Publications by authors named "Kris Herring"
Article Synopsis
- A study examined the symptom burden of multiple myeloma (MM) patients using a symptom monitoring app, focusing on their treatment experiences based on the line of therapy (LOT).
- The research involved 156 patients, comparing those on their 4th LOT or higher (heavily pretreated) with those on fewer LOTs, revealing that common severe symptoms included fatigue, muscle pain, and numbness/tingling, with heavier symptom burden in the heavily pretreated group.
- The findings indicate a need for better symptom management interventions for all patients but highlight a pressing need for those who are heavily pretreated due to their significantly higher symptom burden and bother.
Purpose: Patients with acute myeloid leukemia (AML) experience significant distress. Expressive writing is an intervention designed to improve well-being by encouraging expression of emotions related to traumatic experiences. Expressive writing has been shown to be generally feasible and effective at improving the cancer experience but has not been examined in patients with recently diagnosed hematologic malignancies.
View Article and Find Full Text PDFKnowledge of Palliative Care and Barriers to Access Among Outpatients with Cancer.
J Pain Symptom Manage
February 2024
Context: Palliative Care (PC) is poorly understood by laypersons. However, little is known about what ambulatory patients with cancer understand about PC or what barriers to access exist.
Methods: Outpatients undergoing cancer treatment completed a survey evaluating their familiarity and knowledge of PC, Palliative Care Knowledge Scale (PaCKS), feelings towards PC (before and after reading a definition of PC), barriers to PC, and prognostic understanding.
Purpose: Meaning-making is fundamental to the cancer experience and communication within cancer care is saturated with metaphors. The objective of this study was to better understand the impact and function of war metaphors among patients with cancer.
Methods: Patients at the Duke Cancer Center were purposively sampled for inclusion based on type and stage of their cancer.
Objectives: There are limited real-world data about patient-reported outcomes with immunotherapies (IO) in metastatic non-small cell lung cancer (mNSCLC). We describe patient-reported distress and clinical outcomes with IO-based treatments or cytotoxic chemotherapies (Chemo).
Methods: We conducted a single-institution retrospective chart review of adults with mNSCLC treated at Duke from 03/2015 to 06/2020.
Purpose: Mobile health interventions can improve patient care. We developed the Digital Supportive Care Awareness and Navigation (D-SCAN) application (app) to facilitate symptom monitoring and use/awareness of cancer supportive care resources. This study tested feasibility, usability/satisfaction, and preliminary efficacy of D-SCAN.
View Article and Find Full Text PDFIntroduction: Cancer patients' sources of distress are often unaddressed, and patient-reported distress data could be utilized to identify those with unmet and impending care needs. We explored the association between moderate/severe distress and healthcare utilization in a large sample of non-small cell lung cancer (NSCLC) and non-colorectal gastrointestinal cancer patients.
Methods And Materials: Adult patients treated between July 2013 and March 2019.
Purpose: Acute myeloid leukemia (AML) is a hematologic malignancy characterized by a poor prognosis but also a paradoxical possibility of cure. This renders decision-making complex and imminent. Unfortunately, many patients with AML misestimate their prognosis and treatment risk.
View Article and Find Full Text PDFPurpose: Electronic patient-reported outcomes (ePROs) can help clinicians proactively assess and manage their patients' symptoms. Despite known benefits, there is limited adoption of ePROs into routine clinical care as a result of workflow and technologic challenges. This study identifies oncologists' perspectives on factors that affect integration of ePROs into clinical workflows.
View Article and Find Full Text PDFPurpose: Utilization of electronic patient-reported outcomes (ePROs) in the clinic can improve quality of life and prolong survival in cancer care. However, there remain unanswered questions regarding trends in missing data and the potential effect on real-time patient care.
Methods: This study utilized a prospectively collected dataset of ePROs from oncology clinics that administered the Patient Care Monitor 2.