{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:58:48Z","timestamp":1785729528762,"version":"3.56.0"},"reference-count":63,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Due to the chronic, progressive, and debilitating nature of breast cancer-related lymphedema (BCRL), it is necessary to observe and maintain self-care management accordingly. This study was conducted to develop a mobile application based on the Android operating system for self-care management of Iranian patients with BCRL.<\/jats:p><jats:p>\n          Methods\u2003An applied developmental study was conducted in 2020. The users' information needs assessment as well as design, development, implementation, and evaluation of the mobile app for self-care management of patients with BCRL was done by searching the literature, reviewing the existing mobile applications, and surveying the users' needs. The mobile app was designed using the Android Studio environment and Java programming language in the Android operating system. The usability of the app was evaluated by 30 patients with BCRL using the questionnaire for user interface satisfaction-seventh version (QUIS 7).<\/jats:p><jats:p>\n          Results\u2003The mobile app for BCRL included demographic information, clinical information, lifestyle and system functions (drug use, nutrition, exercise, smoking cessation, communication, and test time reminder). User usability evaluation of the app content and functions confirmed that it was appropriate and satisfactory for the self-management of women with BCRL.<\/jats:p><jats:p>\n          Conclusion\u2003The mobile app was appropriate in terms of the content, function, and quality for improving the patients' lifestyle and education and self-management of BCRL symptoms according to its usability evaluation from the end-users' (patients) perspective. It is suggested that studies should be performed to confirm the effectiveness and identify the clinical significance of the app.<\/jats:p>","DOI":"10.1055\/s-0042-1757295","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T22:38:38Z","timestamp":1665009518000},"page":"935-948","source":"Crossref","is-referenced-by-count":29,"title":["Development of a Mobile-Based Self-care Application for Patients with Breast Cancer-Related Lymphedema in Iran"],"prefix":"10.1055","volume":"13","author":[{"given":"Maryam","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyedeh Nafiseh","family":"Shahrokhi","sequence":"additional","affiliation":[{"name":"Department of Health Information Management, School of Health Management and Information 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Top Microbiol Immunol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"107876","DOI":"10.1016\/j.intimp.2021.107876","article-title":"Immune checkpoint inhibitors for triple-negative breast cancer: from immunological mechanisms to clinical evidence","volume":"98","author":"M Farshbafnadi","year":"2021","journal-title":"Int Immunopharmacol"},{"key":"ref3","author":"A Karadeniz K\u00fc\u00e7\u00fck","year":"2021"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s13690-021-00576-6","article-title":"The politicians' perspectives on participation in mammographic screening: an interview-based study from a region in Sweden","volume":"79","author":"M Norfjord van Zyl","year":"2021","journal-title":"Arch Public Health"},{"key":"ref5","first-page":"471","article-title":"Mangifera indica (Mango): a promising medicinal plant for breast cancer therapy and understanding its potential mechanisms of action","volume":"13","author":"K M Yap","year":"2021","journal-title":"Breast Cancer (Dove Med Press)"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"101074","DOI":"10.1016\/j.ctcp.2019.101074","article-title":"A systematic review association of reflexology in managing symptoms and side effects of breast cancer treatment","volume":"38","author":"A Wanchai","year":"2020","journal-title":"Complement Ther Clin Pract"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.4081\/jphia.2020.1229","article-title":"Cancer presentation patterns in Lagos, Nigeria: experience from a private cancer center","volume":"11","author":"A Fapohunda","year":"2020","journal-title":"J Public Health Africa"},{"issue":"09","key":"ref9","doi-asserted-by":"crossref","first-page":"2656","DOI":"10.1519\/JSC.0000000000001355","article-title":"Breast cancer-related lymphedema and resistance exercise: a systematic