133157 20240322124130.0 doi 10.3390/ijerph18115991 sideral 137797 ART-2021-137797 eng Villegas, Francisco Characterizing Breakthrough Cancer Pain Using Ecological Momentary Assessment with a Smartphone App: Feasibility and Clinical Findings 2021 Background: mobile applications (apps) facilitate cancer pain ecological momentary assessment (EMA) and provide more reliable data than retrospective monitoring. The aims of this study are (a) to describe the status of persons with cancer pain when assessed ecologically, (b) to analyze the utility of clinical alarms integrated into the app, and (c) to test the feasibility of implementing an app for daily oncological pain monitoring. Methods: in this feasibility study, 21 patients (mean age = 56.95 years, SD = 10.53, 81.0% men) responded to an app-based evaluation of physical status (baseline and breakthrough cancer pain (BTcP)) and mental health variables (fatigue, mood, and coping) daily during 30 days. Results: cancer pain characterization with the app was similar to data from the literature using retrospective assessments in terms of BTcP duration and perceived medication effectiveness. However, BTcP was less frequent when evaluated ecologically. Pain, fatigue, and mood were comparable in the morning and evening. Passive coping strategies were the most employed daily. Clinical alarms appear to be useful to detect and address adverse events. App implementation was feasible and acceptable. Conclusion: apps reduce recall bias and facilitate a rapid response to adverse events in oncological care. Future efforts should be addressed to integrate EMA and ecological momentary interventions to facilitate pain self-management via apps. Access copy available to the general public Unrestricted info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.614 2021 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 45 / 182 = 0.247 2021 Q1 T1 ENVIRONMENTAL SCIENCES 100 / 279 = 0.358 2021 Q2 T2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 71 / 210 = 0.338 2021 Q2 T2 0.814 2021 Pollution 2021 Q1 Health, Toxicology and Mutagenesis 2021 Q1 4.5 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Martínez-Borba, Verónica (orcid)0000-0003-2082-8115 Suso-Ribera, Carlos Castilla, Diana Zaragoza, Irene García-Palacios, Azucena Ferrer, Carlos 18, 11 (2021), 5991 [21 pp.] Int. j. environ. res. public health International journal of environmental research and public health 1661-7827 1050933 http://zaguan.unizar.es/record/133157/files/texto_completo.pdf Versión publicada 2771622 http://zaguan.unizar.es/record/133157/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:133157 articulos driver 2024-03-22-09:48:26 ARTICLE