title: Feasibility of an eHealth application "OncoKompas" to improve personalized survivorship cancer care.
abstract: OBJECTIVE
  The purpose of this study was to investigate the feasibility of an online self-management application (OncoKompas) among cancer survivors. In OncoKompas, cancer survivors can monitor their quality of life (QOL) via participant reported outcomes (PROs) ("Measure"), which is followed by automatically generated individually tailored feedback ("Learn") and personalized advice on supportive care services ("Act").
  
  
  METHODS
  A pretest-posttest design was used, conducting a survey before providing access to OncoKompas, and 2 weeks after, followed by an interview by a nurse. Adoption was defined as the percentage of cancer survivors that agreed to participate in the study and returned the T0 questionnaire. Implementation was defined as the percentage of participants that actually used OncoKompas as intended (T1). General satisfaction was assessed based on the mean score of three study-specific questions: (1) general impression of OncoKompas, (2) the user-friendliness, and (3) the ability to use OncoKompas without assistance (10-point Likert scales). Furthermore, satisfaction was measured with the Net Promotor Scale (NPS).
  
  
  RESULTS
  OncoKompas was feasible with an adoption grade of 64 %, an implementation grade of 75-91 %, a mean satisfaction score of 7.3, and a positive NPS (1.9). Sociodemographic and clinical factors and QOL were not associated with satisfaction. Several facilitators and barriers related to the feasibility of OncoKompas were identified.
  
  
  CONCLUSIONS
  OncoKompas is considered feasible, but has to be further improved. In order to enhance feasibility and increase satisfaction, we have to balance the time it takes to use OncoKompas, measurement precision, and tailoring towards personalized advices.
authors.affiliation: Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.|EMGO Institute for Health and Care Research, VU University and VU University Medical Center, Amsterdam, The Netherlands.|Cancer Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: Duman-Lubberding
authors.affiliation: Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.|Clinical Psychology, VU University, Amsterdam, The Netherlands.|EMGO Institute for Health and Care Research, VU University and VU University Medical Center, Amsterdam, The Netherlands.|Cancer Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: C F
authors.initials: CF
authors.lastname: van Uden-Kraan
authors.affiliation: Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.|EMGO Institute for Health and Care Research, VU University and VU University Medical Center, Amsterdam, The Netherlands.|Cancer Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: F
authors.initials: F
authors.lastname: Jansen
authors.affiliation: Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: B I
authors.initials: BI
authors.lastname: Witte
authors.affiliation: Otolaryngology/Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands.
authors.forename: L A
authors.initials: LA
authors.lastname: van der Velden
authors.affiliation: Otolaryngology/Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Lacko
authors.affiliation: Clinical Psychology, VU University, Amsterdam, The Netherlands.|EMGO Institute for Health and Care Research, VU University and VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: P
authors.initials: P
authors.lastname: Cuijpers
authors.affiliation: Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands.|Cancer Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: C R
authors.initials: CR
authors.lastname: Leemans
authors.affiliation: Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands. IM.Verdonck@vumc.nl.|Clinical Psychology, VU University, Amsterdam, The Netherlands. IM.Verdonck@vumc.nl.|EMGO Institute for Health and Care Research, VU University and VU University Medical Center, Amsterdam, The Netherlands. IM.Verdonck@vumc.nl.|Cancer Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands. IM.Verdonck@vumc.nl.
authors.forename: I M
authors.initials: IM
authors.lastname: Verdonck-de Leeuw
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D063731:Mobile Applications; D009369:Neoplasms / Q000451:nursing / Q000628:therapy*; D018802:Patient-Centered Care / Q000379:methods; D010549:Personal Satisfaction; D057285:Precision Medicine / Q000379:methods*; D011788:Quality of Life; D012648:Self Care; D011795:Surveys and Questionnaires; D017741:Survivors; D017216:Telemedicine / Q000379:methods*
keywords: EHealth; Lifestyle; Neoplasms; Quality of life; Self-management; Supportive cancer care