Original Article

IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol


Background & Aim: People undergoing chemotherapy treatment of an oncologic disease refer to the need to promote the process of self-management of the disease and the symptoms associated with treatment. This study aims to describe the development protocol of a mobile application to support the self-management of symptoms associated with chemotherapy treatment, the IGestSaúde.
Methods & Materials: The research is divided into six stages, using an exploratory/descriptive pilot study conducted over 36 months. The stages include research and fundamentals, development, validation of therapeutic guidelines, field study, technological development, implementation, and mobile application evaluation.
Discussion: The project will monitor and improve patients' compliance to chemotherapy, to prevent patients’ complications through preventive indications for self-care, and to improve patients' responses to uncontrolled symptoms or complications.
Conclusion: Mobile applications can be considered a viable and effective means for self-management of complications associated with chemotherapy treatment, supported by scientific evidence and these people's specific needs.

1. Rodrigues Pimenta Gomes NC, Vilaça de Brito Santos CS, Rodrigues Bettencourt de Jesus MM, da Silva Henriques MA. Effectiveness of nursing interventions in the postoperative recovery of gastric cancer patients: a systematic literature review. Revista de Enfermagem Referência. 2016 Oct 1;4(11):111–19.
2. Jiang Y, Wickersham KE, Zhang X, Barton DL, Farris KB, Krauss JC, Harris MR. Side Effects, Self-Management Activities, and Adherence to Oral Anticancer Agents. Patient Prefer Adherence. 2019;13 (13):2243-52. https://doi.org/10.2147/PPA.S224496
3. Given BA, Spoelstra SL, Grant M. The challenges of oral agents as antineoplastic treatments. Seminars in oncology nursing. 2011;27(2):93–103. https://doi.org/10.1016/j.soncn.2011.02.003
4. Magalhães B, Fernandes C, Santos C, Lima L, Miguel Martínez-Galiano J. Autogestão das complicações associadas ao tratamento de quimioterapia: uma scoping review. Journal Health NPEPS. 2019;4(2):370–404. https://doi.org/10.30681/252610103722
5. Wanchai A, Armer JM. A systematic review association of reflexology in managing symptoms and side effects of breast cancer treatment. Complementary therapies in clinical practice. 2020;38:101074.
6. Ward Sullivan C, Leutwyler H, Dunn LB, Miaskowski C. A review of the literature on symptom clusters in studies that included oncology patients receiving primary or adjuvant chemotherapy. Journal of clinical nursing.;27(3–4):516–45. https://doi.org/10.1111/jocn.14057
7. Bennion AE, Molassiotis A. Qualitative research into the symptom experiences of adult cancer patients after treatments: a systematic review and meta-synthesis. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2013;21(1):9–25. https://doi.org/10.1007/s00520-012-1573-x
8. Rodrigues NC, Santos CS, Rodrigues MMG, Henriques MA. Effectiveness of nursing interventions in the postoperative recovery of gastric cancer patients: a systematic literature review. Revista de Enfermagem Referência. 2016;4(11):111–9. https://doi.org/10.12707/RIV16050
9. Jaenicke C, Greenwood D, Nelson K, Klein M, Foss B, Carson L, et al. Use of Mobile Messaging System for Self-Management of Chemotherapy Symptoms in Patients with Advanced Cancer. Federal practitioner : for the health care professionals of the VA, DoD, and PHS. 2019;36(Suppl 5):S54–7.
10. Hamine S, Gerth-Guyette E, Faulx D, Green BB, Ginsburg AS. Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. Journal of medical Internet research. 2015;17(2):e52. https://doi.org/10.2196/jmir.3951
11. Absolom K., Gibson A., Velikova G.. Engaging Patients and Clinicians in Online Reporting of Adverse Effects During Chemotherapy for Cancer: The eRAPID System. Medical Care.2019; 57: S59–S65. https://doi.org/10.1097/MLR.0000000000001085
12. Magalhães B, Fernandes C, Santos C, Martínez-Galiano JM. The Use of Mobile Applications for Managing Care Processes During Chemotherapy Treatments: A Systematic Review. Cancer nursing. 2020; https://doi.org/10.1097/NCC.0000000000000823.
13. Portelli P, Eldred C. A quality review of smartphone applications for the management of pain. British journal of pain. 2016; 10(3):135–40. https://doi.org/10.1177/2049463716638700
14. Knoerl R, Hong F, Blonquist T, Berry D. Impact of Electronic Self-Assessment and Self-Care Technology on Adherence to Clinician Recommendations and Self-Management Activity for Cancer Treatment-Related Symptoms: Secondary Analysis of a Randomized Controlled Trial. JMIR cancer. 2019;5(1):e11395. https://doi.org/10.2196/11395
15. Eastway J, Lizarondo L. Experiences of adult patients with chronic non-communicable disease using electronic personal health records for self-management: a qualitative systematic review protocol. JBI database of systematic reviews and implementation reports. 2019;17(11):2334–42. https://doi.org/10.11124/JBISRIR-2017-003941
16. NCI-National Cancer Institute. Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0.2017. https://ctep.cancer.gov/protocoldevelopment/electronic_applications/docs/ctcae_v5_quick_reference_5x7.pdf.
17. Fortney J, Burgess J, Bosworth H, Booth B, Kaboli P. A Re-conceptualization of Access for 21st Century Healthcare. JGIM: Journal of General Internal Medicine. 2011;26:639–47. https://doi.org/10.1007/s11606-011-1806-6
18. Azar KMJ, Koliwad S, Poon T, Xiao L, Lv N, Griggs R, et al. The Electronic CardioMetabolic Program (eCMP) for Patients With Cardiometabolic Risk: A Randomized Controlled Trial. Journal of medical Internet research. 2016;18(5):e134. https://doi.org/10.2196/jmir.5143
19. Badawy SM, Kuhns LM. Economic Evaluation of Text-Messaging and Smartphone-Based Interventions to Improve Medication Adherence in Adolescents with Chronic Health Conditions: A Systematic Review. JMIR mHealth and uHealth. 2016;4(4):e121.
20. Becker D. What’s App? An Overview of Medical Mobile Apps. Journal of Electronic Resources in Medical Libraries. 2018;15(3/4):165–71. https://doi.org/10.1080/15424065.2018.1554465
21. Dawson RM, Felder TM, Donevant SB, McDonnell KK, Card EB 3rd, King CC, et al. What makes a good health “app”? Identifying the strengths and limitations of existing mobile application evaluation tools. Nursing inquiry. 2020;27(2):e12333. https://doi.org/10.1111/nin.12333
22. Collado-Borrell R, Escudero-Vilaplana V, Ribed-Sánchez A, Ibáñez-García S, Herranz-Alonso A, Sanjurjo-Sáez M. Smartphone applications for cancer patients; what we know about them? Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria. 2016;40(1):25–35.https://doi.org/10.7399/fh.2016.40.1.8993
23. Nouri R, R Niakan Kalhori S, Ghazisaeedi M, Marchand G, Yasini M. Criteria for assessing the quality of mHealth apps: a systematic review. Journal of the American Medical Informatics Association : JAMIA. 2018;25(8):1089–98. https://doi.org/10.1093/jamia/ocy050
IssueVol 8 No 2 (2021): Spring QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i2.5126
mobile application; chemotherapy; self-management

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Sílvia Fernandes C, Magalhães B, Santos C, Galiano J. IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol. NPT. 8(2):146-154.