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

Research output: Contribution to journalArticle

15 Citations (Scopus)
4 Downloads (Pure)

Abstract

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.
Original languageEnglish
Pages (from-to)1663-1671
Number of pages9
JournalSupportive Care in Cancer
Volume22
Issue number6
Early online date8 Feb 2014
DOIs
Publication statusPublished - 1 Jun 2014

Fingerprint

Melanoma
Technology
Skin
Interviews
Cell Phones
Telemedicine
Joints
Recurrence
Neoplasms

Keywords

  • Melanoma
  • Total skin self-examination
  • Digital technologies
  • Follow-up

Cite this

@article{54b94039605a49b784ab68ba0ca1fca0,
title = "Can we use technology to encourage self-monitoring by people treated for melanoma? A qualitative exploration of the perceptions of potential recipients",
abstract = "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.",
keywords = "Melanoma, Total skin self-examination, Digital technologies, Follow-up",
author = "S. Hall and P. Murchie",
note = "The authors wish to thank the interviewees for sharing their thoughts and giving their time to help with this study. The research described here is supported by the award made by the RCUK Digital Economy programme to the dot.rural Digital Economy Hub; award reference: EP/G066051/1.",
year = "2014",
month = "6",
day = "1",
doi = "10.1007/s00520-014-2133-3",
language = "English",
volume = "22",
pages = "1663--1671",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Can we use technology to encourage self-monitoring by people treated for melanoma? A qualitative exploration of the perceptions of potential recipients

AU - Hall, S.

AU - Murchie, P.

N1 - The authors wish to thank the interviewees for sharing their thoughts and giving their time to help with this study. The research described here is supported by the award made by the RCUK Digital Economy programme to the dot.rural Digital Economy Hub; award reference: EP/G066051/1.

PY - 2014/6/1

Y1 - 2014/6/1

N2 - 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.

AB - 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.

KW - Melanoma

KW - Total skin self-examination

KW - Digital technologies

KW - Follow-up

U2 - 10.1007/s00520-014-2133-3

DO - 10.1007/s00520-014-2133-3

M3 - Article

VL - 22

SP - 1663

EP - 1671

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 6

ER -