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Cited by 75Mobile Health and mHealth ApplicationsCancer survivorship and careTelemedicine and Telehealth Implementation

Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation

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Timmerman, Josien G., Tönis, Thijs M., Dekker-van Weering, Marit G. H., Stuiver, Martijn M., Wouters, Michel W. J. M., van Harten, Wim H., Hermens, Hermie J., Vollenbroek-Hutten, Miriam M. R.·2016·BMC Health Services Research
DOI 10.1186/s12913-016-1385-7PMC PMC4848869
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Abstract

BACKGROUND: Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). METHODS: A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. RESULTS: The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35-95) was rated acceptable. CONCLUSIONS: A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.

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  • Most included studies centered on participation of patients with cancer in UCD/HCD processes, while a smaller subset extended participation to include health care providers, clinicians, caregivers, and navigators.

    “Although most included studies centered on participation of patients with cancer in UCD/HCD processes, a smaller but important subset extended participation to include health care providers, clinicians, caregivers, and navigators [40,41].”

    From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [40]

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Cited by

Sorted by citations

Authors
Timmerman, J. G., Tönis, T. M., Dekker-van Weering, M. G. H., Stuiver, M. M., Wouters, M. W. J. M., van Harten, W. H., Hermens, H. J., & Vollenbroek-Hutten, M. M. R.
Affiliations
  • Roessingh Research and Development (NL)
  • The Netherlands Cancer Institute (NL)
Corresponding author
Timmerman, Josien G.
ORCID
Venue
BMC Health Services Research
Publisher
Springer Science and Business Media LLC
Published
2016-04-27
Volume
16
Issue
1
Pages
155-155
ISSN
1472-6963 (ISSN-L)
DOI
10.1186/s12913-016-1385-7
PMC
PMC4848869
OpenAlex
W2343839738
Cited by
75
References
8
Citations by year
2026: 2 · 2025: 8 · 2024: 8 · 2023: 5 · 2022: 15 · 2021: 8 · 2020: 8 · 2019: 5 · 2018: 7 · 2017: 9
FWCI
13.04
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Health Services Research (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Twente Research Information (publishedVersion, other-oa)
  • Pure Amsterdam UMC (acceptedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • University of Twente Research Information (submittedVersion, other-oa)
Funders
KWF Kankerbestrijding (NKI 2010-4854)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
lung cancer, lung resection, cancer rehabilitation, user-centered design, co-creation, usability evaluation, symptom self-monitoring, physical activity monitoring, on-body sensors, smartphones, electronic health records, healthcare workers, postoperative recovery, survivorship care, technology acceptance
MeSH terms
Female, Follow-Up Studies, Humans, Lung Neoplasms, Male, Middle Aged, Patient Care Planning, Quality of Life, Program Evaluation, Program Development, Focus Groups, Telemedicine, Survivors

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