Use of Text Messaging (SMS) for the Management of Side Effects in Cancer Patients Undergoing Chemotherapy Treatment: a R
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MOBILE & WIRELESS HEALTH
Use of Text Messaging (SMS) for the Management of Side Effects in Cancer Patients Undergoing Chemotherapy Treatment: a Randomized Controlled Trial Timóteo Matthies Rico 1 & Karina dos Santos Machado 2 & Vanessa Pellegrini Fernandes 3 & Samanta Winck Madruga 3 & Mateus Madail Santin 3 & Cristiane Rios Petrarca 3 & Samuel Carvalho Dumith 4 Received: 2 October 2019 / Accepted: 25 September 2020 / Published online: 30 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Cancer patients are often not sufficiently oriented to manage side effects at home. Sending text messages with self-care guidelines aimed managing side effects is the main objective of this randomized controlled trial. Patients who started outpatient chemotherapy treatment between March and December 2017 at a hospital in southern Brazil were invited to participate in this study and were allocated to the intervention or control group (ratio 1: 1). Each patient in the intervention group received a daily SMS (short message service) with some guidance on management or prevention of side effects. All text messages were sent to the intervention group patients in an automated and tailored way by our app called cHEmotHErApp. Side effects experienced by patients were verified using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30). Results showed intervention group patients experienced fewer side effects compared to the control group in cycle 1 (p < 0.05), in general. In addition, intervention group experienced less nausea in relation to the control group, in the cycle 1 and cycle 2 (p < 0.05). This study indicate text messaging may be a tool for supporting side effect management in patients receiving chemotherapy. This study was enrolled in ClinicalTrials.gov with the identification number NCT03087422. This research was performed in accordance with the Declaration of Helsinki. Keywords Telemedicine . Patient education . Self-management . Side-effects . Neoplasms . Text-messaging
Introduction Chemotherapy is one of the main options in the treatment of cancer, and it is used to eradicate neoplastic cells through the
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10916-020-01663-x) contains supplementary material, which is available to authorized users. * Timóteo Matthies Rico [email protected] 1
Instituto Federal Sul-Rio-Grandense, Corredor das Tropas, 801, Jaguarão – Rio Grande do Sul, Jaguarão, RS 96300-000, Brazil
2
C3 - Centro de Ciências Computacionais, Universidade Federal do Rio Grande, Rio Grande do Sul, Rio Grande, Brazil
3
Hospital Escola, Universidade Federal de Pelotas, Rio Grande do Sul, Pelotas, Brazil
4
Programa de Pós Graduação em Ciências da Saúde, Universidade Federal do Rio Grande, Rio Grande do Sul, Rio Grande, Brazil
administering of drugs, and can be applied in combination with radiotherapy or surgery [1, 2]. Available antineoplastic drugs do not spec
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