Blood and Lymph Conditions

All Conditions

Neoplasms

Symptoms and General Pathology

Lymphedema

Neoplasm Metastasis

health education for lymphedema prevention

Health education plus Smartphone-based application sample will have a reminder to do education everyday where patients will have to select if they have done or they haven´t done compliance

All subjects received a multimodal intervention consist in a multimodal program with an educational approach

Antonio I Cuesta-Vargas, PhD

Background: The cancer-related lymphedema (BCRL) is the abnormal accumulation of fluid in the lymphatic system and can develop immediately after surgery / radiotherapy of breast cancer, or may appear months later. In the literature there are numerous educational recommendations to avoid the appearance BCRL, but there is a lack of adherence to these recommendations. With the increase of mobile technologies among adults, the mobile devices can be an effective method to meet their education.

Objective: To determine the effectiveness of therapeutic adherence a brief educational intervention through a smartphone-based application in the prevention of lymphedema in women with mastectomies.

Method: 100 women survivors of breast cancer will be randomized to a group that will receive lymphedema prevention education and an app specific for better adhesion compared to the control group will receive education only. They will be monitored for 28 weeks by specific measures of lymphedema onset, volume and perimeter arm and hand strength lymphedema disability questionnaire and other measures of fatigue, quality of life and mood related to cancer.

Discussion: The lack of adherence to health education is the main cause of failure in maintaining these brief educational interventions, whether the program is beneficial, it could be successfully implemented in clinical practice.

Improving Adherence Healthy Lifestyle With a Smartphone Application Based After Surgery in Cancer Patients

Water Displacement (volume) Is performed by the water displacement method, a volumeter to reference point 16 cm proximal to the olecranon, with a Tª of 21ºC. The upper limit is 65% of the distance from the olecranon to the acromion.

Circumferential Measurement (Perimeter) The patient should be seated both arms on a table, shoulder in neutral rotation and in flexion of 45º, forearm in maximun supination, is measured at intervals of 5 cm along both arms, using elbow crease as starting point.

It´s a standardized method to evaluate the hand strengh and it´s relation to the function of the upper extremity. Is done with a Jamar hydraulic hand dynamometer, has 5 fixed grip posititons.

The QLQ-BR23 consist of 23 items, is divided in dimennsions as body image, sexuality, future perspective and side-effects to different treatment modalities such as surgery, chemotherapy or radiotherapy.

Quick-Piper scale, self- administered, a 15 items. Consists of 4 subjetive dimensions. Offers the important advantage of brevity.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Improving Adherence Healthy Lifestyle With a Smartphone Application Based After Surgery in Cancer Patients	NCT01915043	Secondary Preve...	health educatio...	18 Years - 65 Years	University of Malaga
Improving Adherence Healthy Lifestyle With a Smartphone Application Based After Surgery in Cancer Patients	NCT01915043	Secondary Preve...	health educatio...	18 Years - 65 Years	University of Malaga

Spots Global Cancer Trial Database for lymphedema, prevention, ehealth, cancer