RecruitingNot ApplicableNCT07024329

Implementing REmote SymPtom mOnitoring and maNagement (RESPONd)

Implementing REmote SymPtom mOnitoring and maNagement (RESPONd): Evaluating the Impact on Cancer Patients, System Efficiency, and Economic Outcomes

Sponsor

University of Calgary

Enrollment

1,055 participants

Start Date

May 16, 2025

Study Type

INTERVENTIONAL

Conditions

Cancer

Summary

The goal of this study is to understand if the implementation of a remote symptom monitoring and management program improves outcomes. The program will provide patients the opportunity to complete electronic Patient Reported Outcomes (PROs) questionnaires from home between appointments and receive tailored advice from a study nurse. A second goal of this study is to examine the impact of electronic symptom monitoring on clinic efficiencies. The main question it aims to answer is: • What impact does implementing digitally enabled remote symptom monitoring and management (RESPONd) between ambulatory oncology visits have on patient outcomes and system efficiencies? Participants will: * Report their symptoms and concerns from home by completing the electronic symptom monitoring questionnaire. * Discuss their symptoms and concerns with a study nurse. * Provide feedback about their experience at important timepoints during the study. * Participate as usual in ambulatory clinic appointments.

Eligibility

Min Age: 18 Years

Inclusion Criteria7

Age ≥ 18
Have cancer
Receiving care in one of the participating clinics.
Able to sign up for MyAHS Connect and consent.
Have access to a digital device at home
Able to complete their electronic PROs questionnaire without support from the clinic team on a weekly (patients on active treatment) or monthly (patients on follow-up) basis, for the duration of the intervention or until they are discharged from the clinic.
Regular access to a telephone in order for the study nurse to call patients to provide symptom management support.

Exclusion Criteria4

Patients with cognitive disabilities or who cannot reliably report symptoms independently.
Patients not residing in Alberta, as government-issued ID is required to register for MyAHS Connect.
Patients who do not have regular access to a telephone, as the study nurse needs to be able to call patients to provide symptom management support.
Patients who do not speak English, or who do not have an English-speaking friend, family member, or caregiver to assist them, as the electronic PROs questionnaire is only available in English at this time.

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Interventions

OTHERRemote Symptom Monitoring and Management

A study nurse will digitally monitor symptom complexity and provide symptom management between clinic visits. This will increase the frequency of collection and use of electronic PROs to provide responsive symptom management. Electronic PROs are collected digitally, and a complexity algorithm is used to flag patients with high symptom complexity. This will allow the study nurse to proactively manage symptoms in a timelier way.

OTHERClinic Team Huddle

Support will be provided to clinic teams to implement a team huddle (team planning session) one week prior to clinics, to assess how additional electronic PROs data for patients participating in RESPONd impacts their ability to identify stable patients with low symptom complexity who could receive virtual care or Registered Nurse (RN) led clinic care.