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Development of an integrated model of care for allogeneic stem cell transplantation facilitated by eHealth—the SMILe study

2021; Springer Science+Business Media; Volume: 29; Issue: 12 Linguagem: Inglês

10.1007/s00520-021-06328-0

1433-7339

Lynn Leppla, Anja Schmid, Sabine Valenta, Juliane Mielke, Sonja Beckmann, Janette Ribaut, Alexandra Teynor, Fabienne Dobbels, Nathalie Duerinckx, Robert Zeiser, Monika Engelhardt, Sabine Gerull, Sabina De Geest, D Bolliger, Yves Chalandon, Sabina De DGeest, S J Degen, Fabienne Dobbels, Nathalie Duerinckx, Monika Engelhardt, Margerita Fürmann, Sabine Gerull, Florian Grossmann, Monika Hasemann, Philipp Heidegger, Anja Hermann, Sandra Hobelsberger, Mylen Husel, Katharina Koehly, Marina Lemcke, Lynn Leppla, Birgit Maier, Anne‐Claire Mamez, Stavoula Masouridi, Juliane Mielke, Gyathri Nair, Daniela Neupert, Jakob Passweg, Stefan Pschenitza, Sigrun Reitwiessner, Jannette Ribaut, Dennis Rockstein, Urs Schanz, Anja Schmid, Helen Schoemans, Tobias Schulz, Vanessa Schumacher, Yulia Senft, Alexandra Teynor, Sabine Valenta, Viktor Werlitz, Verena Witzig-Brändli, Robert Zeiser,

Digital Mental Health Interventions

Allogeneic stem cell transplantation would benefit from re-engineering care towards an integrated eHealth-facilitated care model. With this paper we aim to: (1) describe the development of an integrated care model (ICM) in allogeneic SteM-cell-transplantatIon faciLitated by eHealth (SMILe) by combining implementation, behavioral, and computer science methods (e.g., contextual analysis, Behavior Change Wheel, and user-centered design combined with agile software development); and (2) describe that model's characteristics and its application in clinical practice.The SMILe intervention's development consisted of four steps, with implementation science methods informing each: (1) planning its set-up within a theoretical foundation; (2) using behavioral science methods to develop the content; (3) choosing and developing its delivery method (human/technology) using behavioral and computer science methods; and (4) describing its characteristics and application in clinical practice.The SMILe intervention is embedded within the eHealth enhanced Chronic Care Model, entailing four self-management intervention modules, targeting monitoring and follow-up of important medical and symptom-related parameters, infection prevention, medication adherence, and physical activity. Interventions are delivered partly face-to-face by a care coordinator embedded within the transplant team, and partly via the SMILeApp that connects patients to the transplant team, who can monitor and rapidly respond to any relevant changes within 1 year post-transplant.This paper provides stepwise guidance on how implementation, behavioral, and computer science methods can be used to develop interventions aiming to improve care for stem cell transplant patients in real-world clinical settings. This new care model is currently being tested in a hybrid I effectiveness-implementation trial.