Roxana A.I. CARDOȘ*1 ,Radu ȘOFLĂU1, Amfiana GHERMAN1, Mădălina SUCALĂ1, Angelica CHIOREAN2
1Babes-Bolyai University, Cluj-Napoca, Romania
2Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
Background: Core needle biopsy is a reliable diagnostic test for breast cancer. Although this procedure is a reliable diagnosis tool that can improve chances of successful treatment and survival, it can be associated with pain and anxiety. In this context, a mobile health intervention (BIO H-App) has been developed to address patients’ symptoms of pain and anxiety through a relaxation exercise. In order to reduce patients’ burden, the intervention was designed to be delivered through mobile devices (e.g., tablets, smartphones).
Aims: To conduct a pilot study in order to obtain usability data and to assess users’ satisfaction with the BIO H-App intervention.
Method: Participants (N = 16, mean age=42.43), were recruited online. The study consisted of three steps: 1) the online pre-test survey, 2) use of the BIO H-App, and 3) a post-test survey.
Results: Participants found the intervention component to be useful and a majority of them (75%) declared they would recommend the application to a patient. All tasks were completed successfully and participants were satisfied with the intervention.
Conclusions: Although its efficacy needs to be evaluated, BIO-H App is a promising intervention considering users’ satisfaction with it and its ease of use.
Keywords: core needle biopsy, anxiety, pain, mobile health, usability
Published online: 2017/03/01
Published print: 2017/03/01
American Cancer Society (2017). Cancer, facts and figures 2017. Atlanta, GA: American Cancer Society, Inc.
Bassett, L., Winchester, D. P., Caplan, R. B., Dershaw, D. D., Dowlatshahi, K., Evans, W., … others. (1997). Stereotactic core-needle biopsy of the breast: a report of the Joint Task Force of the American College of Radiology, American College of Surgeons, and College of American Pathologists. CA: A Cancer Journal for Clinicians, 47(3), 171–190. doi: 10.3322/canjclin.47.3.171
Berry, D. A., Cronin, K. A., Plevritis, S. K., Fryback, D. G., Clarke, L., Zelen, M., … Feuer, E. J. (2005). Effect of Screening and Adjuvant Therapy on Mortality from Breast Cancer. New England Journal of Medicine, 353(17), 1784–1792. doi: 10.1056/NEJMoa050518
Boehmke, M. M., & Dickerson, S. S. (2005). Symptom, symptom experiences, and symptom distress encountered by women with breast cancer undergoing current treatment modalities. Cancer Nursing, 28(5), 382–389.
Brooke, J. (1996). SUS-A quick and dirty usability scale. In P.W. Jordan, B. Thomas, B. A. Weerdemeester, & I. I. McClelland (Eds.), Usability Evaluation in Industry (4–7). London: Taylor & Francis Ltd.
Bugbee, M. E., Wellisch, D. K., Arnott, I. M., Maxwell, J. R., Kirsch, D. L., Sayre, J. W., & Bassett, L. W. (2005). Breast Core-Needle Biopsy: Clinical Trial of Relaxation Technique versus Medication versus No Intervention for Anxiety Reduction. Radiology, 234(1), 73–78. doi: 10.1148/radiol.2341030163
Chen, P.-Y., Liu, Y.-M., & Chen, M.-L. (2017). The Effect of Hypnosis on Anxiety in Patients With Cancer: A Meta-Analysis. Worldviews on Evidence-Based Nursing, 1-14. doi: 10.1111/wvn.12215
Cramer, H., Lauche, R., Paul, A., Langhorst, J., Kümmel, S., & Dobos, G. J. (2015). Hypnosis in breast cancer care: a systematic review of randomized controlled trials. Integrative Cancer Therapies, 14(1), 5–15.
DeWitt, A. J., & Kuljis, J. (2006). Aligning usability and security: a usability study of Polaris. In Proceedings of the second symposium on Usable privacy and security. In Proceedings of the second symposium on Usable privacy and security, 1-7. doi: 10.1145/1143120.1143122
Fischer, D., & Wedel, B. (2012). Anxiety and depression disorders in cancer patients: incidence, diagnosis and therapy. Memo-Magazine of European Medical Oncology, 5(1), 52–54. doi: 10.1007/s12254-012-0327-2
Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray, F (2013). GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11 [Internet]. Lyon, France: International Agency for Research on Cancer. Available from http://globocan.iarc.fr.
