Usability Testing Of Chemond Application ( Chemotherapy Monitoring) And Education ) And Knowledge Of Cancer Patients Who Will Undergo Chemotherapy
= http://dx.doi.org/10.24990/injec.v11i2.822
Abstract views = 69 times
|
Abstract
Introduction: Chemotherapy is one of the cancer treatments, which often causes disturbing side effects. Educational knowledge about chemotherapy can reduce anxiety and increase patient knowledge. Digital-based health applications, such as CheMonD, show great potential in improving the quality of cancer patients during chemotherapy. This study aims to determine the effect of chemotherapy education through digital supportive services in the form of application CheMonD to knowledge patient which will undergo chemotherapy and assess the satisfaction of users of these services.
Method: research is a usability testing with a quasi-experiment using a post-test design conducted in the Nakula 5 One Day Care Room: Chemotherapy RSA UGM , Yogyakarta. Inclusion criteria: patients which get chemotherapy first, age ≥ 18 year, score Karnofsky > 50, able to communicate effectively and willing to be involved in the study. Exclusion criteria were: patients did not have gadgets, patients with cognitive disorders based on medical record data. Respondents received chemotherapy education through an Android-based digital application containing videos, educational narratives and supportive services. At the end, a knowledge and satisfaction questionnaire was given user application. Analysis data use analysis univariate.
Results: A total of 22 respondents participated in the usability testing. From the knowledge aspect, the average correct answer of respondents was 9.45 (52.52%). Most respondents still did not understand as indicated by the majority of wrong answers on aspects of questions about preventing canker sores, preventing constipation, preventing bleeding, and overcoming baldness. The satisfaction value was at 80.06% with details of each domain of satisfaction with educational content 79.82%, accuracy level 84.09%, application format 80.3%, ease of use 79.54% and time effectiveness 76.70%.
Conclusion: Patient knowledge related to the prevention of mouth ulcers, constipation, bleeding and baldness is an aspect of knowledge that is still low. Respondent satisfaction with the application is 80.06%. The educational aspect related to symptom prevention can be improved in the preparation of the application while still considering the domain of convenience and time effectiveness.Keywords
References
Anand, U., Dey, A., Chandel, ACS, Sanyal, R., Mishra, A., Pandey, DK, De Falco, V., Upadhyay, A., Kandimalla, R., Chaudhary, A., Dhanjal , JK, Dewanjee, S., Vallamkondu, J., & Pérez de la Lastra, JM (2023). Cancer chemotherapy and beyond: Current status, drug candidates, associated risks and progress in targeted therapeutics. Genes and Diseases , 10 (4), 1367–1401. https://doi.org/10.1016/j.gendis.2022.02.007
Anita, A., & Sukamti P, T. (2016). The Influence of Giving Chemotherapy Booklet on the Self-Care Ability of Post-Chemotherapy Breast Cancer Patients in the Surgery Room of Abdul Moeloek Hospital (RSAM) Bandar Lampung. Journal of Health , 7 (1), 26. https://doi.org/10.26630/jk.v7i1.115
Aranda, S., Jefford, M., Yates, P., Gough, K., Seymour, J., Francis, P., Baravelli, C., Breen, S., & Schofield, P. (2012). Impact of a novel nurse-led prechemotherapy education intervention (ChemoEd) on patient distress, symptom burden, and treatment-related information and support needs: Results from a randomised, controlled trial. Annals of Oncology, 23(1), 222–231. https://doi.org/10.1093/annonc/mdr042
Arnold, M., Morgan, E., Rumgay, H., Mafra, A., Singh, D., Laversanne, M., Vignat, J., Gralow, J. R., Cardoso, F., Siesling, S., & Soerjomataram, I. (2022). Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast, 66(June), 15–23. https://doi.org/10.1016/j.breast.2022.08.010
Berger, O., Grønberg, B. H., Loge, J. H., Kaasa, S., & Sand, K. (2018). Cancer patients’ knowledge about their disease and treatment before, during and after treatment: A prospective, longitudinal study. BMC Cancer, 18(1), 1–11. https://doi.org/10.1186/s12885-018-4164-5
Chowdhury, F. A., Islam, M. F., Arefin, M. K., Akter, H., Tithy, S. A., Sabrin, F., Mahmud, F., Khan, A. S., & Alam, M. T. (2023). Demographic Characteristics of Patients with Breast Cancer in Bangladesh: A Single-Centre Study. Mymensingh Medical Journal : MMJ, 32(3), 764–768. http://www.ncbi.nlm.nih.gov/pubmed/37391971
Escudero-Vilaplana, V., Romero-Medrano, L., Villanueva-Bueno, C., RodrÃguez de Diago, M., Yánez-Montesdeoca, A., Collado-Borrell, R., Campaña-Montes, JJ, Marzal- Alfaro, B., Revuelta-Herrero, J.L., Calles, A., Galera, M., Ãlvarez, R., Herranz, A., Sanjurjo, M., & Artés-RodrÃguez, A. (2022). Smartphone-Based Ecological Momentary Assessment for the Measurement of the Performance Status and Health-Related Quality of Life in Cancer Patients Under Systemic Anticancer Therapies: Development and Acceptability of a Mobile App. Frontiers in Oncology , 12 (July), 1–10. https://doi.org/10.3389/fonc.2022.880430
Ferlay, J., Ervik, M., Lam, F., Colombet, M., Mery, L., Piñeros, M., Znaor, A., Soerjomataram, I., & Bray, F. (2021). IARC Publications Website - Cancer Today (powered by GLOBOCAN 2018) . https://publications.iarc.fr/Databases/Iarc-Cancerbases/Cancer-Today-Powered-By-GLOBOCAN-2018--2018
Fitriansyah, A., & Harris, I. (2018). Measuring Website User Satisfaction Using the End User Computing Satisfaction (EUCS) Method. Query: Jurnal Sistem Informasi , 2 (1), 1–8. http://jurnal. uinsu.ac.id/index.php/query/article/view/1552
Issac, J. (2023). Effectiveness of Standardized vs. Individualized Cancer Treatment Education. San Jose State University .
