Can we use technology to encourage self-monitoring by people treated for melanoma? A qualitative exploration of the perceptions of potential recipients

Purpose: People with melanoma traditionally attend cancer centre-based follow-up. Most recurrences and new primary melanomas are, however, detected by patients between hospital visits. Despite this total self-skin examination (TSSE) practices are suboptimal. Digital technologies could be used to support TSSE. The attitudes of potential users is unknown, this study aims to explore the attitudes of people with melanoma towards using digital technologies, and the effect of personal characteristics on their attitudes.
Methods: Twenty-one hospital joint melanoma clinic patients aged 37 - 83 were purposively recruited. Semi-structured interviews were conducted to explore patients views on the use of digital technology during follow up and identify barriers or facilitators. Interviews were transcribed verbatim and subject to framework analysis.
Results: Participants had a wide range of IT skills. All used a mobile phone, most had heard of telemedicine, several had used Skype. Participants felt that with thought, tailoring, and training technology could enable self-monitoring as part of melanoma follow-up. Technological benefits included having a co-ordinating nurse specialist contactable electronically, having a personalised skin map and tailored information about melanoma. Participants cautioned that technological developments must take account of personal needs and characteristics. Few had security concerns.
Conclusions: People are not currently equipped to undertake self-monitoring as part of their melanoma follow-up, but many would be keen to employ technology to support this. A range of technologies could be utilised with potential benefits. Technologies should be carefully designed and individually tailored, considering age, familiarity with technology, place of residence and time since diagnosis.