{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:32:31Z","timestamp":1790346751746,"version":"4.1.0"},"reference-count":27,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Mhealth Uhealth"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n With a focus on postoperative dysfunctions that may occur after maxillofacial tumor resection and the difficulties faced during home rehabilitation, we developed a mobile health app based on nurse-patient cooperation. The app extends rehabilitation care from hospital to home with the help of artificial intelligence, Internet of Things, and other technologies, thus helping patients to better carry out their home functional rehabilitation and meet their health needs.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The primary objective of this quasi-experimental study is to evaluate the impact of the Intelligent Home Rehabilitation Care Platform on the quality of life, self-management, and functional impairment in patients with oral and maxillofacial head and neck tumors. We aim to determine whether the intervention through this platform can lead to significant improvements in these areas compared with traditional postdischarge care methods.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In this study, patients with oral and maxillofacial head and neck tumors who had undergone surgery were recruited from allied hospitals in the Yangtze River Delta region, divided into an experimental group (n=138) and a control group (n=123), and received either the Intelligent Home Rehabilitation Care Platform intervention or the conventional health care and guidance, respectively. The intervention lasted 3 months, and the patients\u2019 quality of life, self-management efficacy, and improvement in dysfunction were assessed at 1 week (baseline), 1 month (T1), and 3 months (T2) postoperatively. SPSS software (IBM Corp) was used to perform the chi-square test, rank sum test,\n t<\/jats:italic>\n test, repeated-measures ANOVA, and generalized estimation equation for data analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We analyzed the effects of the quality of life and self-management using the generalized estimating equation method. The generalized estimating equation results showed that after adjusting for age, sex, pathological histology, cancer stage, and primary site, the intervention group had a significantly higher improvement in quality of life than the control group at the T2 (regression coefficient, \u03b2=\u221268.020, 95 % CI \u2212116.639 to \u221219.412;\n P<\/jats:italic>\n =.006) stage. The degree of improvement in self-management efficacy was significantly higher in the T1 (regression coefficient, \u03b2 =\u22127.030, 95 % CI \u22129.540 to \u22124.520;\n P<\/jats:italic>\n <.001) and T2 (regression coefficient, \u03b2 =\u221213.245, 95 % CI \u221216.923 to \u22129.566;\n P<\/jats:italic>\n <.001) stages than in the control group. The results of repeated-measures ANOVA and rank sum test showed that the experimental group showed improvements in shoulder function, dysphagia, and trismus after mHealth intervention; however, the differences were not significant.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The Intelligent Home Rehabilitation Care Platform interventions can effectively enhance patients\u2019 self-management efficacy, improving quality of life and facilitate recovery from dysfunctions. Therefore, mHealth may be used in oncology care to provide smarter home self-care for patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/59926","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T17:18:02Z","timestamp":1750871882000},"page":"e59926-e59926","source":"Crossref","is-referenced-by-count":6,"title":["Impact of mHealth on Postoperative Quality of Life, Self-Management, and Dysfunction in Patients With Oral and Maxillofacial Tumors: Nonrandomized Controlled Trial"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7305-6054","authenticated-orcid":false,"given":"Yufei","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8902-5789","authenticated-orcid":false,"given":"Yueping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0393-950X","authenticated-orcid":false,"given":"Yifan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4572-9059","authenticated-orcid":false,"given":"Hong","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3288-6025","authenticated-orcid":false,"given":"Hua","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1061-8245","authenticated-orcid":false,"given":"Yuqun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4112-002X","authenticated-orcid":false,"given":"Yulan","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2929-7550","authenticated-orcid":false,"given":"Lan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6489-1744","authenticated-orcid":false,"given":"Lili","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21590","article-title":"Cancer statistics, 2020","volume":"70","author":"Siegel","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"33","DOI":"10.6224\/JN.202002_67(1).06","article-title":"The effects of a diet education program on nutritional status and quality of life in oral cancer patients who underwent surgery","volume":"67","author":"Lin","journal-title":"Hu Li Za Zhi"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","first-page":"12","DOI":"10.3322\/caac.21820","article-title":"Cancer statistics, 2024","volume":"74","author":"Siegel","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.cden.2017.08.005","article-title":"Surgical management of oral cancer","volume":"62","author":"Shanti","journal-title":"Dent Clin North Am"},{"issue":"4","key":"R5","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1007\/s11912-022-01227-x","article-title":"State of rehabilitation research in the head and neck cancer population: functional impact vs. impairment-focused outcomes","volume":"24","author":"Parke","journal-title":"Curr Oncol Rep"},{"issue":"3","key":"R6","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1002\/cncr.33936","article-title":"Longitudinal health utility and symptom-toxicity trajectories in patients with head and neck cancers","volume":"128","author":"Ren","journal-title":"Cancer"},{"issue":"3","key":"R7","doi-asserted-by":"publisher","first-page":"263","DOI":"10.3109\/17549507.2015.1010581","article-title":"Communication changes following non-glottic head and neck cancer management: the perspectives