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Simon JDHP, Schepers SA, Grootenhuis MA, et al. Reducing pain in children with cancer at home: a feasibility study of the KLIK pain monitor app. Support Care Cancer. 2021;29(12):7617-7626doi: 10.1007/s00520-021-06357-9.
Simon, J. D. H. P., Schepers, S. A., Grootenhuis, M. A., Mensink, M., Huitema, A. D., Tissing, W. J. E., & Michiels, E. M. C. (2021). Reducing pain in children with cancer at home: a feasibility study of the KLIK pain monitor app. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 29(12), 7617-7626. https://doi.org/10.1007/s00520-021-06357-9
Simon, Julia D H P, et al. "Reducing pain in children with cancer at home: a feasibility study of the KLIK pain monitor app." Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer vol. 29,12 (2021): 7617-7626. doi: https://doi.org/10.1007/s00520-021-06357-9
Simon JDHP, Schepers SA, Grootenhuis MA, Mensink M, Huitema AD, Tissing WJE, Michiels EMC. Reducing pain in children with cancer at home: a feasibility study of the KLIK pain monitor app. Support Care Cancer. 2021 Dec;29(12):7617-7626. doi: 10.1007/s00520-021-06357-9. Epub 2021 Jun 16. PMID: 34136954; PMCID: PMC8550558.
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Support Care Cancer. 2021 Dec;29(12):7617-7626. doi: 10.1007/s00520-021-06357-9. Epub 2021 Jun 16.

Reducing pain in children with cancer at home: a feasibility study of the KLIK pain monitor app.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Julia D H P Simon, Sasja A Schepers, Martha A Grootenhuis, Maarten Mensink, Angelique D Huitema, Wim J E Tissing, Erna M C Michiels

Affiliations

  1. Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584 CS, Utrecht, The Netherlands. [email protected].
  2. Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584 CS, Utrecht, The Netherlands.
  3. Department of Pediatric Oncology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

PMID: 34136954 PMCID: PMC8550558 DOI: 10.1007/s00520-021-06357-9

Abstract

PURPOSE: This study assessed adherence to, feasibility of, and barriers and facilitators of implementation of an app developed to monitor and follow-up with pain in children with cancer at home.

METHODS: Children (8-18 years) receiving cancer treatment (all diagnoses) or their parents (of children aged 0-7 years) used the KLIK Pain Monitor app for 3 weeks. Pain was assessed twice daily using an 11-point numeric rating scale (NRS-11) (ranging from 0 to 10). Healthcare professionals (HCP's) from the hospital's Pediatric Pain Service were instructed to follow-up with clinically significant pain scores (≥ 4) within 120 min (scores 4-6) or 30 min (scores 7-10). Adherence, feasibility, and implementation outcomes were assessed using questionnaires, app log data, and interviews.

RESULTS: Twenty-seven children (M age = 7.3 years, 51.8% male) and six HCP's participated. Sixty-three percent (N = 17) of families used the app on a daily basis during three weeks, and 18.5% (N = 5) reported pain scores twice daily during that time (family adherence). Twelve out of 27 children (44.4%) reported a clinically significant pain score at least once. In 70% (14/20) of clinically significant pain scores, HCP's followed-up with families within the set timeframe (HCP adherence). Outcomes reveal feasibility for the majority of app functions (i.e., positive evaluation by ≥ 70% families/HCP's), and non-feasible aspects could be resolved. Identified barriers and facilitators were used to improve future implementation efforts.

CONCLUSION: Use of the KLIK Pain Monitor app seems feasible. Future research will determine its effectiveness in reducing pain in children with cancer at home.

© 2021. The Author(s).

Keywords: Feasibility; Implementation; Pain; Pediatric Oncology; mHealth/eHealth

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