Learning Objective 1: Discuss the feasibility and acceptability of a newly developed iPad application to explore symptom clusters in adolescents with cancer
Learning Objective 2: Describe adolescentsí perspectives of using an iPad application to communicate their symptom experience
Methods: 32 AWC at three United States institutions who had completed at least one cycle of chemotherapy completed the C-SCAT 24 to 96 hours following initiation of a chemotherapy cycle. Feasibility was measured via C-SCAT completion rates and AWC’s evaluation of accuracy of their final drawing as a representation of their symptoms. Acceptability was evaluated with an investigator-developed questionnaire administered to the adolescents following C-SCAT completion.
Results: All adolescents completed the C-SCAT successfully and indicated that the final image was an accurate representation of their symptoms. Adolescents reported increased self-awareness and appreciation for the ability to create a pictorial representation of their experience. They endorsed a preference for use of technology over paper and pencil instruments, citing familiarity with the technology, appreciation of its speed, flexibility for editing responses, and novelty of the application. Suggestions for improvement included: ability to add additional symptoms, more engaging color graphics, and more focused questions.
Conclusion: The C-SCAT demonstrated feasibility and acceptability in these AWC receiving chemotherapy. This technology has global potential in future descriptive and intervention-based research including facilitation of patient-provider communication regarding the symptom experience and the development of symptom cluster-focused interventions. The C-SCAT also has potential use with other age groups, across the cancer treatment continuum, and in other disease states.
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