review","volume":"30","author":"N L Nelson","year":"2016","journal-title":"J Strength Cond Res"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"H Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"387","DOI":"10.4103\/njcp.njcp_373_19","article-title":"Physical therapy enhances functions and quality of life in older patients with breast cancer-related lymphedema: A prospective experimental study","volume":"24","author":"A Kostanoglu","year":"2021","journal-title":"Niger J Clin Pract"},{"issue":"07","key":"ref13","doi-asserted-by":"crossref","first-page":"818","DOI":"10.3390\/biomedicines9070818","article-title":"The effects of obesity on lymphatic pain and swelling in breast cancer patients","volume":"9","author":"M R Fu","year":"2021","journal-title":"Biomedicines"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"402","DOI":"10.3390\/jpm11050402","article-title":"Breast cancer-related lymphedema: recent updates on diagnosis, severity and available treatments","volume":"11","author":"M Pappalardo","year":"2021","journal-title":"J Pers Med"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.invent.2016.08.001","article-title":"Usability and feasibility of health IT interventions to enhance self-care for lymphedema symptom management in breast cancer survivors","volume":"5","author":"M R Fu","year":"2016","journal-title":"Internet Interv"},{"issue":"10","key":"ref16","doi-asserted-by":"crossref","first-page":"3805","DOI":"10.1007\/s00520-019-04681-9","article-title":"Combined decongestive therapy and reduction of pain and heaviness in patients with breast cancer-related lymphedema","volume":"27","author":"Z S Mobarakeh","year":"2019","journal-title":"Support Care Cancer"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10549-018-4725-y","article-title":"Effects of physical exercise on breast cancer-related secondary lymphedema: a systematic review","volume":"170","author":"F T Baumann","year":"2018","journal-title":"Breast Cancer Res Treat"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s11897-017-0324-1","article-title":"Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: a literature update","volume":"14","author":"T Jaarsma","year":"2017","journal-title":"Curr Heart Fail Rep"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1055\/s-0039-1700866","article-title":"Enhancing asthma patients' self-management through smartphone-based application: design, usability evaluation, and educational 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Berry","year":"2018","journal-title":"Appl Clin Inform"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s00520-015-2766-x","article-title":"Psychosocial factors associated with adherence for self-management behaviors in women with breast cancer-related lymphedema","volume":"24","author":"J Alcorso","year":"2016","journal-title":"Support Care Cancer"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ejon.2019.02.006","article-title":"The effectiveness of lymphedema self-management in the prevention of breast cancer-related lymphedema and quality of life: a randomized controlled trial","volume":"40","author":"K Temur","year":"2019","journal-title":"Eur J Oncol Nurs"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1007\/s11764-017-0630-3","article-title":"A user-centred approach to developing bWell, a mobile app for arm and shoulder exercises after breast cancer 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correlates, and perceived impacts of mobile health app use amongst Chinese adults: cross-sectional survey study","volume":"6","author":"Z Xie","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1057\/sth.2013.10","article-title":"The digitally engaged patient: self-monitoring and self-care in the digital health era","volume":"11","author":"D Lupton","year":"2013","journal-title":"Soc Theory Health"},{"key":"ref31","first-page":"241","article-title":"Developing and testing a mobile application programme to support self-management in patients with stable angina: a feasibility study protocol","volume":"201","author":"W Wang","year":"2014","journal-title":"Stud Health Technol Inform"},{"issue":"02","key":"ref32","first-page":"243","article-title":"An android application for estimating muscle onset latency using surface EMG signal","volume":"9","author":"M Karimpour","year":"2019","journal-title":"J Biomed Phys Eng"},{"issue":"02","key":"ref33","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1089\/tmj.2010.0116","article-title":"Online