A Novel Digital Educational Strategy Improves Treatment Adherence and Quality of Life in Patients with Multiple Myeloma

Juan Guio,Andrés Melo,Mateo Mejía Saldarriaga, Cynthia Fuentes,Natalia Tíjaro-Ovalle,Andrés Borda, Yuli Guzmán, Elías Bolaños,Guillermo Quintero,Mónica Duarte, Claudia Agudelo, Soraya Aparicio,Gina Cuellar,Patricia Bernal, Marco Paéz, Erica Rueda, Agustina Rodriguez,Fernando Alvarado, Oscar Pinzón,Martha Romero

Journal of Cancer Education(2023)

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摘要
Multiple myeloma, the second most common hematologic malignancy worldwide, is an aggressive disease with high morbidity and mortality rates. Although myeloma remains incurable, new treatments have improved patients' life expectancy and quality of life. However, as these therapies are administered for prolonged and often indefinite periods, their success depends on high treatment adherence and significant patient engagement. This study aimed to evaluate the impact of a novel digital educational strategy on treatment adherence, quality of life, and the development of complications in patients with newly diagnosed myeloma. To this end, a two-arm, randomized, prospective, double-blind study was conducted to compare the conventional educational approach alone or combined with the novel digital strategy. This strategy was based on some principles of the Persuasive Systems Design model and incorporated the educational recommendations of patients and caregivers. Compared to the control group that only received information through the conventional educational approach, patients randomized to the digital strategy showed significantly higher treatment adherence and quality of life, associated with increased functionality and rapid reincorporation into daily routines. The digital strategy empowered patients and caregivers to understand the disease and therapeutic options and helped patients recall treatment information and implement healthy lifestyle habits. These results support that patient-targeted educational strategies can positively influence treatment adherence and thus improve their quality of life.
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关键词
Multiple myeloma,Digital education program,Medication adherence,Quality of life
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