{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T03:26:47Z","timestamp":1787282807653,"version":"build-2736575974"},"reference-count":54,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"7","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Clinical Cancer Informatics"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec><jats:title>PURPOSE<\/jats:title><jats:p> Advances in digital health technology can overcome barriers to measurement of function and mobility for older adults with blood cancers, but little is known about how older adults perceive such technology for use in their homes. <\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p> To characterize potential benefits and barriers associated with using technology for home functional assessment, we conducted three semistructured focus groups (FGs) in January 2022. Eligible patients came from the Older Adult Hematologic Malignancies Program at Dana-Farber Cancer Institute (DFCI), which includes adults 73 years and older enrolled during their initial consult with their oncologist. Eligible caregivers were 18 years and older and identified by enrolled patients as their primary caregiver. Eligible clinicians were practicing DFCI hematologic oncologists, nurse practitioners, or physician assistants with \u22652 years of clinical experience. A qualitative researcher led thematic analysis of FG transcripts to identify key themes. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> Twenty-three participants attended the three FGs: eight patients, seven caregivers, and eight oncology clinicians. All participants valued function and mobility assessments and felt that technology could overcome barriers to their measurement. We identified three themes related to potential benefits: making it easier for oncology teams to consider function and mobility; providing standardized, objective data; and facilitating longitudinal data. We also identified four themes related to barriers to home functional assessment: concerns related to privacy and confidentiality, burden of measuring additional patient data, challenges in operating new technology, and concerns related to data improving care. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p> These data suggest that specific concerns raised by older patients, caregivers, and oncology clinicians must be addressed to improve acceptability and uptake of technology used to measure function and mobility in the home. <\/jats:p><\/jats:sec>","DOI":"10.1200\/cci.22.00171","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T20:00:04Z","timestamp":1682452804000},"update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":10,"title":["Benefits and Barriers of Technology for Home Function and Mobility Assessment: Perspectives of Older Patients With Blood Cancers, Caregivers, and Clinicians"],"prefix":"10.1200","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3299-6215","authenticated-orcid":false,"given":"Dillon D.","family":"Clancy","sequence":"first","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna C.","family":"Revette","sequence":"additional","affiliation":[{"name":"Survey and Data Management Core, Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard School of Public Health, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1784-9011","authenticated-orcid":false,"given":"Nupur E.","family":"Bahl","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi T.","family":"Ho","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Manor","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA"},{"name":"Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia A.","family":"Testa","sequence":"additional","affiliation":[{"name":"Harvard School of Public Health, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina M.","family":"Dieli-Conwright","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8673-6681","authenticated-orcid":false,"given":"Tammy","family":"Hshieh","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard Medical School, Boston, MA"},{"name":"Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA"},{"name":"Brigham and Women's Hospital, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane A.","family":"Driver","sequence":"additional","affiliation":[{"name":"Harvard School of Public Health, Boston, MA"},{"name":"Brigham and Women's Hospital, Boston, MA"},{"name":"Geriatric Research, Education and Clinical Center and Geriatrics and Extended Care, VA Boston Healthcare System, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1100-2813","authenticated-orcid":false,"given":"Gregory A.","family":"Abel","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"},{"name":"Brigham and Women's Hospital, Boston, MA"},{"name":"Center for Bioethics, Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-7816","authenticated-orcid":false,"given":"Clark","family":"DuMontier","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard Medical School, Boston, MA"},{"name":"Brigham and Women's Hospital, Boston, MA"},{"name":"Geriatric Research, Education and Clinical Center and Geriatrics and Extended Care, VA Boston Healthcare System, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2018.78.8687"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2019000758"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2012-12-471680"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.3390\/s18051336"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00442"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1200\/OP.21.00743"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33344"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2022007188"},{"key":"b9","first-page":"100146","volume":"3","author":"Ogawa EF","year":"2021","journal-title":"Arch Rehabil Res Clin Transl"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzaa005"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.21.00167"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.20.00117"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.17.00152"},{"key":"b14","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-019-02278-7"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2017.08.008"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-016-1129-7"},{"key":"b17","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.8815"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.1159\/000460292"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2017.09.008"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.518957"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.2196\/33714"},{"key":"b22","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054675"},{"key":"b23","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.17.00133"},{"key":"b24","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13153665"},{"key":"b25","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2022.40.16_suppl.1506"},{"key":"b26","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.01113"},{"key":"b27","volume-title":"Digital Health Technologies for Remote Data Acquisition in Clinical Investigations: Guidance for Industry, Investigators, and Other Stakeholders","year":"2021"},{"key":"b28","volume-title":"Guidance for Industry, Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims","year":"2009"},{"key":"b29","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18010163"},{"key":"b30","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.281"},{"key":"b31","doi-asserted-by":"publisher","DOI":"10.1188\/19.CJON.540-542"},{"key":"b32","volume-title":"Focus Groups: A Practical Guide for Applied Research","author":"Krueger RA","year":"2008","edition":"4"},{"key":"b33","doi-asserted-by":"publisher","DOI":"10.3324\/haematol.2021.278802"},{"key":"b35","volume-title":"Qualitative Methods for Health Research","author":"Green J","year":"2014","edition":"3"},{"key":"b36","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7227.114"},{"key":"b37","volume-title":"Qualitative Data Analysis for Applied Policy Research in the Qualitative Researchers Companion","author":"Ritchie J","year":"2002"},{"key":"b38","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"b39","doi-asserted-by":"publisher","DOI":"10.2196\/15103"},{"key":"b40","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2021.02.023"},{"key":"b41","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-019-0828-6"},{"key":"b42","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.2671"},{"key":"b43","first-page":"1","volume":"40","author":"Shahrokni A","year":"2020","journal-title":"Am Soc Clin Oncol Ed Book"},{"key":"b44","doi-asserted-by":"publisher","DOI":"10.2196\/17930"},{"key":"b45","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02041-z"},{"key":"b46","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.01687"},{"key":"b47","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02252-4"},{"key":"b48","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.22.00013"},{"key":"b49","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.22.00079"},{"key":"b50","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2019.01.006"},{"key":"b51","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2018.03.012"},{"key":"b52","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2021.0264"},{"key":"b54","doi-asserted-by":"publisher","DOI":"10.1177\/0733464807311435"},{"key":"b55","volume":"23","author":"Falter M","year":"2022","journal-title":"Forum Qual Soc Res"},{"key":"b56","doi-asserted-by":"publisher","DOI":"10.1177\/16094069221150110"}],"container-title":["JCO Clinical Cancer Informatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/CCI.22.00171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T20:00:19Z","timestamp":1682452819000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/CCI.22.00171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":54,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1200\/CCI.22.00171"],"URL":"https:\/\/doi.org\/10.1200\/cci.22.00171","relation":{},"ISSN":["2473-4276"],"issn-type":[{"value":"2473-4276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"2022-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-15","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2200171"}}