Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults

This study investigated a remote symptom monitoring intervention to examine if older participants with cancer received a similar magnitude of benefit compared with younger adults with cancer. We analyzed a longitudinal symptom monitoring intervention for 358 participants beginning a new course of ch...

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Main Authors: Lorinda A. Coombs PhD, FNP-BC, Lee Ellington PhD, Angela Fagerlin PhD, Kathi Mooney PhD, RN
Format: Article
Language:English
Published: SAGE Publishing 2020-11-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/1073274820968878
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author Lorinda A. Coombs PhD, FNP-BC
Lee Ellington PhD
Angela Fagerlin PhD
Kathi Mooney PhD, RN
author_facet Lorinda A. Coombs PhD, FNP-BC
Lee Ellington PhD
Angela Fagerlin PhD
Kathi Mooney PhD, RN
author_sort Lorinda A. Coombs PhD, FNP-BC
collection DOAJ
description This study investigated a remote symptom monitoring intervention to examine if older participants with cancer received a similar magnitude of benefit compared with younger adults with cancer. We analyzed a longitudinal symptom monitoring intervention for 358 participants beginning a new course of chemotherapy treatment in community and academic oncology practices. The study design was a randomized control trial; participants were randomized to the intervention or usual care, the intervention was delivered during daily automated coaching. Older adults with moderate and severe symptoms derived similar benefit as those adults younger than 60 years of age, adherence to the study protocol which involved daily calls was high. There was no significant difference between the 2 age categories; on average, older adult participants made 88% of expected daily calls and younger adult participants made 90% of expected daily calls. Our results challenge the perception that older adults are unwilling or unable to use a technological tool such as interactive voice response and suggest that patient utilization may be guided by other factors, such as ease of use and perceived benefit from the intervention.
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spelling doaj.art-d7baa93ca3a245b8884fb72e158a2ab62023-07-26T07:08:10ZengSAGE PublishingCancer Control1073-27482020-11-012710.1177/1073274820968878Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger AdultsLorinda A. Coombs PhD, FNP-BC0Lee Ellington PhD1Angela Fagerlin PhD2Kathi Mooney PhD, RN3 Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA Huntsman Cancer Institute, Salt Lake City, UT, USA Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA Huntsman Cancer Institute, Salt Lake City, UT, USAThis study investigated a remote symptom monitoring intervention to examine if older participants with cancer received a similar magnitude of benefit compared with younger adults with cancer. We analyzed a longitudinal symptom monitoring intervention for 358 participants beginning a new course of chemotherapy treatment in community and academic oncology practices. The study design was a randomized control trial; participants were randomized to the intervention or usual care, the intervention was delivered during daily automated coaching. Older adults with moderate and severe symptoms derived similar benefit as those adults younger than 60 years of age, adherence to the study protocol which involved daily calls was high. There was no significant difference between the 2 age categories; on average, older adult participants made 88% of expected daily calls and younger adult participants made 90% of expected daily calls. Our results challenge the perception that older adults are unwilling or unable to use a technological tool such as interactive voice response and suggest that patient utilization may be guided by other factors, such as ease of use and perceived benefit from the intervention.https://doi.org/10.1177/1073274820968878
spellingShingle Lorinda A. Coombs PhD, FNP-BC
Lee Ellington PhD
Angela Fagerlin PhD
Kathi Mooney PhD, RN
Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
Cancer Control
title Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
title_full Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
title_fullStr Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
title_full_unstemmed Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
title_short Age Is Not a Barrier: Older Adults With Cancer Derive Similar Benefit in a Randomized Controlled Trial of a Remote Symptom Monitoring Intervention Compared With Younger Adults
title_sort age is not a barrier older adults with cancer derive similar benefit in a randomized controlled trial of a remote symptom monitoring intervention compared with younger adults
url https://doi.org/10.1177/1073274820968878
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