title: Attitudes and preferences toward monitoring symptoms, distress, and quality of life in glioma patients and their informal caregivers.
abstract: Glioma patients and their informal caregivers face many challenges in living with the disease and its disease-specific consequences. To better meet their needs, a system to monitor symptoms, distress, and quality of life could prove useful. We explored glioma patients' and caregivers' attitudes and preferences toward monitoring in general and specifically toward paper-and-pencil and computerized (eHealth) options.
  
  
  
  In total, 15 patients and 15 informal caregivers participated in individual, semi-structured interviews. Interviews were transcribed smooth verbatim and coded by two researchers independently.
  
  
  
  Advantages of monitoring generated by participants include increased awareness of problems and their flow over time, and facilitating supportive care provision. Disadvantages include investment of time and mastering the discipline to monitor frequently. Patients reported more disadvantages of monitoring, including practical and disease-specific impediments, while caregivers mentioned more advantages. Preferences for specific methods mentioned to monitor are highly personal but most prefer to have an option for face-to-face contact to discuss results of monitoring with health care professionals even in computerized instruments.
  
  
  
  Informal caregivers view a monitoring system more favorably than glioma patients. In developing an efficient monitoring system to help glioma patients and caregivers find their way to supportive care, a computerized instrument with the added opportunity to contact a health care professional seems to be the best option to advise.
authors.affiliation: Department of Medical Psychology, VU University Medical Center, Amsterdam, Netherlands.
authors.forename: Florien W
authors.initials: FW
authors.lastname: Boele
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, VU University Medical Center, De Boelelaan 1118, 1081, Amsterdam, HZ, Netherlands.|Clinical Psychology, VU University, Amsterdam, Netherlands.
authors.forename: Cornelia F
authors.initials: CF
authors.lastname: van Uden-Kraan
authors.affiliation: Department of Medical Psychology, VU University Medical Center, Amsterdam, Netherlands.
authors.forename: Karen
authors.initials: K
authors.lastname: Hilverda
authors.affiliation: Department of Neurology, VU University Medical Center, PO Box 7057, 1007, Amsterdam, MB, Netherlands.
authors.forename: Jaap C
authors.initials: JC
authors.lastname: Reijneveld
authors.affiliation: Department of Medical Psychology, VU University Medical Center, Amsterdam, Netherlands.
authors.forename: Wilmy
authors.initials: W
authors.lastname: Cleijne
authors.affiliation: Department of Medical Psychology, VU University Medical Center, Amsterdam, Netherlands.
authors.forename: Martin
authors.initials: M
authors.lastname: Klein
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, VU University Medical Center, De Boelelaan 1118, 1081, Amsterdam, HZ, Netherlands. im.verdonck@vumc.nl.|Clinical Psychology, VU University, Amsterdam, Netherlands. im.verdonck@vumc.nl.
authors.forename: Irma M
authors.initials: IM
authors.lastname: Verdonck-de Leeuw
mesh_terms: D000328:Adult; D000368:Aged; D001290:Attitude; D001932:Brain Neoplasms / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D005260:Female; D005910:Glioma / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*
keywords: Brain tumor; Glioma; Informal caregivers; Preferences; Supportive care needs; eHealth