Kim, H., Jang, W. S., Sim, W. S., Kim, H. S., Choi, J. E., Baek, E. S., Park, Y. R., & Shin, S. J. (2024). Synthetic Data Improve Survival Status Prediction Models in Early-Onset Colorectal Cancer. In JCO Clinical Cancer Informatics (Issue 8). https://doi.org/10.1200/cci.23.00201
Laconi, E., Marongiu, F., & DeGregori, J. (2020). Cancer as a disease of old age: changing mutational and microenvironmental landscapes. British Journal of Cancer, 122(7), 943–952. https://doi.org/10.1038/s41416-019-0721-1
Lei, S., Zheng, R., Zhang, S., Wang, S., Chen, R., Sun, K., Zeng, H., Zhou, J., & Wei, W. (2021). Global patterns of breast cancer incidence and mortality: A population-based cancer registry data analysis from 2000 to 2020. Cancer Communications, 41(11), 1183–1194. https://doi.org/10.1002/cac2.12207
Liu, X. Y., Zhang, X., Ruan, G. T., Zheng, X., Chen, Y., Zhang, X. W., Liu, T., Ge, Y. Z., & Shi, H. P. (2024). Relationship between educational level and survival of patients with cancer: A multicentre cohort study. Cancer Medicine, 13(7), 1–11. https://doi.org/10.1002/cam4.7141
MartÃn, A. G., Fernández RodrÃguez, E. J., Sánchez Gómez, C., & Galve, M. I. R. (2023). Multifactorial Study on the Impact of Educational Level, Employment Status, and the Need for Extraordinary Care on the Economic Impact of Cancer Patients. Healthcare (Switzerland), 11(9). https://doi.org/10.3390/healthcare11091306
Mohebi, S., Parham, M., Sharifirad, G., & Gharlipour, Z. (2018). Asessment of patients knowledge, attitude, and beliefs abput cancer: An institute based study. Social Support and Self ‑ Care Behavior Study, 21(January), 1–6. https://doi.org/10.4103/jehp.jehp
Musarofah, S. (2015). The relationship between the level of knowledge and motivation to undergo chemotherapy in the Cenderawasih Room, Kariadi Central General Hospital, Semarang . 6.
Pearce, A., Haas, M., Viney, R., Pearson, S., Haywood, P., Brown, C., & Ward, R. (2017). Incidence and severity of self-reported chemotherapy side effects in routine care: a prospective cohort study . 1–12.
Schmidt, M. . (2021). 'Knowledge, perception, and management of cancer-related fatigue: the patients' perspective. Supportive Care in Cancer , 29 (4), 2063–2071. https://doi.org/10.1007/s00520-020-05686-5.
Sedrak, M. S., & Cohen, H. J. (2023). The Aging-Cancer Cycle: Mechanisms and Opportunities for Intervention. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 78(7), 1234–1238. https://doi.org/10.1093/gerona/glac247
Tian, J., Jia, L. N., & Cheng, Z. C. (2015). Relationships between patient knowledge and the severity of side effects, daily nutrient intake, psychological status, and performance status in lung cancer patients. Current Oncology, 22(4), e254–e258. https://doi.org/10.3747/co.22.2366
Turkdogan, S., Schnitman, G., Wang, T., Gotlieb, R., How, J., & Gotlieb, W. H. (2021). Development of a digital patient education tool for patients with cancer during the COVID-19 pandemic. JMIR Cancer, 7(2), 1–6. https://doi.org/10.2196/23637
Wirawan, A. A., Hutajulu, S. H., & Haryani, H. (2022). The Effect of Prechemotherapy Education Using Audio Visual Methods on the Distress of Patients with Cancer. Journal of Cancer Education, 37(2), 414–420. https://doi.org/10.1007/s13187-020-01830-1
Xu, J., Du, S., & Dong, X. (2022). Associations of Education Level With Survival Outcomes and Treatment Receipt in Patients With Gastric Adenocarcinoma. Frontiers in Public Health, 10(June), 1–15. https://doi.org/10.3389/fpubh.2022.868416
Yuliani, A., Rhadiana, B., Estiko, R., Hikmawati, A., Nugroho, A., & Ekasanti, N. (2023). Incidence of Anxiety and Depression and Its Related Factors in Family Caregivers of Cancer Patients. EJournal Kedokteran Indonesia, 11(3), 232–239. https://doi.org/10.23886/ejki.11.432.232-9
Yunis, R., Fonda, S. J., Aghaee, S., Kubo, A., Davis, S. W., Liu, R., Neeman, E., & Oakley-Girvan, I. (2024). Mobile app activity engagement by cancer patients and their caregivers informs remote monitoring. Scientific Reports, 14(1), 1–9. https://doi.org/10.1038/s41598-024-53373-w
Refbacks
- There are currently no refbacks.

This work is licensed under a Creative Commons Attribution 4.0 International License.
This journal is indexed by:
 Â
Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).







Arifin Triyanto, Haryani Haryani, Atikah Kurnia Alda, Salwa Nada Agfi Arofah




