Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study

BackgroundThere is a need for tools to decrease cancer patients’ and survivors’ long-term symptom burden. Complementary strategies, such as meditation, can accompany pharmacologic therapy to improve symptoms. Although support programs with targeted content have wider reach, higher adherence, and gre...

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Main Authors: Huberty, Jennifer, Puzia, Megan, Eckert, Ryan, Larkey, Linda
Format: Article
Language:English
Published: JMIR Publications 2020-02-01
Series:JMIR Cancer
Online Access:http://cancer.jmir.org/2020/1/e16926/
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author Huberty, Jennifer
Puzia, Megan
Eckert, Ryan
Larkey, Linda
author_facet Huberty, Jennifer
Puzia, Megan
Eckert, Ryan
Larkey, Linda
author_sort Huberty, Jennifer
collection DOAJ
description BackgroundThere is a need for tools to decrease cancer patients’ and survivors’ long-term symptom burden. Complementary strategies, such as meditation, can accompany pharmacologic therapy to improve symptoms. Although support programs with targeted content have wider reach, higher adherence, and greater impact, there are no consumer-based meditation apps designed specifically for cancer. ObjectiveThis study aimed to gather information to advise the development of a cancer-specific meditation app in a small convenience sample of cancer patients and survivors who currently use the Calm app. MethodsAdult cancer patients and survivors who are Calm users (N=82) were recruited through the Daily Calm Facebook page. Participants completed a Web-based survey related to Calm app use and satisfaction, interest in and ideas for a cancer-specific Calm app, and demographic characteristics. Open-ended responses were inductively coded. ResultsParticipants were aged between 18 and 72 years (mean 48.60 years, SD 15.20), mostly female (77/82, 94%), white (65/79, 82%), and non-Hispanic (70/75, 93%), and reported using Calm at least 5 times per week (49/82, 60%). Although rates of satisfaction with current Calm components were high (between 65/82, 79% and 51/81, 63%), only 49% (40/82) of participants used guided meditations that they felt specifically helped with their cancer-related symptoms and survivorship, and 40% (33/82) would prefer more cancer-related content, with guided meditations for cancer-specific anxieties (eg, fear of recurrence; n=15) and coping with strong emotions (n=12) being the most common suggestions. A majority of participants (51/82, 62%) reported that they would be interested in becoming a member of a Calm cancer community (eg, in-app discussion boards: 41/46, 89%; and social media communities: 35/42, 83%). Almost half of the participants (37/82, 45%) reported that they would benefit from features that tracked symptoms in concurrence with app usage, but respondents were divided on whether this information should be shared with health care providers through the app (49/82, 60% would share). ConclusionsResponses suggest ways in which the current Calm app could be adapted to better fit cancer patients’ and survivors’ needs and preferences, including adding cancer-specific content, increasing the amount of content focusing on coping with strong emotions, developing communities for Calm users who are cancer patients and survivors, and including features that track cancer-related symptoms. Given differences in opinions about which features were desirable or would be useful, there is a clear need for future cancer-specific apps to be customizable (eg, ability to turn different features on or off). Although future research should address these topics in larger, more diverse samples, these data will serve as a starting point for the development of cancer-specific meditation apps and provide a framework for evaluating their effects.
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spelling doaj.art-69a40b970118470dab2e6792f03d44f82022-12-21T19:59:38ZengJMIR PublicationsJMIR Cancer2369-19992020-02-0161e1692610.2196/16926Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive StudyHuberty, JenniferPuzia, MeganEckert, RyanLarkey, LindaBackgroundThere is a need for tools to decrease cancer patients’ and survivors’ long-term symptom burden. Complementary strategies, such as meditation, can accompany pharmacologic therapy to improve symptoms. Although support programs with targeted content have wider reach, higher adherence, and greater impact, there are no consumer-based meditation apps designed specifically for cancer. ObjectiveThis study aimed to gather information to advise the development of a cancer-specific meditation app in a small convenience sample of cancer patients and survivors who currently use the Calm app. MethodsAdult cancer patients and survivors who are Calm users (N=82) were recruited through the Daily Calm Facebook page. Participants completed a Web-based survey related to Calm app use and satisfaction, interest in and ideas for a cancer-specific Calm app, and demographic characteristics. Open-ended responses were inductively coded. ResultsParticipants were aged between 18 and 72 years (mean 48.60 years, SD 15.20), mostly female (77/82, 94%), white (65/79, 82%), and non-Hispanic (70/75, 93%), and reported using Calm at least 5 times per week (49/82, 60%). Although rates of satisfaction with current Calm components were high (between 65/82, 79% and 51/81, 63%), only 49% (40/82) of participants used guided meditations that they felt specifically helped with their cancer-related symptoms and survivorship, and 40% (33/82) would prefer more cancer-related content, with guided meditations for cancer-specific anxieties (eg, fear of recurrence; n=15) and coping with strong emotions (n=12) being the most common suggestions. A majority of participants (51/82, 62%) reported that they would be interested in becoming a member of a Calm cancer community (eg, in-app discussion boards: 41/46, 89%; and social media communities: 35/42, 83%). Almost half of the participants (37/82, 45%) reported that they would benefit from features that tracked symptoms in concurrence with app usage, but respondents were divided on whether this information should be shared with health care providers through the app (49/82, 60% would share). ConclusionsResponses suggest ways in which the current Calm app could be adapted to better fit cancer patients’ and survivors’ needs and preferences, including adding cancer-specific content, increasing the amount of content focusing on coping with strong emotions, developing communities for Calm users who are cancer patients and survivors, and including features that track cancer-related symptoms. Given differences in opinions about which features were desirable or would be useful, there is a clear need for future cancer-specific apps to be customizable (eg, ability to turn different features on or off). Although future research should address these topics in larger, more diverse samples, these data will serve as a starting point for the development of cancer-specific meditation apps and provide a framework for evaluating their effects.http://cancer.jmir.org/2020/1/e16926/
spellingShingle Huberty, Jennifer
Puzia, Megan
Eckert, Ryan
Larkey, Linda
Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
JMIR Cancer
title Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
title_full Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
title_fullStr Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
title_full_unstemmed Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
title_short Cancer Patients’ and Survivors’ Perceptions of the Calm App: Cross-Sectional Descriptive Study
title_sort cancer patients and survivors perceptions of the calm app cross sectional descriptive study
url http://cancer.jmir.org/2020/1/e16926/
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