eSMART Study
Research type
Research Study
Full title
eSMART: Randomised controlled trial to evaluate electronic Symptom Management using the Advanced Symptom Management System (ASyMS) Remote Technology for patients with cancers.
IRAS ID
147262
Contact name
Nora Kearney
Contact email
Duration of Study in the UK
5 years, 0 months, days
Research summary
Chemotherapy may cause distressing symptoms which can impact on patients’ quality of life. Chemotherapy is frequently given on an outpatient basis therefore patients are often required to manage the symptoms they experience at home without direct supervision from healthcare professionals. This study aims to evaluate the impact of a mobile phone based, remote monitoring, symptom management system (ASyMS) on the delivery of care to people with non-metastatic breast, colorectal or haematological cancer during chemotherapy and for one year following treatment. The study aims to compare a number of outcomes of patients using the ASyMS intervention with outcomes of patients who receive normal care at their hospital. Throughout chemotherapy treatment, once a day and any other time they feel unwell, patients allocated to the mobile phone group will enter information on the phone regarding any symptoms they are experiencing, take their temperature and enter this on the phone. The information is sent via secure connection to a computer, which assesses the information and sends an alert to their health care professional in the hospital, who will call the patient at home if the patient has reported problematic symptoms. Patients in the normal care group will receive care as normal at their hospital. Both groups of patients will be asked to complete a series of questionnaires before they start treatment, after each chemotherapy cycle and at 3, 6, 9, 12 months after treatment completion (a subset of patients will also be asked to complete mid-cycle symptom assessments). The study will also evaluate the cost-benefit of ASyMS, assess changes in clinical practice as a result of ASyMS and develop a predictive risk model (statistical model) for use in future care of patients receiving chemotherapy for these cancers. This multi-centre study is taking place across a number of European countries.
REC name
South East Scotland REC 02
REC reference
14/SS/1062
Date of REC Opinion
17 Nov 2014
REC opinion
Further Information Favourable Opinion