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Accepted for/Published in: JMIR Cancer

Date Submitted: Feb 15, 2024
Date Accepted: Apr 1, 2025

The final, peer-reviewed published version of this preprint can be found here:

Perceptions and Needs of Stakeholders Regarding MyPal Project’s Electronic Patient-Reported Outcome App: Cross-Sectional Qualitative Focus Group Study

Kyrou D, Bonotis P, Kakalou C, Scarfò L, Meyerheim M, Sander A, Arpas T, Kazantzaki E, Maramis C, Karamanidou C

Perceptions and Needs of Stakeholders Regarding MyPal Project’s Electronic Patient-Reported Outcome App: Cross-Sectional Qualitative Focus Group Study

JMIR Cancer 2025;11:e57388

DOI: 10.2196/57388

PMID: 40802976

PMCID: 12391845

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Exploring Perceptions, Opinions, and Needs of Adult and Pediatric Cancer Patients, Caregivers, and Healthcare Professionals Towards Low-Fidelity Versions of the MyPal Project's Applications: Findings from 12 Pre-Pilot Focus Groups in 4 European Countries of an ePRO Intervention for Palliative Cancer Care

  • Dimitrios Kyrou; 
  • Panos Bonotis; 
  • Christine Kakalou; 
  • Lydia Scarfò; 
  • Marcel Meyerheim; 
  • Annette Sander; 
  • Tomas Arpas; 
  • Eleni Kazantzaki; 
  • Christos Maramis; 
  • Christina Karamanidou

ABSTRACT

Background:

Palliative care is crucial for patients with life-threatening and serious diseases like cancer, addressing their physical, psychosocial, and spiritual needs. Haematological Malignancies (HMs) significantly contribute to global cancer cases, impacting both older adults and children. To meet the increasing demand for palliative care, electronic patient-reported outcome (ePRO) interventions have emerged, offering valuable insights into patient monitoring and treatment decision-making.

Objective:

This study aims to explore the perceptions, opinions, and needs of adult and pediatric cancer patients, caregivers, and healthcare professionals towards low-fidelity versions of the MyPal Project's applications, which are designed to improve palliative cancer care.

Methods:

Twelve pre-pilot focus groups were conducted across four European countries, involving a diverse sample of participants. Thematic analysis was utilized to identify and extract themes and subthemes from the focus group discussions.

Results:

Three main themes emerged from the focus group discussions. The first theme, "Improved Care," highlighted MyPal's potential to enhance healthcare through patient-reported measures, improving symptom monitoring, decision-making, and doctor-patient communication. The second theme, "Digital Communication Framework," addressed concerns about data privacy and the need for clearer guidelines regarding app-based reporting and phone calls. The third theme, "Applicability for Use in Healthcare," emphasized the importance of the system's ease of use, while concerns about intrusiveness and burden were raised.

Conclusions:

This study provides valuable insights into the perspectives of adult and pediatric cancer patients, caregivers, and healthcare professionals towards the MyPal Project's low-fidelity applications. Understanding end-users' perceptions and needs is vital for developing patient-centered eHealth interventions that can enhance the quality of life and care for cancer patients of all ages. These findings have implications for optimizing app design and implementation, ultimately promoting the successful integration of eHealth technologies into routine palliative care practice.


 Citation

Please cite as:

Kyrou D, Bonotis P, Kakalou C, Scarfò L, Meyerheim M, Sander A, Arpas T, Kazantzaki E, Maramis C, Karamanidou C

Perceptions and Needs of Stakeholders Regarding MyPal Project’s Electronic Patient-Reported Outcome App: Cross-Sectional Qualitative Focus Group Study

JMIR Cancer 2025;11:e57388

DOI: 10.2196/57388

PMID: 40802976

PMCID: 12391845

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