{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T12:49:08Z","timestamp":1765370948735,"version":"3.46.0"},"reference-count":15,"publisher":"BMJ","issue":"e1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Support Palliat Care"],"accepted":{"date-parts":[[2023,8,1]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Engaging in advance care planning can be emotionally challenging, but gamification and technology are suggested as a potential solution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Present the development stages of a mobile app prototype to improve quality of life for patients in palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study started with a comprehensive literature review to establish a foundation. Subsequently, interviews were conducted to validate the proposed features of the mobile application. Following the development phase, usability tests were conducted to evaluate the overall usability of the mobile application. Furthermore, an oral questionnaire was administered to understand user satisfaction about the implemented features.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A three-phase testing approach was employed based on the chosen user-centred design methodology to obtain the results. Three iterations were conducted, with improvements being made based on feedback and tested in subsequent phases. Despite the added complexity arising from the health status of patients in palliative care, the usability tests and implemented features received positive feedback from both patients and healthcare providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The research findings have demonstrated the potential of digitisation in enhancing the quality of life for patients in palliative care. This was achieved through the implementation of patient-centred design, personalised care, the inclusion of social chatrooms and facilitating end-of-life discussions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/spcare-2023-004516","type":"journal-article","created":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T13:20:19Z","timestamp":1692364819000},"page":"e558-e561","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Digitisation of patient preferences in palliative care: mobile app prototype"],"prefix":"10.1136","volume":"14","author":[{"given":"Jo\u00e3o","family":"Ferreira","sequence":"first","affiliation":[{"name":"Electrical and Computer Engineering, University of Porto Faculty of Engineering, Porto, Portugal"}]},{"given":"Marta","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Electrical and Computer Engineering, University of Porto Faculty of Engineering, Porto, Portugal"},{"name":"INESC TEC - Institute of Systems and Computer Engineering, Technology and Science, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7251-5829","authenticated-orcid":false,"given":"Carla S\u00edlvia","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Nurse Department, Porto Higher School of Nursing, Porto, Portugal"},{"name":"CINTESIS@RISE-Research Center for Health Technologies and Services, Porto, Portugal"},{"name":"ADITGameS_ Association for the development of Technological Innovation and Games in Health, P\u00f3voa de Varzim, Portugal"}]},{"given":"Jo\u00e3o","family":"Castro","sequence":"additional","affiliation":[{"name":"Nurse, Wecare Saude-Continuous Integrated and Palliative Care Unit, P\u00f3voa de Varzim, Portugal"}]},{"given":"Maria Joana","family":"Campos","sequence":"additional","affiliation":[{"name":"Nurse Department, Porto Higher School of Nursing, Porto, Portugal"},{"name":"CIDESI-Center for Research and Development in Nursing Information Systems, Porto, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2023,8,18]]},"reference":[{"key":"2025121000503133000_14.e1.e558.1","unstructured":"World Health Organization . Palliative care [World Health Organization]. 2020. Available: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care"},{"key":"2025121000503133000_14.e1.e558.2","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1017\/S1478951521001929","article-title":"Exploring the use of games in palliative care: a scoping review","volume":"21","author":"Fernandes","year":"2023","journal-title":"Palliat Support Care"},{"key":"2025121000503133000_14.e1.e558.3","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1080\/09699260.2019.1650420","article-title":"Digital health technology in palliative care: friend or foe?","volume":"27","author":"Mills","year":"2019","journal-title":"Prog Palliat Care"},{"key":"2025121000503133000_14.e1.e558.4","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.jpainsymman.2016.03.021","article-title":"Exploring the topics discussed during a conversation card game about death and dying: a content analysis","volume":"52","author":"Van Scoy","year":"2016","journal-title":"J Pain Symptom Manage"},{"key":"2025121000503133000_14.e1.e558.5","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1177\/1049909116656353","article-title":"Can playing an end-of-life conversation game motivate people to engage in advance care planning?","volume":"34","author":"Van Scoy","year":"2017","journal-title":"Am J Hosp Palliat Care"},{"key":"2025121000503133000_14.e1.e558.6","doi-asserted-by":"crossref","unstructured":"Fernandes CS , Louren\u00e7o M , Vale B . 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Human-centred design processes for interactive systems. 1999. 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