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Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study

OBJECTIVE: Growing up with a chronic disease comes with challenges, such as coping with fatigue. Many adolescents are severely fatigued, though its associated factors exhibit considerable interpersonal and longitudinal variation. We assessed whether PROfeel, a combination of a smartphone-based ecolo...

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Autores principales: Nap-van der Vlist, Merel M., Houtveen, Jan, Dalmeijer, Geertje W., Grootenhuis, Martha A., van der Ent, Cornelis K., van Grotel, Martine, Swart, Joost F., van Montfrans, Joris M., van de Putte, Elise M., Nijhof, Sanne L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131314/
https://www.ncbi.nlm.nih.gov/pubmed/34026566
http://dx.doi.org/10.1016/j.invent.2021.100395
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author Nap-van der Vlist, Merel M.
Houtveen, Jan
Dalmeijer, Geertje W.
Grootenhuis, Martha A.
van der Ent, Cornelis K.
van Grotel, Martine
Swart, Joost F.
van Montfrans, Joris M.
van de Putte, Elise M.
Nijhof, Sanne L.
author_facet Nap-van der Vlist, Merel M.
Houtveen, Jan
Dalmeijer, Geertje W.
Grootenhuis, Martha A.
van der Ent, Cornelis K.
van Grotel, Martine
Swart, Joost F.
van Montfrans, Joris M.
van de Putte, Elise M.
Nijhof, Sanne L.
author_sort Nap-van der Vlist, Merel M.
collection PubMed
description OBJECTIVE: Growing up with a chronic disease comes with challenges, such as coping with fatigue. Many adolescents are severely fatigued, though its associated factors exhibit considerable interpersonal and longitudinal variation. We assessed whether PROfeel, a combination of a smartphone-based ecological momentary assessment (EMA) method using the internet, followed by a face-to-face dialogue and personalized advice for improvement of symptoms or tailor treatment based on a dynamic network analysis report, was feasible and useful. STUDY DESIGN: Feasibility study in fatigued outpatient adolescents 12–18 years of age with cystic fibrosis, autoimmune disease, post-cancer treatment, or with medically unexplained fatigue. Participants were assessed at baseline to personalize EMA questions. EMA was conducted via smartphone notifications five times per day for approximately six weeks. Hereby, data was collected via the internet. The EMA results were translated into a personalized report, discussed with the participant, and subsequently translated into a personalized advice. Afterwards, semi-structured interviews on feasibility and usefulness were held. RESULTS: Fifty-seven adolescents were assessed (mean age 16.2 y ± 1.6, 16% male). Adolescents deemed the smartphone-based EMA feasible, with the app being used for an average of 49 days. Forty-two percent of the notifications were answered and 85% of the participants would recommend the app to other adolescents. The personalized report was deemed useful and comprehensible and 95% recognized themselves in the personalized report, with 64% rating improved insight in their symptoms and subsequent steps towards an approach to reduce one's fatigue as good or very good. CONCLUSIONS: PROfeel was found to be highly feasible and useful for fatigued adolescents with a chronic condition. This innovative method has clinical relevance through bringing a patient's daily life into the clinical conversation.
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spelling pubmed-81313142021-05-21 Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study Nap-van der Vlist, Merel M. Houtveen, Jan Dalmeijer, Geertje W. Grootenhuis, Martha A. van der Ent, Cornelis K. van Grotel, Martine Swart, Joost F. van Montfrans, Joris M. van de Putte, Elise M. Nijhof, Sanne L. Internet Interv Full length Article OBJECTIVE: Growing up with a chronic disease comes with challenges, such as coping with fatigue. Many adolescents are severely fatigued, though its associated factors exhibit considerable interpersonal and longitudinal variation. We assessed whether PROfeel, a combination of a smartphone-based ecological momentary assessment (EMA) method using the internet, followed by a face-to-face dialogue and personalized advice for improvement of symptoms or tailor treatment based on a dynamic network analysis report, was feasible and useful. STUDY DESIGN: Feasibility study in fatigued outpatient adolescents 12–18 years of age with cystic fibrosis, autoimmune disease, post-cancer treatment, or with medically unexplained fatigue. Participants were assessed at baseline to personalize EMA questions. EMA was conducted via smartphone notifications five times per day for approximately six weeks. Hereby, data was collected via the internet. The EMA results were translated into a personalized report, discussed with the participant, and subsequently translated into a personalized advice. Afterwards, semi-structured interviews on feasibility and usefulness were held. RESULTS: Fifty-seven adolescents were assessed (mean age 16.2 y ± 1.6, 16% male). Adolescents deemed the smartphone-based EMA feasible, with the app being used for an average of 49 days. Forty-two percent of the notifications were answered and 85% of the participants would recommend the app to other adolescents. The personalized report was deemed useful and comprehensible and 95% recognized themselves in the personalized report, with 64% rating improved insight in their symptoms and subsequent steps towards an approach to reduce one's fatigue as good or very good. CONCLUSIONS: PROfeel was found to be highly feasible and useful for fatigued adolescents with a chronic condition. This innovative method has clinical relevance through bringing a patient's daily life into the clinical conversation. Elsevier 2021-04-20 /pmc/articles/PMC8131314/ /pubmed/34026566 http://dx.doi.org/10.1016/j.invent.2021.100395 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Full length Article
Nap-van der Vlist, Merel M.
Houtveen, Jan
Dalmeijer, Geertje W.
Grootenhuis, Martha A.
van der Ent, Cornelis K.
van Grotel, Martine
Swart, Joost F.
van Montfrans, Joris M.
van de Putte, Elise M.
Nijhof, Sanne L.
Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title_full Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title_fullStr Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title_full_unstemmed Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title_short Internet and smartphone-based ecological momentary assessment and personalized advice (PROfeel) in adolescents with chronic conditions: A feasibility study
title_sort internet and smartphone-based ecological momentary assessment and personalized advice (profeel) in adolescents with chronic conditions: a feasibility study
topic Full length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131314/
https://www.ncbi.nlm.nih.gov/pubmed/34026566
http://dx.doi.org/10.1016/j.invent.2021.100395
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