self-management in rheumatoid arthritis: a patient-centered model application","volume":"17","author":"K L Smarr","year":"2011","journal-title":"Telemed J E Health"},{"issue":"02","key":"ref34","doi-asserted-by":"crossref","first-page":"E330","DOI":"10.3390\/ijerph15020330","article-title":"Development of an mHealth application for women newly diagnosed with osteoporosis without preceding fractures: a participatory design approach","volume":"15","author":"P Ravn Jakobsen","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"01","key":"ref35","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1186\/s12889-020-09655-9","article-title":"Development and pilot evaluation of a mobile app on parent-child exercises to improve physical activity and psychosocial outcomes of Hong Kong Chinese 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Fu","year":"2010","journal-title":"Ann Surg Oncol"},{"issue":"05","key":"ref39","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1007\/s00520-010-0870-5","article-title":"Breast cancer treatment-related lymphedema self-care: education, practices, symptoms, and quality of life","volume":"19","author":"S H Ridner","year":"2011","journal-title":"Support Care Cancer"},{"issue":"10","key":"ref40","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s10916-018-1048-9","article-title":"Usability testing of a smartphone application for delivering qigong training","volume":"42","author":"D ST Cheung","year":"2018","journal-title":"J Med Syst"},{"issue":"01","key":"ref41","first-page":"162","article-title":"Evaluating a modular decision support application for colorectal cancer screening","volume":"8","author":"L G Militello","year":"2017","journal-title":"Appl Clin Inform"},{"issue":"01","key":"ref42","doi-asserted-by":"crossref","first-page":"19","DOI":"10.5455\/aim.2019.27.19-22","article-title":"Developing Ghasedak: a mobile application to improve the quality of cancer palliative care","volume":"27","author":"N Salimian","year":"2019","journal-title":"Acta Inform Med"},{"issue":"05","key":"ref43","doi-asserted-by":"crossref","first-page":"e19262","DOI":"10.2196\/19262","article-title":"Effects of psychoeducational interventions using mobile apps and mobile-based online group discussions on anxiety and self-esteem in women with breast cancer: randomized controlled trial","volume":"9","author":"E Ghanbari","year":"2021","journal-title":"JMIR Mhealth Uhealth"},{"issue":"03","key":"ref44","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s10916-019-1168-x","article-title":"Design considerations in the development of app-based oral anticancer medication management systems: a qualitative evaluation of pharmacists' and patients' perspectives","volume":"43","author":"E E Ali","year":"2019","journal-title":"J Med Syst"},{"issue":"09","key":"ref45","doi-asserted-by":"crossref","first-page":"e213","DOI":"10.2196\/jmir.3528","article-title":"Replacing ambulatory surgical follow-up visits with mobile app home monitoring: modeling cost-effective scenarios","volume":"16","author":"K A Armstrong","year":"2014","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref46","first-page":"80","article-title":"Steps to develop a mobile app for pain assessment of cancer patients: a usability study","volume":"38","author":"J Choi","year":"2020","journal-title":"Comput Inform Nurs"},{"issue":"09","key":"ref47","doi-asserted-by":"crossref","first-page":"13463","DOI":"10.2196\/13463","article-title":"An assessment of physical activity data collected via a smartphone app and a smart band in breast cancer survivors: observational study","volume":"21","author":"I Y Chung","year":"2019","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref49","first-page":"133","article-title":"Randomized trial of a smartphone mobile app to improve symptoms and adherence to oral therapy for cancer","volume":"18","author":"J A Greer","year":"2020","journal-title":"J Natl Compr Canc Netw"},{"key":"ref50","first-page":"63","volume-title":"Designing beneca m-Health APP, a Mobile Health Application to Monitor Diet and Physical Activity in Cancer Survivors","author":"M Lozano-Lozano","year":"2017"},{"key":"ref52","doi-asserted-by":"crossref","first-page":"1178223420911033","DOI":"10.1177\/1178223420911033","article-title":"Informational needs in patients with breast cancer with lymphedema: is it important?","volume":"14","author":"S