JMIR Publications

ABSTRACT

Background:

Elective colorectal cancer (CRC) surgeries offer enhanced surgical outcomes but demand high self-efficacy in prehabilitation and competency in self-care and disease management post-surgery. Conventional strategies to meet perioperative needs have not been pragmatic and there remains a pressing need for novel technologies that could improve health outcomes.

Objective:

To describe the development of a smartphone-based interactive colorectal cancer self-management enhancement psychosocial programme (iCanManage) to improve health outcomes among family caregivers and patients who undergo elective colorectal cancer surgeries.

Methods:

A multidisciplinary international team comprising of physicians, specialist nurses, a psychologist, software engineers, academic researchers, cancer survivors, patient ambassadors, and ostomy care medical equipment suppliers was formed to facilitate the development of this patient-centric digital solution. The process occurred in several stages: (i) review of current practice through clinic visits and on-site observations; (ii) review of literature and findings from preliminary studies; (iii) content development grounded in an underpinning theory; (iv) integration of support services; and (v) optimize user experience through improving interface aesthetics and customisation.

Results:

Several limiting factors were identified despite efforts to promote engagement and ensure ease of use of the mobile application. To overcome such barriers, additional app training sessions, an instruction manual and regular telephone calls will be incorporated into the iCanManage programme during the trial period.

Conclusions:

This form of multidisciplinary collaboration is advantageous as it can potentially streamline existing care paths and allow the delivery of more holistic care to the colorectal cancer population during the perioperative period. Should the programme be found to be effective and sustainable, hospitals adopting this digital solution may achieve better resource allocation and reduce overall healthcare costs in the long run. Clinical Trial: NCT04159363 (https://clinicaltrials.gov/)