{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T07:27:34Z","timestamp":1787902054628,"version":"build-2784847793"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with advanced cancer often experience symptoms between clinic visits, leading to emergency department admissions. Integrating patient-reported outcome measures into care could enhance symptom monitoring and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study assesses the feasibility and efficacy of the SUPPORT+ app for monitoring symptoms and providing timely interventions for patients with advanced cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>In this prospective feasibility study, patients used the SUPPORT+ app for weekly symptom monitoring over 16\u2009weeks. Participants received self-management advice from the app and timely remote consultations from palliative care nurses. Assessments included questionnaires on psychological stress, app satisfaction, and palliative care knowledge, with medical records reviewed for emergency department visits and unplanned hospitalizations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and participants:<\/jats:title>\n                    <jats:p>Patients with advanced cancer receiving community palliative care and owning smartphones were recruited from an outpatient palliative care clinic at a university hospital in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 109 patients were recruited, with 84 completing the study (retention rate: 78.4%). Over 90% reported their symptoms weekly. Significant increases were noted in advance directive completion (9.5% vs 22.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.047) and discussions on preferred places of dying (14.3% vs 28.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.044), alongside a decrease in depression scores (8.4\u20136.7,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.024). Most participants found the app easy to use and reported positive health effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The SUPPORT+ app demonstrated feasibility and acceptability in facilitating end-of-life communication, increasing advance directive completion, and potentially reducing depression in patients with advanced cancer. Further research, including randomized controlled trials, is needed to establish its efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251351036","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T03:24:02Z","timestamp":1751253842000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Use of mobile app \u201cSUPPORT+\u201d to enhance community palliative care in patients with advanced cancer: A prospective study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-9273","authenticated-orcid":false,"given":"Wing-Lok","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Clinical Oncology, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin-Ling","family":"Tai","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai-Kwan Steven","family":"Siu","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology, Queen Mary Hospital, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly Li-Yu","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwok-Keung","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology, Queen Mary Hospital, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6283-978X","authenticated-orcid":false,"given":"Victor Ho-Fun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Clinical Oncology, LKS Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.10.015"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00470"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2021.5.51118"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.53797"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.50423"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13254"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2022.04.007"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.63.0830"},{"key":"e_1_3_3_10_2","article-title":"Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART)","volume":"374","author":"Maguire R","year":"2021","unstructured":"Maguire R, McCann L, Kotronoulas G, et al. 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