Dorri","year":"2020","journal-title":"Breast Cancer (Auckl)"},{"key":"ref53","doi-asserted-by":"crossref","first-page":"20","DOI":"10.21037\/mhealth-20-118","article-title":"Real-time electronic patient evaluation of lymphedema symptoms, referral, and satisfaction: a cross-sectional study","volume":"7","author":"J L Nahum","year":"2021","journal-title":"mHealth"},{"issue":"04","key":"ref54","first-page":"35","article-title":"Developing a mobile-based self-care application for patients with breast cancer undergoing chemotherapy","volume":"22","author":"A Sheikh Taheri","year":"2019","journal-title":"J Health Administration"},{"issue":"01","key":"ref55","doi-asserted-by":"crossref","first-page":"70","DOI":"10.4103\/2277-9531.171782","article-title":"Effect of self-care education on the quality of life in patients with breast cancer","volume":"4","author":"H Shahsavari","year":"2015","journal-title":"J Educ Health Promot"},{"issue":"02","key":"ref56","doi-asserted-by":"crossref","first-page":"187","DOI":"10.5606\/tftrd.2021.5022","article-title":"Self-care practices, patient education in women with breast cancer-related lymphedema","volume":"67","author":"Z Deveci","year":"2021","journal-title":"Turk J Phys Med Rehabil"},{"issue":"04","key":"ref57","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s12609-020-00387-8","article-title":"Breast cancer-related lymphedema: a review of risk factors, radiation therapy contribution, and management strategies","volume":"12","author":"T M Nassif","year":"2020","journal-title":"Curr Breast Cancer Rep"},{"issue":"04","key":"ref58","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/s12609-020-00376-x","article-title":"Psychosocial issues associated with breast cancer-related lymphedema: a literature review","volume":"12","author":"L H Eaton","year":"2020","journal-title":"Curr Breast Cancer Rep"},{"issue":"04","key":"ref59","doi-asserted-by":"crossref","first-page":"370","DOI":"10.3390\/jpm5040370","article-title":"Complexities of adherence and post-cancer lymphedema management","volume":"5","author":"P L Ostby","year":"2015","journal-title":"J Pers Med"},{"issue":"05","key":"ref60","first-page":"1405","article-title":"Complex therapy physical alone or associated with strengthening exercises in patients with lymphedema after breast cancer treatment: a controlled clinical trial. Asian Pacific journal of cancer prevention","volume":"19","author":"R PC Luz","year":"2018","journal-title":"Asian Pac J Cancer Prev"},{"issue":"10","key":"ref61","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1002\/cncr.22638","article-title":"Randomized controlled trial comparing a low-fat diet with a weight-reduction diet in breast cancer-related lymphedema","volume":"109","author":"C Shaw","year":"2007","journal-title":"Cancer"},{"issue":"04","key":"ref62","doi-asserted-by":"crossref","first-page":"e708","DOI":"10.1002\/hsr2.708","article-title":"Development, usability and quality evaluation of the resilient mobile application for women with breast cancer","volume":"5","author":"R Rezaee","year":"2022","journal-title":"Health Sci Rep"},{"key":"ref63","first-page":"249","volume-title":"Human Factors and Ergonomics of Health Information Technology Implementation","author":"B Karsh","year":"2011"},{"issue":"01","key":"ref64","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1055\/s-0039-1677907","article-title":"Human factors and usability for health information technology: old and new challenges","volume":"28","author":"P Carayon","year":"2019","journal-title":"Yearb Med Inform"},{"issue":"04","key":"ref65","doi-asserted-by":"crossref","first-page":"403","DOI":"10.25122\/jml-2019-0064","article-title":"Factors affecting acceptance of hospital information systems in public hospitals of Zahedan University of Medical Sciences: a cross-sectional study","volume":"12","author":"J Alipour","year":"2019","journal-title":"J Med Life"},{"key":"ref66","doi-asserted-by":"crossref","first-page":"100639","DOI":"10.1016\/j.imu.2021.100639","article-title":"Evaluation of health information systems with ISO 9241\u201310 standard: a systematic review and meta-analysis","volume":"25","author":"S Hosseini Teshnizi","year":"2021","journal-title":"Inform Med Unlocked"},{"key":"ref67","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.puhe.2019.06.011","article-title":"How do mobile health applications support behaviour changes? 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