The development of iManage-PC, an online symptom monitoring and self-management tool for men with clinically localized prostate cancer

Karly M. Murphy, Christina Sauer, Dershung Yang, Niina Hass, Kristian Novakovic, Brian Helfand, Robert Nadler, Benjamin D. Schalet, David Victorson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Prostate cancer (PC) often impacts 4 major aspects of health-related quality of life (HRQL): urinary, sexual, and bowel dysfunction, and anxiety. Online tools may be helpful in supporting the development of self-management skills that can improve HRQL. Objective: The aim of this study was to develop and pilot-test an online symptom monitoring and self-management program, iManage-PC. Methods: A literature search, input from experts, and feedback from patients were used to develop iManage-PC. A 4-week, single-arm pilot study was conducted with 96 men with prostate cancer. We evaluated system usability, acceptance, and satisfaction and examined preliminary effects on patient-reported outcomes. Results: Rates of retention (94.8%) and adherence to symptom monitoring (95.0%-97.0%) were high. Most participants rated the tool as satisfactory and acceptable (81.2%-94.3%). Related-samples Wilcoxon signed rank tests revealed that participants reported increased self-efficacy related to their ability to manage their adverse effects (T = 1772.0, P < .001, r = 0.39), physical discomfort (T = 1259.0, P < .001, r = 0.40), and stress and worry (T = 1108.5, P = .001, r = 0.34). Global mental and physical health also improved (T = 1322.0, P = .032, r = 0.23, and T = 1409.0, P = .001, r = 0.35, respectively). Conclusions: Future research with such tools should examine the potential role of cut-score–derived management interventions to improve engagement, symptom management self-efficacy, and HRQL. Implications for Practice: Our findings are consistent with a growing body of literature that supports the feasibility and acceptability of remotely delivered interventions.

Original languageEnglish (US)
Pages (from-to)E309-E319
JournalCancer Nursing
Volume45
Issue number1
DOIs
StatePublished - Dec 9 2021

Keywords

  • Online
  • Prostate cancer
  • Self-efficacy
  • Symptom management
  • Symptom monitoring

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

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