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Pilot Testing a Web-Based System for the Assessment and Management of Chemotherapy-Induced Peripheral Neuropathy

Knoerl, Robert BSN, RN; Dudley, William N. PhD; Smith, Gloria MS, RN, ACNP; Bridges, Celia BA, BSN, RN; Kanzawa-Lee, Grace BSN, RN; Lavoie Smith, Ellen M. PhD, ANP-BC, AOCN

CIN: Computers, Informatics, Nursing: April 2017 - Volume 35 - Issue 4 - p 201–211
doi: 10.1097/CIN.0000000000000320

Because numerous barriers hinder the assessment and management of chemotherapy-induced peripheral neuropathy in clinical practice, the Carevive Care Planning System, a novel Web-based platform, was developed to address these barriers. It provides patients an opportunity to report their symptoms before their clinic visit and generates customizable care plans composed of evidence-based management strategies. The purpose of this study was to evaluate patient and provider perspectives of feasibility, usability, acceptability, and satisfaction with the Carevive platform. We used a single-arm, pretest/posttest, prospective design and recruited 25 women with breast cancer who were receiving neurotoxic chemotherapy and six advanced practice providers from an academic hospital. At three consecutive clinical visits, patients reported their neuropathy symptoms on a tablet via the Carevive system. The Diffusion of Innovations Theory served as an overarching evaluation framework. The Carevive platform was feasible to use. However, patients had higher ratings of usability, acceptability, and satisfaction with the platform than did the providers, who disliked the amount of time required to use the platform and had difficulty logging into Carevive. If issues regarding provider dissatisfaction can be addressed, the Carevive platform may aid in the screening of neuropathy symptoms and facilitate the use of evidence-based management strategies.

Author Affiliations: University of Michigan School of Nursing (Mr Knoerl, Mss Bridges and Kanzawa-Lee, and Dr Lavoie Smith), Ann Arbor; School of Health and Human Sciences, University of North Carolina at Greensboro (Dr Dudley); and University of Michigan Health System (Ms Smith), Ann Arbor.

This study was funded by Genentech Research Grant G-26378. The platform tested in this study was provided without cost by Carevive Systems, Inc.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Robert Knoerl BSN, RN, University of Michigan School of Nursing, 400 N Ingalls, Ann Arbor, MI 48109 (

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