{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T23:18:54Z","timestamp":1783639134983,"version":"3.55.0"},"reference-count":54,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"9","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Clin Cancer Inform"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE<\/jats:title>\n            <jats:p>Remote symptom monitoring (RSM) using electronic patient-reported outcomes leverages digital technologies to gather real-time information on patient experiences for symptom management. This study reports a formative evaluation of technology-related barriers encountered by patients participating in RSM and implementation strategies used to address those barriers in real-world, large-scale RSM implementations.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS<\/jats:title>\n            <jats:p>Purposive sampling was conducted to recruit patients diagnosed with cancer and participating in RSM at the University of Alabama at Birmingham and USA Health Mitchell Cancer Institute for semi-structured interviews. Interviews were coded to identify technology-related barriers using a constant comparative method. Expert Recommendations for Implementing Change list was used to address the barriers to optimize RSM implementation. Barrier-associated themes from the interviews were mapped to implementation strategies.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>\n              Forty participants age 24-77 years, half of whom were 60 years or older, were interviewed from December 2021 to February 2024. Three barrier themes relevant to technology utilization in RSM were identified: (1)\n              <jats:italic toggle=\"yes\">accessibility concerns<\/jats:italic>\n              , (2)\n              <jats:italic toggle=\"yes\">digital health literacy<\/jats:italic>\n              , and (3)\n              <jats:italic toggle=\"yes\">user interface challenges<\/jats:italic>\n              . Themes were mapped to the implementation strategies as identified by the implementation team. Eight total implementation strategies were used to address these technology barriers: (1) assess for readiness and identify barriers and facilitators, (2) obtain and use patients\/consumers and family\/caregiver feedback, (3) involve patients\/consumers and family members\/caregivers, (4) access new funding, (5) change physical structure and equipment, (6) centralize technical assistance, (7) prepare patients\/consumers to be active participants, and (8) intervene with patients\/consumers to enhance uptake and adherence.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>Technology-related barriers may limit the uptake of RSM by patients. Addressing these barriers through multimodel assessment and intervention strategies is crucial to ensuring successful implementation of RSM in real-world settings.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1200\/cci-24-00232","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T20:00:28Z","timestamp":1750449628000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":5,"title":["Patient Perspectives on Technological Barriers and Implementation Strategies Leveraged During a Real-World Remote Symptom Monitoring Program"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3605-360X","authenticated-orcid":true,"given":"Tanvi V.","family":"Padalkar","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2101-3065","authenticated-orcid":true,"given":"Nicole L.","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D'Ambra N.","family":"Dent","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4978-2425","authenticated-orcid":true,"given":"Emma","family":"Hendrix","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4690-7682","authenticated-orcid":true,"given":"Chao-Hui Sylvia","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8875-9462","authenticated-orcid":true,"given":"Tara","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"Dell Medical School, University of Texas at Austin, Austin, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"McGowan","sequence":"additional","affiliation":[{"name":"Mitchell Cancer Institute, University of South Alabama, Mobile, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Young Pierce","sequence":"additional","affiliation":[{"name":"Mitchell Cancer Institute, University of South Alabama, Mobile, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey A.","family":"Ingram","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0983-686X","authenticated-orcid":false,"given":"Angela M.","family":"Stover","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, Chapel Hill"},{"name":"Department of Health Policy and Management, University of North Carolina at Chapel Hill, NC, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3813-9318","authenticated-orcid":true,"given":"Ethan M.","family":"Basch","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, NC, Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0683-8715","authenticated-orcid":true,"given":"Doris","family":"Howell","sequence":"additional","affiliation":[{"name":"Supportive Care, Princess Margaret Cancer Centre Research Institute, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6996-9480","authenticated-orcid":true,"given":"Bryan J.","family":"Weiner","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health, University of Washington, Seattle, WA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6764-0254","authenticated-orcid":true,"given":"J. 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