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Accepted for/Published in: JMIR Cancer

Date Submitted: Jul 11, 2024
Date Accepted: Aug 5, 2025

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

An App-Based Remote Patient Monitoring System With Wrist and In-Ear Wearables in Gastrointestinal Oncology: Prospective Feasibility Pilot Study

Kohn L, Scheble V, Storz P, Müller A, Ulas SB, Schmitt F, Thies C, Malek N

An App-Based Remote Patient Monitoring System With Wrist and In-Ear Wearables in Gastrointestinal Oncology: Prospective Feasibility Pilot Study

JMIR Cancer 2025;11:e64184

DOI: 10.2196/64184

PMID: 41166589

PMCID: 12574740

Feasibility of an App-Based Remote Patient Monitoring System with Wrist and In-Ear Wearables in Gastrointestinal Oncology: Pilot Study

  • Lara Kohn; 
  • Veit Scheble; 
  • Philip Storz; 
  • Anita Müller; 
  • Selcan Behiye Ulas; 
  • Fee Schmitt; 
  • Christian Thies; 
  • Nisar Malek

ABSTRACT

Background:

Outpatient treatment in medicine continues to increase. In oncology, the majority of treatments is carried out on an outpatient setting. Measures in between therapy sessions can be recorded using remote patient monitoring (RPM).

Objective:

The aim of this work was to evaluate the feasibility and acceptance of a new app-based RPM system (bwHealthApp) by capturing patient reported outcomes and vital parameters using a wrist or an in-ear wearable.

Methods:

In a clinical pilot study, late-stage oncological outpatients receiving systemic therapy were randomly assigned to a wrist or in-ear wearable. The bwHealthApp was used and evaluated for one month.

Results:

31 participants recorded more than 20 million wearable measures. 58% (18/31) of the patients used the bwHealthApp on at least half of the study days. Over half of the participants were satisfied with the bwHealthApp (18/30, 60%) and could imagine a further use (21/30, 70%). The wrist wearable scored significantly better than the in-ear wearable in terms of wearing comfort (t18=-11.17, P=.03).

Conclusions:

The bwHealthApp system is suitable for cancer patients whereby a wrist sensor is preferably used. Hence the clinical benefits of the captured data can be analyzed using long-term assessments.


 Citation

Please cite as:

Kohn L, Scheble V, Storz P, Müller A, Ulas SB, Schmitt F, Thies C, Malek N

An App-Based Remote Patient Monitoring System With Wrist and In-Ear Wearables in Gastrointestinal Oncology: Prospective Feasibility Pilot Study

JMIR Cancer 2025;11:e64184

DOI: 10.2196/64184

PMID: 41166589

PMCID: 12574740

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