Patient Attitudes and Their Awareness Towards Skin Cancer-Related Apps: Cross-Sectional Survey

Overview

Journal JMIR Mhealth Uhealth

Specialties Biomedical Engineering
Medical Informatics

Date 2019 Jul 4

PMID 31267978

Citations 13

Authors

Theresa Steeb

Anja Wessely

Sebastian Mastnik

Titus Josef Brinker

Lars Einar French

Anne-Charlotte Niesert

Carola Berking

Markus Vincent Heppt

Affiliations

Soon will be listed here.

Abstract

Background: In the emerging era of digitalization and electronic health, skin cancer-related apps represent useful tools to support dermatologic consultation and examination. Yet, little is known about how patients perceive the value of such apps.

Objective: The aim of this study was to investigate patient attitudes and their awareness toward skin cancer-related apps.

Methods: A cross-sectional study including 200 patients from the oncological outpatient unit was conducted at the University Hospital (LMU Munich, Germany) between September and December 2018. Patients were asked to complete a self-administered questionnaire on the popularity and usefulness of health-related and skin cancer-related apps. A descriptive analysis was performed with the expression of categorical variables as frequencies and percentages. For continuous variables, the median and range were indicated. Contingency tables and chi-square tests were performed to investigate associations between sociodemographic data and selected items of the questionnaire.

Results: A total of 98.9% (195/197) of patients had never used skin cancer-related apps or could not remember. In 49.7% (93/187) of cases, patients were unsure about the usefulness of skin cancer apps, whereas 42.6% (78/183) thought that skin cancer apps could supplement or support the professional skin examination performed by a physician. However, 47.9% (90/188) were interested in acquiring more information by their dermatologists about skin cancer apps. Young age (P=.002), male gender (P=.02), a previous history of melanoma (P=.004), and higher educational level (P=.002) were significantly associated with a positive attitude. Nevertheless, 55.9% (105/188) preferred a printed patient brochure on skin cancer to downloading and using an app.

Conclusions: The experience and knowledge of skin cancer-related apps was surprisingly low in this population, although there was a high general interest in more information about such apps. Printed patient brochures were the preferred information source.

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References

Kessel K, Vogel M, Kessel C, Bier H, Biedermann T, Friess H . Mobile Health in Oncology: A Patient Survey About App-Assisted Cancer Care. JMIR Mhealth Uhealth. 2017; 5(6):e81. PMC: 5489709. DOI: 10.2196/mhealth.7689. View

Zimmer L, Apuri S, Eroglu Z, Kottschade L, Forschner A, Gutzmer R . Ipilimumab alone or in combination with nivolumab after progression on anti-PD-1 therapy in advanced melanoma. Eur J Cancer. 2017; 75:47-55. DOI: 10.1016/j.ejca.2017.01.009. View

Brutting J, Bergmann M, Weber C, Berking C, Tilgen W, Schadendorf D . [Information services for melanoma patients and awareness among those affected]. Hautarzt. 2018; 69(4):335-339. DOI: 10.1007/s00105-018-4130-9. View

Thissen M, Udrea A, Hacking M, von Braunmuehl T, Ruzicka T . mHealth App for Risk Assessment of Pigmented and Nonpigmented Skin Lesions-A Study on Sensitivity and Specificity in Detecting Malignancy. Telemed J E Health. 2017; 23(12):948-954. DOI: 10.1089/tmj.2016.0259. View

Apalla Z, Lallas A, Sotiriou E, Lazaridou E, Ioannides D . Epidemiological trends in skin cancer. Dermatol Pract Concept. 2017; 7(2):1-6. PMC: 5424654. DOI: 10.5826/dpc.0702a01. View

Oskay-Ozcelik G, Lehmacher W, Konsgen D, Christ H, Kaufmann M, Lichtenegger W . Breast cancer patients' expectations in respect of the physician-patient relationship and treatment management results of a survey of 617 patients. Ann Oncol. 2007; 18(3):479-84. DOI: 10.1093/annonc/mdl456. View

