Scientific article
OA Policy
English

Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth-the SMILe study

CollaboratorsChalandon, Yves
Published inSupportive care in cancer, vol. 29, no. 12, p. 8045-8057
Publication date2021-12
First online date2021-07-05
Abstract

Purpose: Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: (1) describe the development of an integrated care model (ICM) in allogeneic SteM-cell-transplantatIon faciLitated by eHealth (SMILe) by combining implementation, behavioral, and computer science methods (e.g., contextual analysis, Behavior Change Wheel, and user-centered design combined with agile software development); and (2) describe that model's characteristics and its application in clinical practice. Methods: The SMILe intervention's development consisted of four steps, with implementation science methods informing each: (1) planning its set-up within a theoretical foundation; (2) using behavioral science methods to develop the content; (3) choosing and developing its delivery method (human/technology) using behavioral and computer science methods; and (4) describing its characteristics and application in clinical practice. Results: The SMILe intervention is embedded within the eHealth enhanced Chronic Care Model, entailing four self-management intervention modules, targeting monitoring and follow-up of important medical and symptom-related parameters, infection prevention, medication adherence, and physical activity. Interventions are delivered partly face-to-face by a care coordinator embedded within the transplant team, and partly via the SMILeApp that connects patients to the transplant team, who can monitor and rapidly respond to any relevant changes within 1 year post-transplant. Conclusion: This paper provides stepwise guidance on how implementation, behavioral, and computer science methods can be used to develop interventions aiming to improve care for stem cell transplant patients in real-world clinical settings. This new care model is currently being tested in a hybrid I effectiveness-implementation trial.

Keywords
  • Agile software development
  • Allogeneic stem cell transplantation
  • Behavioral science
  • Implementation science
  • Integrated care
  • Intervention development
  • User-centered design
  • EHealth
Funding
  • B.Braun Stiftung [BBST-D-17-00077]
  • Krebsforschung Schweiz [HSR-4362-11-2017]
Citation (ISO format)
LEPPLA, Lynn et al. Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth-the SMILe study. In: Supportive care in cancer, 2021, vol. 29, n° 12, p. 8045–8057. doi: 10.1007/s00520-021-06328-0
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Article (Published version)
Identifiers
Journal ISSN0941-4355
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171downloads

Technical informations

Creation21/10/2021 08:14:00
First validation21/10/2021 08:14:00
Update16/03/2023 06:28:22
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