of survivors and carers","volume":"17","author":"Nund","journal-title":"Int J Speech Lang Pathol"},{"issue":"9","key":"R8","doi-asserted-by":"publisher","first-page":"1519","DOI":"10.1002\/pon.5985","article-title":"Considerations for developing supportive care interventions for survivors of head and neck cancer: a qualitative study","volume":"31","author":"Oswald","journal-title":"Psychooncology"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221092633","article-title":"Using the Delphi method to elucidate patient and caregiver experiences of cancer care","volume":"9","author":"Ellis","journal-title":"J Patient Exp"},{"issue":"2","key":"R10","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.3789","article-title":"Patient engagement with a mobile web-based telemonitoring system for heart failure self-management: a pilot study","volume":"3","author":"Zan","journal-title":"JMIR Mhealth Uhealth"},{"issue":"11","key":"R11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009367","article-title":"Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study","volume":"5","author":"Smith","journal-title":"BMJ Open"},{"issue":"4","key":"R12","doi-asserted-by":"publisher","first-page":"287","DOI":"10.4258\/hir.2022.28.4.287","article-title":"Usage of the Internet of Things in medical institutions and its implications","volume":"28","author":"Kong","journal-title":"Healthc Inform Res"},{"issue":"2","key":"R13","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.jobcr.2021.11.010","article-title":"Potential of Internet of Medical Things (IoMT) applications in building a smart healthcare system: a systematic review","volume":"12","author":"Dwivedi","journal-title":"J Oral Biol Craniofac Res"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijotn.2023.101062","article-title":"The effectiveness of home rehabilitation based on BPMpathway exercise rehabilitation system for patients after total knee arthroplasty in China","volume":"53","author":"Hong","journal-title":"Int J Orthop Trauma Nurs"},{"issue":"10","key":"R15","doi-asserted-by":"publisher","first-page":"8391","DOI":"10.1007\/s00520-022-07109-z","article-title":"The feasibility of telehealth in the monitoring of head and neck cancer patients: a systematic review on remote technology, user adherence, user satisfaction, and quality of life","volume":"30","author":"da Silva","journal-title":"Support Care Cancer"},{"issue":"10","key":"R16","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.3969\/j.issn.1674-8115.2023.10.010","article-title":"Expert consensus on postoperative rehabilitation nursing of patients with head and neck cancer","volume":"43","author":"Gu","journal-title":"J Shanghai Jiao Tong Univ (Med Sci)"},{"issue":"6","key":"R17","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1002\/hed.10106","article-title":"The addition of mood and anxiety domains to the University of Washington quality of life scale","volume":"24","author":"Rogers","journal-title":"Head Neck"},{"issue":"5","key":"R18","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1002\/(SICI)1098-240X(199610)19:5<421::AID-NUR6>3.0.CO;2-S","article-title":"A measure of self-care self-efficacy","volume":"19","author":"Lev","journal-title":"Res Nurs Health"},{"issue":"4","key":"R19","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1097\/NCC.0000000000001227","article-title":"Symptom patterning across the cancer care trajectory for patients receiving chemoradiation for head and neck cancer: a retrospective longitudinal study using latent transition analysis","volume":"47","author":"Dunnack Yackel","journal-title":"Cancer Nurs"},{"issue":"11","key":"R20","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.1001\/archoto.2011.179","article-title":"Factors associated with mortality in 2-year survivors of head and neck cancer","volume":"137","author":"Thompson","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"3","key":"R21","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.amjoto.2008.05.001","article-title":"Quality of life in head and neck cancer survivors: a cross-sectional survey","volume":"30","author":"Chaukar","journal-title":"Am J Otolaryngol"},{"issue":"15","key":"R22","doi-asserted-by":"publisher","first-page":"2391","DOI":"10.1016\/j.ejca.2012.04.005","article-title":"Quality-of-life among head and neck cancer survivors at one year after treatment\u2014a systematic review","volume":"48","author":"So","journal-title":"Eur J Cancer"},{"issue":"7","key":"R23","doi-asserted-by":"publisher","DOI":"10.2196\/18132","article-title":"Evaluating the effects of a mobile health app on reducing patient care needs and improving quality of life after oral cancer surgery: quasiexperimental study","volume":"8","author":"Wang","journal-title":"JMIR Mhealth Uhealth"},{"issue":"1","key":"R24","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1097\/NCC.0000000000000677","article-title":"Correlation between postoperative health-related quality of life and care needs of oral cancer patients","volume":"43","author":"Wang","journal-title":"Cancer Nurs"},{"issue":"1","key":"R25","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1097\/NCC.0000000000000542","article-title":"A mixed-methods study of unmet supportive care needs among head and neck cancer survivors","volume":"42","author":"So","journal-title":"Cancer Nurs"},{"issue":"5","key":"R26","doi-asserted-by":"publisher","first-page":"E320","DOI":"10.1097\/NCC.0000000000001130","article-title":"Telehealth interventions in head and neck cancer patients: a systematic review","volume":"46","author":"Caputo","journal-title":"Cancer Nurs"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.4419","article-title":"Functional outcomes and quality of life after a 6-month early intervention program for oral cancer survivors: a single-arm clinical trial","volume":"6","author":"Chen","journal-title":"PeerJ"}],"container-title":["JMIR mHealth and uHealth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/mhealth.jmir.org\/2025\/1\/e59926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:32:13Z","timestamp":1785537133000},"score":1,"resource":{"primary":{"URL":"https:\/\/mhealth.jmir.org\/2025\/1\/e59926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,25]]},"references-count":27,"URL":"https:\/\/doi.org\/10.2196\/59926","relation":{},"ISSN":["2291-5222"],"issn-type":[{"value":"2291-5222","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,25]]},"article-number":"v13i1e59926"}}