Naszay M, Stockinger A, Jungwirth D, Haluza D . Digital age and the Public eHealth perspective: Prevailing health app use among Austrian Internet users. Inform Health Soc Care. 2017; 43(4):390-400. DOI: 10.1080/17538157.2017.1399131. View

Freedman S, Martin C, Aspinall M . Structuring the patient-physician encounter: Joint creation of an actionable roadmap to health. Healthc (Amst). 2015; 2(2):94-8. DOI: 10.1016/j.hjdsi.2014.02.002. View

Carroll J, Moorhead A, Bond R, LeBlanc W, Petrella R, Fiscella K . Who Uses Mobile Phone Health Apps and Does Use Matter? A Secondary Data Analytics Approach. J Med Internet Res. 2017; 19(4):e125. PMC: 5415654. DOI: 10.2196/jmir.5604. View

10.

Haenssle H, Fink C, Schneiderbauer R, Toberer F, Buhl T, Blum A . Man against machine: diagnostic performance of a deep learning convolutional neural network for dermoscopic melanoma recognition in comparison to 58 dermatologists. Ann Oncol. 2018; 29(8):1836-1842. DOI: 10.1093/annonc/mdy166. View

11.

von Elm E, Altman D, Egger M, Pocock S, Gotzsche P, Vandenbroucke J . The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014; 12(12):1495-9. DOI: 10.1016/j.ijsu.2014.07.013. View

12.

van de Poll-Franse L, van Eenbergen M . Internet use by cancer survivors: current use and future wishes. Support Care Cancer. 2008; 16(10):1189-95. DOI: 10.1007/s00520-008-0419-z. View

13.

Arnold M, Holterhues C, Hollestein L, Coebergh J, Nijsten T, Pukkala E . Trends in incidence and predictions of cutaneous melanoma across Europe up to 2015. J Eur Acad Dermatol Venereol. 2013; 28(9):1170-8. DOI: 10.1111/jdv.12236. View

14.

Hamilton S, Scali E, Yu I, Gusnowski E, Ingledew P . Sifting Through It All: Characterizing Melanoma Patients' Utilization of the Internet as an Information Source. J Cancer Educ. 2014; 30(3):580-4. DOI: 10.1007/s13187-014-0711-1. View

15.

Coups E, Manne S, Stapleton J, Tatum K, Goydos J . Skin self-examination behaviors among individuals diagnosed with melanoma. Melanoma Res. 2015; 26(1):71-6. DOI: 10.1097/CMR.0000000000000204. View

16.

Harrison J, Young J, Price M, Butow P, Solomon M . What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009; 17(8):1117-28. DOI: 10.1007/s00520-009-0615-5. View

17.

Esteva A, Kuprel B, Novoa R, Ko J, Swetter S, Blau H . Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017; 542(7639):115-118. PMC: 8382232. DOI: 10.1038/nature21056. View

18.

Brinker T, Heckl M, Gatzka M, Heppt M, Resende Rodrigues H, Schneider S . A Skin Cancer Prevention Facial-Aging Mobile App for Secondary Schools in Brazil: Appearance-Focused Interventional Study. JMIR Mhealth Uhealth. 2018; 6(3):e60. PMC: 5866300. DOI: 10.2196/mhealth.9794. View

19.

Brutting J, Bergmann M, Garzarolli M, Rauschenberg R, Weber C, Berking C . Information-seeking and use of information resources among melanoma patients of German skin cancer centers. J Dtsch Dermatol Ges. 2018; 16(9):1093-1101. DOI: 10.1111/ddg.13630. View

20.

Brutting J, Reinhardt L, Bergmann M, Schadendorf D, Weber C, Tilgen W . Quality, Readability, and Understandability of German Booklets Addressing Melanoma Patients. J Cancer Educ. 2018; 34(4):760-767. DOI: 10.1007/s13187-018-1369-x. View