Publications by authors named "N M Alekhina"

Importance: Multicomponent electronic patient-reported outcome cancer symptom management systems reduce symptom burden. Whether all components contribute to symptom reduction is unknown.

Objective: To deconstruct intervention components of the Symptom Care at Home (SCH) system, a digital symptom monitoring and management intervention that has demonstrated efficacy, to determine which component or combination of components results in the lowest symptom burden.

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Article Synopsis
  • The study evaluated "Symptom Care at Home" (SCH), an automated digital platform for cancer patients, focusing on patient engagement, satisfaction, and equitable symptom management benefits.
  • Participants were randomly assigned to SCH or usual care, with SCH providing automated coaching and follow-up support for symptom management.
  • Results showed high patient satisfaction and significant symptom burden reduction in SCH participants across various demographics, particularly benefiting non-White and lower-income groups, while also enhancing mental health outcomes for men.
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Background: Care for those with life-limiting cancer heavily involves family caregivers who may experience significant physical and emotional burden. The purpose of this study was to test the impact of Symptom Care at Home (SCH), an automated digital family caregiver coaching intervention, during home hospice, when compared to usual hospice care (UC) on the primary outcome of overall caregiver burden. Secondary outcomes included Caregiver Burden at weeks 1 and 8, Mood and Vitality subscales, overall moderate-to-severe caregiving symptoms, and sixth month spouse/partner bereavement outcomes.

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Context: Caregivers managing symptoms of family members with cancer during home hospice care, often feel ill-prepared and need patient care coaching.

Objectives: This study tested the efficacy of an automated mHealth platform that included caregiver coaching on patient symptom care and nurse notifications of poorly controlled symptoms. The primary outcome was caregiver perception of patients' overall symptom severity throughout hospice care and at weeks one, two, four, and eight.

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Lung cancer is one of the leading causes of tumor-related mortalities worldwide. NSCLC is the most common type of lung cancer. In recent years, advancements in chemoradiotherapy and immunotherapy have led to unprecedented survival benefits in some patients.

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