Abstract

BackgroundAlthough many mobile health (mHealth) apps have evolved as support tools for self-management of breast cancer, limited studies have developed a comprehensive app and described the algorithms for personalized rehabilitation throughout the breast cancer care continuum.ObjectiveThis study aimed to develop a comprehensive mobile app and to describe an algorithm that adjusts personalized content to facilitate self-management throughout the breast cancer care continuum.MethodsThe development process of the modular mHealth app included the following 4 steps: (1) organizing expert teams, (2) defining evidence-based fundamental content and modules, (3) classifying user information for algorithms to personalize the content, and (4) creating the app platform and connectivity to digital health care devices.ResultsWe developed a modular mHealth app service, which took 18 months, including a review of related literature and guidelines and the development of the app and connectivity to digital health care devices. A total of 11 functionalities were defined in the app with weekly analysis. The user information classification was formulated for personalized rehabilitation according to 5 key criteria: general user information, breast operation type, lymph node surgery type, chemotherapy and hormonal therapy use, and change in treatment after surgery. The main modules for personalized content included a self-monitoring screen, personalized health information, personalized exercise, and diet management.ConclusionsThe strength of this study was the development of a comprehensive mHealth app and algorithms to adjust content based on user medical information for personalized rehabilitation during the breast cancer care continuum.

Highlights

  • BackgroundBreast cancer is the most frequently diagnosed cancer among women worldwide and in Korea

  • An accessible system is essential for the resolution of symptoms and health care concerns across the breast cancer care continuum

  • We documented the process of developing a modular mobile health (mHealth) app to provide personalized content based on surgery type, treatment process, and chronic disease(s)

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Summary

Introduction

Breast cancer is the most frequently diagnosed cancer among women worldwide and in Korea. Patients with breast cancer undergo a long course of diagnostic, treatment, and posttreatment procedures; long-term survivorship; and end-of-life stages [2]. Patients with breast cancer should be educated regarding self-management of their physical symptoms and functions and changing their behavior to promote a better quality of life [4,8]. An accessible system is essential for the resolution of symptoms and health care concerns across the breast cancer care continuum. Many mobile health (mHealth) apps have evolved as support tools for self-management of breast cancer, limited studies have developed a comprehensive app and described the algorithms for personalized rehabilitation throughout the breast cancer care continuum

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