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Leppla, Lynn; Schmid, Anja; Valenta, Sabine; Mielke, Juliane; Beckmann, Sonja; Ribaut, Janette; Teynor, Alexandra; Dobbels, Fabienne; Duerinckx, Nathalie; Zeiser, Robert; Engelhardt, Monika; Gerull, Sabine; De Geest, Sabina; Bolliger, Dora; Chalandon, Yves; De DGeest, Sabina; Degen, Sabine; Dobbels, Fabienne; Duerinckx, Nathalie; Engelhardt, Monika; Fürmann, Margerita; Gerull, Sabine; Grossmann, Florian; Hasemann, Monika; [...]

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

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  • Media type: E-Article
  • Title: Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study
  • Contributor: Leppla, Lynn; Schmid, Anja; Valenta, Sabine; Mielke, Juliane; Beckmann, Sonja; Ribaut, Janette; Teynor, Alexandra; Dobbels, Fabienne; Duerinckx, Nathalie; Zeiser, Robert; Engelhardt, Monika; Gerull, Sabine; De Geest, Sabina; Bolliger, Dora; Chalandon, Yves; De DGeest, Sabina; Degen, Sabine; Dobbels, Fabienne; Duerinckx, Nathalie; Engelhardt, Monika; Fürmann, Margerita; Gerull, Sabine; Grossmann, Florian; Hasemann, Monika; [...]
  • imprint: Springer Science and Business Media LLC, 2021
  • Published in: Supportive Care in Cancer
  • Language: English
  • DOI: 10.1007/s00520-021-06328-0
  • ISSN: 0941-4355; 1433-7339
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: <jats:bold>(</jats:bold>1) describe the development of an integrated care model (ICM) in allogeneic <jats:bold>S</jats:bold>te<jats:bold>M</jats:bold>-cell-transplantat<jats:bold>I</jats:bold>on faci<jats:bold>L</jats:bold>itated by <jats:bold>e</jats:bold>Health (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.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>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.</jats:p> </jats:sec>