Glass, J., Lanctôt, K. L., Herrmann, N., Sproule, B. A., & Busto, U. E. (2005). Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits. The British Medical Journal, 331(7526), 1-7. doi:10.1136/bmj.38623.768588.47
Humphrey, K. L., Lee, J. M., Donelan, K., Kong, C. Y., Williams, O., Itauma, O., … Swan, J. S. (2014). Percutaneous breast biopsy: effect on short-term quality of life. Radiology, 270(2), 362–368. doi: 10.1148/radiol.13130865
Kushniruk, A. W., & Patel, V. L. (2004). Cognitive and usability engineering methods for the evaluation of clinical information systems. Journal of Biomedical Informatics, 37(1), 56–76. doi: 10.1016/j.jbi.2004.01.003
Lang, E. V., Berbaum, K. S., Faintuch, S., Hatsiopoulou, O., Halsey, N., Li, X., … Baum, J. (2006). Adjunctive Self-hypnotic Relaxation for Outpatient Medical Procedures: A Prospective Randomized Trial with Women Undergoing Large Core Breast Biopsy. Pain, 126(1–3), 155–164. doi: 10.1016/j.pain.2006.06.035
Luebbert, K., Dahme, B., & Hasenbring, M. (2001). The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: a meta-analytical review. Psycho-Oncology, 10(6), 490–502. doi: 10.1002/pon.537
Maxwell, J. R., Bugbee, M. E., Wellisch, D., Shalmon, A., Sayre, J., & Bassett, L. W. (2000). Imaging-Guided Core Needle Biopsy of the Breast: Study of Psychological Outcomes. The Breast Journal, 6(1), 53–61. doi: 10.1046/j.1524-4741.2000.98079.x
Montgomery, G. H., & Bovbjerg, D. H. (2004). Presurgery distress and specific response expectancies predict postsurgery outcomes in surgery patients confronting breast cancer. Health Psychology, 23(4), 381-387. doi: 10.1037/0278-622.214.171.1241
Montgomery, G. H., Schnur, J. B., & Kravits, K. (2013). Hypnosis for cancer care: Over 200 years young. CA: A Cancer Journal for Clinicians, 63(1), 31–44. doi: 10.3322/caac.21165
Nassar, A. (2011). Core needle biopsy versus fine needle aspiration biopsy in breast—a historical perspective and opportunities in the modern era. Diagnostic Cytopathology, 39(5), 380–388. doi: 10.1002/dc.21433
Novy, D. M., Price, M., Huynh, P. T., & Schuetz, A. (2001). Percutaneous Core Biopsy of the Breast: Correlates of Anxiety. Academic Radiology, 8(6), 467–472. doi: 10.1016/S1076-6332(03)80617-7
Özalp, G., Sarioglu, R., Tuncel, G., Aslan, K., & Kadiogullari, N. (2003). Preoperative emotional states in patients with breast cancer and postoperative pain. Acta Anaesthesiologica Scandinavica, 47(1), 26–29. doi: 10.1034/j.1399-6576.2003.470105.x
Radhakrishna, S., Gayathri, A., & Chegu, D. (2013). Needle core biopsy for breast lesions: An audit of 467 needle core biopsies. Indian Journal of Medical and Pediatric Oncology: Official Journal of Indian Society of Medical & Pediatric Oncology, 34(4), 252-256. doi: 10.4103/0971-5851.125237
Rees, R. W., Feigel, I., Vickers, A., Zollman, C., McGurk, R., & Smith, C. (2000). Prevalence of complementary therapy use by women with breast cancer: a population-based survey. European Journal of Cancer, 36(11), 1359–1364. doi: 10.1016/S0959-8049(00)00099-X
Roth, V., Richter, K., & Freidinger, R. (2004). A PIN-entry method resilient against shoulder surfing. In Proceedings of the 11th ACM conference on Computer and communications security, 236–245. doi: 10.1145/1030083.1030116
Soo, A. E., Shelby, R. A., Miller, L. S., Balmadrid, M. H., Johnson, K. S., Wren, A. A., … Soo, M. S. (2014). Predictors of pain experienced by women during percutaneous imaging-guided breast biopsies. Journal of the American College of Radiology, 11(7), 709–716. doi: 10.1016/j.jacr.2014.01.013
Verkooijen, H. M., Buskens, E., Peeters, P. H. M., Rinkes, I. B., De Koning, H. J., van Vroonhoven, T. J., … et al., (2002). Diagnosing non-palpable breast disease: short-term impact on quality of life of large-core needle biopsy versus open breast biopsy. Surgical Oncology, 10(4), 177–181. doi: 10.1016/S0960-7404(02)00021-X
Scott, D. W. (1983). Anxiety, Critical Thinking, and Information Processing During and After Breast Biopsy. Nursing Research, 32 (1), 24-28.
Sucala, M., Schnur, J. B., Glazier, K., Miller, S. J., Green, J. P., & Montgomery, G. H. (2013). Hypnosis–there’s an app for that: a systematic review of hypnosis apps. The International Journal of Clinical and Experimental Hypnosis, 61(4), 463–474. doi: 10.1080/00207144.2013.810482
Wang, M., He, X., Chang, Y., Sun, G., & Thabane, L. (2017). A sensitivity and specificity comparison of fine needle aspiration cytology and core needle biopsy in evaluation of suspicious breast lesions: A systematic review and meta-analysis. The Breast, 31, 157–166. doi: 10.1016/j.breast.2016.11.009
Yates, J. S., Mustian, K. M., Morrow, G. R., Gillies, L. J., Padmanaban, D., Atkins, J. N., … Colman, L. K. (2005). Prevalence of complementary and alternative medicine use in cancer patients during treatment. Supportive Care in Cancer, 13(10), 806–811. doi: 10.1007/s00520-004-0770-7