Digital Health research theme

Research interests

Healthcare delivery in 2030 will be vastly different from today. Delivering care closer to people’s homes will be the norm. Hospital-based care will be for the seriously ill. People will be living longer, with multiple comorbidities. Integrated care will be central to delivering of complex care to people who will live longer with multiple comorbid conditions.

Technological innovations such as SMART homes and cities will transform the way we diagnose, treat and manage disease. Increasing amounts of data about patients, their diseases and how these are managed will result in personalised models of care not possible in today’s health system. The social context of people’s lives will be a key determinant in how population health services are determined.

Research areas

• Remote Electronic Symptom Management system - eSMART (including a €6 million multinational FP7 funded study entailing recruitment of patients undergoing chemotherapy across five countries)
• Internet of Things and Technology Integrated Health Management (TIHM)
• Web-based self-management to reduce distress after prostate cancer
• Digital solutions to support young adults with cancer 
• Online, supported self-management for adults with type 2 diabetes - the BEAT diabetes programme
• Developing and trialling a life-long approach to promote diabetes self-management amongst adults with type 1 diabetes - DAFNEplus
• Follow-up care for men with prostate cancer based on supported self-management and remote monitoring
• Data driven digital decision making tool for pharmacists to provide a physical assessment and lifestyle prescription for men with prostate cancer
• Automated data collection, via wearables, apps, monitors and other devices
• Predictive risk modelling
• Decision support system for health assessment in the cancer patient
• Development of an innovative healthcare system for palliative care in Ethiopia: co-design and user testing of a mobile phone based remote monitoring system (E-PC)
• Pre-conceptual care App for Women with Diabetes

Methodological expertise

• User-led co-design
• Behaviour change interventions
• Data mining
• eHealth system development
• Implementation and evaluation
• Creating a living laboratory and simulated environments to provide test beds for new technology

Collaborations

The Digital Health research grouping has a range of multidisciplinary collaborations with patient/public groups, academic organisations and health networks (including Surrey Health Partners), healthcare providers and industry both nationally and internationally.

Recent publications

2018

Cockle-Hearne J, Barnett D, Hicks J, Simpson M, White I, Faithfull S. A web-based intervention to reduce distress after prostate cancer treatment: development and feasibility of the Getting Down to Coping program in two different clinical settings. JMIR Cancer. 2018; 4(1): e8. doi: 10.2196/cancer.8918

Papachristou N, Barneghi P, Cooper BA, Hu X, Maguire R, Apostolidis K, Armes J, Conley YP, Hammer M, Katsaragakis S, Kober KM, Levine JD, McCann L, Patiraki E, Paul SM, Ream E, Wright F, Miaskowski C. Congruence Between Latent Class and K-Modes Analyses in the Identification of Oncology Patients With Distinct Symptom Experiences. Journal of Pain and Symptom Management. 2018; 55(2): 318 - 333. doi: 10.1016/j.jpainsymman.2017.08.020

2017

Chidiebere H, Carey N, Shawe J. Exploring the acceptability and feasibility of a preconception and diabetes information app for women with pregestational diabetes: a mixed methods study protocol. Digital Health. 2017; 3: 1-11. doi: 10.1177/2055207617726418

Frankland J, Brodie H, Cooke D, Foster C, Foster R, Gage H, Jordan J, Mesa-Eguiagaray I, Pickering R, Richardson A. Follow-up care after treatment for prostate cancer: protocol for an evaluation of a nurse-led supported self-management and remote surveillance programme. BMC Cancer. 2017; 17:656. doi: 10.1186/s12885-017-3643-4

Maguire R, Fox PA, McCann L, Miaskowski C, Kotronoulas G, Miller M, Furlong E, Ream E, Armes J, Patiraki E, Gaiger A, Berg GV, Flowerday A, Donnan P, McCrone P, Apostolidis K, Harris J, Katsaragakis S, Buick AR, Kearney N. The eSMART study protocol: a randomised controlled trial to evaluate electronic symptom management using the advanced symptom management system (ASyMS) remote technology for patients with cancer. BMJ Open. 2017; 7: e015016. doi: 10.1136/bmjopen-2016-015016

Miaskowski C, Cooper BA, Aouizerat B, Melisko M, Chen LM, Dunn L, Hu X, Kober KM, Mastick J, Levine JD, Hammer M, Wright F, Harris J, Armes J, Furlong E, Fox P, Ream E, Maguire R, Kearney N. The symptom phenotype of oncology outpatients remains relatively stable from prior to through 1 week following chemotherapy. European Journal of Cancer Care. 2017; 26(3). doi: 10.1111/ecc.12437

2016

Nwolise CH, Carey N, Shawe JA. Preconception care education for women with diabetes: a systematic review of conventional and digital health interventions. JMIR. 2016; 18(11):e291. doi: 10.2196/jmir.5615

2015

Cockle Hearne J, Cooke D, Faithfull S. Developing peer support in film for cancer self-management: what do men want other men to know? Supportive Care in Cancer. 24(4): 1625–1631. doi: 10.1007/s00520-015-2938-8

Foster C, Calman L, Grimmett C, Breckons M, Cotterell P, Yardley L, Joseph J, Hughes S, Jones R, Leonidou C, Armes J, Batehup L, Corner J, Fenlon D, Lennan E, Morris C, Neylon A, Ream E, Turner L, Richardson A. Managing fatigue after cancer treatment: development of RESTORE, a web-based resource to support self-management. Psychooncology. 2015; 24(8): 940 - 949. doi: 10.1002/pon.3747

Kamps L, Cooke D, Haq SM, Barnes DJ. Does continuous blood glucose monitoring (CGM) improve glycaemic control in patients with Type 1 diabetes who have problematic hypoglycaemia or hyperglycaemia? Diabetic Medicine. 2015; 32: 142-144

Maguire R, Ream E, Richardson A, Connaghan J, Johnston B, Kotronoulas G, Pedersen V, McPhelim J, Pattison N, Smith A, Webster L, Taylor A, Kearney N. Development of a novel remote patient monitoring system: the advanced symptom management system for radiotherapy to improve the symptom experience of patients with lung cancer receiving radiotherapy (ASyMS-R). Cancer Nursing. 2015; 38(2): E37-E47. doi: 10.1097/NCC.0000000000000150 

2014

Tirunagari S, Poh N, Aliabadi K, Windridge D, Cooke D. Patient level analytics using self-organising maps: A case study on Type-1 Diabetes self-care survey responses. 2014 IEEE Symposium on Computational Intelligence and Data Mining (CIDM). doi: 10.1109/CIDM.2014.7008682

Heller S, Lawton J, Amiel S, Cooke DD, Mansell P, Brennan A, Elliott J, Boote J, Emery C, Baird W, Basarir H, Beveridge S, Bond R, Campbell M, Chater T, Choudhary P, Clark M, de Zoysa N, Dixon S, Gianfrancesco C, Hopkins D, Jacques R, Kruger J, Moore S, Oliver L, Peasgood T, Rankin D, Roberts S, Rogers H, Taylor C, Thokala P, Thompson G, Ward C. Improving management of type 1 diabetes in the UK: the Dose Adjustment For Normal Eating (DAFNE) programme as a research test-bed. A mixed-method analysis of the barriers to and facilitators of successful diabetes self-management, a health economic analysis, a cluster randomised controlled trial of different models of delivery of an educational intervention and the potential of insulin pumps and additional educator input to improve outcomes. Programme Grants for Applied Research. 2014; 2(5). doi: 10.3310/pgfar02050