Article Text
Abstract
Objectives To review the nature and scope of apps targeting individuals living with and beyond cancer.
Design Scoping review, searching the two largest app stores, Google Play and Apple’s App store. App descriptions were exported verbatim, and summarised descriptively, thematically and by content coding.
Results We included 151 apps targeting individuals living with and beyond cancer. Most targeted all cancer types (n=89, 58.9%) or breast cancer (n=22, 14.6%) and originated in the USA (n=68, 45.0%). The country of origin was unclear for 31 (20.5%) apps. Most apps were developed by commercial companies/private individuals (n=64, 43%) or non-profit organisations (n=30, 19.9%) and marketed apps in terms of fighting metaphors, navigating a journey and becoming empowered to take control.
App content could be summarised under five main categories: (1) imparting information about cancer; (2) planning and organising cancer care; (3) interacting with others (including others affected by cancer and healthcare professionals); (4) enacting management strategies and adjusting to life with or beyond cancer and (5) getting feedback about cancer management, for example, by sharing self-monitoring reports with professionals. We found some apps describing ‘cures’ for cancer or selling products, such as alkaline waters to cancer survivors.
Conclusions Apps are currently available via on-line stores that cover a large spectrum of cancer survivorship activities. The effects of such apps on clinical consultations, patient work/burden and clinical outcomes merit further attention. Most apps are developed by commercial organisations, and promises of empowerment in the ‘fight’ against cancer are tempered by the potential for exaggerated claims and exploitation.
- ONCOLOGY
- Health informatics
- Information technology
- Telemedicine
- World Wide Web technology
- Cancer
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Footnotes
Contributors RA conceptualised this review, designed the review, undertook searches, assessed the apps for inclusion/exclusion, undertook data extraction and wrote the paper. DM undertook scoping searches, helped refine the search criteria, checked the final apps fulfilled inclusion/exclusion criteria and performed independent dual data extraction and content coding. He contributed to drafts of the paper and revised the article critically. DP assisted with thematic analysis and revised the article critically. PM contributed to drafts of the paper and revised the article critically.
Funding This work was supported by NHS Grampian Pump Priming funding, grant reference RG14437-11. DP is supported by the strategic research programme funded by the Scottish Government’s Rural and Environment Science and Analytical Services Division.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement All data relevant to the study are included in the article or uploaded as online supplementary information.