Objectifying the Subjective: The Use of Heart Rate Variability as a Psychosocial Symptom Biomarker in Hospice and Palliative Care Research. J Pain Symptom Manage 2021 Sep;62(3):e315-e321
Date
05/03/2021Pubmed ID
33933615Pubmed Central ID
PMC8418996DOI
10.1016/j.jpainsymman.2021.04.015Scopus ID
2-s2.0-85107617513 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
Measuring psychosocial symptoms in hospice and palliative care research is critical to understanding the patient and caregiver experience. Subjective patient-reported outcome tools have been the primary method for collecting these data in palliative care, and the growing field of biobehavioral research offers new tools that could deepen our understanding of psychosocial symptomatology. Here we describe one psychosocial biomarker, heart rate variability (HRV), and simple techniques for measurement in an adolescent and young adult cancer population that are applicable to palliative care studies. Complementing self-reported measures with objective biomarkers like HRV could facilitate a more nuanced understanding of physiologic and perceived well-being in patients with serious or life-limiting illness and inform future "precision supportive care" in hospice and palliative medicine.
Author List
Taylor MR, Scott SR, Steineck A, Rosenberg ARAuthor
Angela S. Steineck MD Assistant Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentBiomarkers
Heart Rate
Hospice Care
Hospices
Humans
Palliative Care
Young Adult