume
30
Pages
54-58
ISSN
0960-9776 (ISSN-L)
DOI
10.1016/j.breast.2016.08.012
OpenAlex
W2508687991
Cited by
68
References
37
Citations by year
2026: 1 · 2025: 11 · 2024: 8 · 2023: 7 · 2022: 7 · 2021: 10 · 2020: 9 · 2019: 10 · 2018: 3 · 2017: 2
FWCI
9.30
Type
journal article
Language
en
Open access
Licence
Locations
  • The Breast (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
breast cancer, preoperative anxiety, mobile application, patient information, tailored information, iPad, depression, information needs, patient education, surgical decision-making, information satisfaction, technology familiarity
MeSH terms
Adaptation, Psychological, Anxiety, Breast Neoplasms, Depression, Female, Humans, Middle Aged, Patient Education as Topic, Pilot Projects, Preoperative Care, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Patient Satisfaction, Access to Information, Computers, Handheld, Mobile Applications

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