Pilot study of smartphone-based health outcome tracking (OurBrainBank) for glioblastoma patients

Background

Patients with glioblastoma typically have high symptom burden impacting on quality of life. Mobile apps may help patients track their condition and provide real-time data to clinicians and researchers. We developed a health-outcomes reporting app (OurBrainBank; OBB) for glioblastoma patients. Our primary aim was to explore the feasibility and take-up of OBB. Secondary aims were to examine the potential value of OBB app usage for patient well-being and clinical research.

Methods

Participants (or caregiver proxies) completed baseline surveys, and tracked ten health-outcomes over time. We evaluated usage and engagement, and relationships between clinical/sociodemographic variables and OBB use. Participant satisfaction and feedback were described. To demonstrate usefulness for clinical research, health-outcomes were compared with corresponding items on a validated measure (EQ-5D-5L).

Results

From March 2018-February 2021, OBB was downloaded by 630 individuals, with 15,207 sets of ten health-outcomes submitted. Higher engagement was associated with being a patient rather than caregiver (X 2(2,568)=28.6, p<.001), having higher self-rated health scores at baseline (F(2,460)=4.8, p=.009) and more previous experience with mobile apps (X 2(2,585)=9.6, p=.008). Among the 66 participants who completed a feedback survey, most found health-outcome tracking useful (average 7/10), and would recommend the app to others (average 8.4/10). The OBB health-outcomes mapped onto corresponding EQ-5D-5L items, suggesting their validity.

Conclusions

OBB can efficiently collect glioblastoma patients’ health-outcomes. The long-term goal is to create a unique database of thousands of de-identified glioblastoma patients, with open-access to qualified researchers.

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