Medical College of Wisconsin
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Feasibility and Acceptability of an iPad Application to Explore Symptom Clusters in Adolescents and Young Adults With Cancer Pediatric Blood and Cancer 2014;61:1996a?? 2003




Background. The aim of this study was to evaluate the feasibility and acceptability of a computer-based symptom cluster heuristics tool designed to explore symptom clusters experienced by adoles- cents and young adults (AYAs) with cancer. The Computerized Symptom Capture Tool (C-SCAT) is a newly developed iPad application, which combines graphical images and free text responses in an innovative heuristics approach to explore symptoms and symptom clusters. Procedure. Seventy-two AYAs (13a??29 years of age) with cancer at five institutions across the US completed the C-SCAT 24a??96hours after the initial chemotherapy dose in a chemotherapy cycle. Results. All participants completed the C-SCAT successfully in a mean of 25 minutes, with 74% reporting

that the final image was an accurate or very accurate representation of their symptom experience. Little clarification/coaching was necessary while completing the C-SCAT. Few technical problems were encountered. Participants judged the C-SCAT questions to be clear and endorsed ease of following instructions, typing, and drawing. Conclusions. The C-SCAT demonstrated feasibility and acceptability. With refinement based on study results, the C-SCAT has potential to: (a) empower AYAs to communicate their symptom experience and partner with providers in their care; (b) improve symptom manage- ment and ameliorate distress; and (c) translate to use with other highly symptomatic populations.

Author List

Macpherson CF, Linder LA, Ameringer S, Erickson J, Stegenga K, Woods NF


Jeanne M. Erickson PhD, RN Associate Professor in the College of Nursing department at University of Wisconsin - Milwaukee