{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:02:55Z","timestamp":1784620975664,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["1K76AG083287"],"award-info":[{"award-number":["1K76AG083287"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["T32 AG049666"],"award-info":[{"award-number":["T32 AG049666"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100020400","name":"Clinical and Translational Science Center, Weill Cornell Medicine","doi-asserted-by":"crossref","award":["5 UL1 TR002384-08"],"award-info":[{"award-number":["5 UL1 TR002384-08"]}],"id":[{"id":"10.13039\/100020400","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ambulatory palliative care (PC) focuses on managing complex symptoms, yet assessment relies on recall during infrequent visits to manage daily fluctuating symptoms. We aimed to design a PC-anchored remote symptom assessment (RSA) tool with patients and clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We used user-centered, Agile design to develop and iteratively refine EMA-PAL, a web-based RSA prototype. Patients and clinicians (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 14) from an ambulatory PC clinic participated in staged prototype development and testing through focus groups and interviews.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>EMA-PAL features patient- and provider-facing interfaces that visualize daily Edmonton Symptom Assessment System (ESAS) scores, highlight severe symptoms, and support shared review during visits. Participants endorsed EMA-PAL\u2019s potential to enhance communication and workflow efficiency and identified priorities for future development (medication tracking and workflow integration).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This exploratory pilot suggests that PC-anchored RSA tools such as EMA-PAL may help address gaps in symptom assessment and timelier and patient-centered symptom management in ambulatory PC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261441208","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T01:52:51Z","timestamp":1775872371000},"page":"939-945","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Remote Symptom Assessment in Ambulatory Palliative Care: User-Centered Development of an mHealth App"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4686-1397","authenticated-orcid":false,"given":"Irina","family":"Mindlis","sequence":"first","affiliation":[{"name":"Parker Health Group Division of Geriatrics, Department of Family Medicine and Community Health, Robert Wood Johnson Medical School of Rutgers University, New Brunswick, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Bivona-Maldonado","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2525-0375","authenticated-orcid":false,"given":"Zilong","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen","family":"Ekwebelem","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samprit","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Carrington","family":"Reid","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig D.","family":"Blinderman","sequence":"additional","affiliation":[{"name":"Division of Supportive Care and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Shalev","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0019"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0441"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.16840"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2016-0006"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-1039-1"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-020-10122-3"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0001219"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-015-9499-6"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13030-019-0160-5"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1139\/jpn.0602"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/10499091251389115"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.63.0830"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15041233"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2019.09.003"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmedt.2022.900172"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdv576"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.9265"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2023.09.813"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP-24-00562"},{"issue":"10","key":"e_1_3_2_21_1","first-page":"7853","article-title":"A single-site pilot feasibility randomized trial of a supportive care mobile application intervention for patients with advanced cancer and caregivers","volume":"30","author":"Merz A","year":"2022","unstructured":"20.Merz A, , Mohamed A, , Corbett C, et al. A single-site pilot feasibility randomized trial of a supportive care mobile application intervention for patients with advanced cancer and caregivers. Support Care Cancer 2022;30(10):7853\u20137861.","journal-title":"Support Care Cancer"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO.21.00122"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00048"},{"key":"e_1_3_2_24_1","volume-title":"The art of agile development","author":"Shore J","year":"2021","unstructured":"23.Shore J, , Warden S. The art of agile development. O\u2019Reilly Media, Inc.; 2021."},{"key":"e_1_3_2_25_1","volume-title":"Edmonton symptom assessment system\u2014Revised (ESAS-r) administration manual","author":"Nekolaichuk C","year":"2019","unstructured":"24.Nekolaichuk C, , Watanabe S. Edmonton symptom assessment system\u2014Revised (ESAS-r) administration manual. 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