PROACT 2.0: A new open-source tool to improve patient-doctor communication in clinical trials

Author:

Agnelli Luca12ORCID,Villa Andrea2ORCID,Butt Fouziah3,Duca Matteo2,Guidi Alessandro1,Carapezza Marcello2,Addante Michele2,Lenoci Gaetano2,O’Regan Paul3,Russo Laura24,Cresta Sara2,Castano Alessandra2,Ebrahem Elisabella2,Alfieri Sara5ORCID,Patil Akshita3,Carter Louise6,Dive Caroline3,De Braud Filippo Guglielmo2,Damian Silvia2ORCID

Affiliation:

1. Department of Diagnostic Innovation, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

2. Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

3. Digital Cancer Research , Cancer Research UK National Biomarker Centre, University of Manchester, Manchester, UK

4. Women’s and Maternal-Children’s Area Department, Ospedale San Gerardo dei Tintori, University of Milano Bicocca, Monza, Italy

5. Clinical Psychology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

6. The Christie NHS Foundation Trust, Manchester, UK

Abstract

The use of Digital Healthcare Products is leading to significant improvements in clinical practice. Herein, we discuss the development of PROACT 2.0 (Patient Reported Opinions About Clinical Tolerability v2.0), a novel open-source mobile and web application developed at Fondazione IRCCS Istituto Nazionale Tumori in Milan. It was developed in collaboration with The Christie, Manchester, in the context of work package 2 of the UpSMART Accelerator project, involving a consortium of referral cancer centers from the UK, Spain and Italy. PROACT 2.0 enhances communication between patients and healthcare providers in cancer clinical trials, allowing patients to report adverse events and side effects, and healthcare teams to collect valuable patient-reported outcome measures for treatment management. PROACT 2.0 supports text, audio, and video messaging, offering a secure, non-urgent communication channel that integrates with, or replaces, traditional methods. Its user-friendly and multilingual interface provides a new route for patient engagement and streamlines the handling of logistical information. Positive feedback from initial testing warrants future enhancements for broader applicability in cancer research and treatment.

Funder

Ministero della Salute

Associazione Italiana per la Ricerca sul Cancro

Publisher

SAGE Publications

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