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Article Abstract
Emerging digital health approaches could play a role in better personalized palliative care. We conducted a feasibility study testing wearable sensor (WS)-triggered (EMAs) and electronic patient-reported outcomes in community palliative care with patient-caregiver dyads. All wore consumer-grade WS for five weeks. Sensor-detected "stress" (heart rate variability algorithm) that passed individualized thresholds triggered a short smartphone survey. Daily sleep surveys, weekly symptom surveys (Integrated Palliative care Outcome Scale), and a poststudy experience survey were conducted. Fifteen dyads ( = 30) were recruited from an outpatient palliative care clinic for people with cancer. Daytime sensor wear-time had 73% adherence. Participants perceived value in this support. Quantity and severity of "stress" events were higher in patients. Sleep disturbance was similar but for different reasons: patients (physical symptoms) and caregivers (worrying about the patient). EMAs are feasible and valued in community palliative care.
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| http://dx.doi.org/10.1089/jpm.2022.0535 | DOI Listing |
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