CC BY 4.0 · ACI Open 2019; 03(02): e78-e87
DOI: 10.1055/s-0039-1696732
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Oncologists' Perceptions of a Digital Tool to Improve Cancer Survivors' Cardiovascular Health

Marjorie Kelley
1  Department of Biomedical Informatics, The Ohio State University, College of Medicine, Columbus, Ohio, United States
2  College of Nursing, The Ohio State University, Columbus, Ohio, United States
Randi Foraker
3  Division of General Medicine, Washington University St. Louis, St. Louis, Missouri, United States
4  Institute for Informatics, Institute for Public Health, Washington University, St. Louis, United States
En-Ju Deborah Lin
5  Nationwide Children's Hospital, Columbus, Ohio, United States
Manjusha Kulkarni
6  Ohio State University Wexner Medical Center—Health and Rehabilitation Sciences, Columbus, Ohio, United States
Maryam Lustberg
7  Department of Medical Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio, United States
Kathryn E. Weaver
8  Wake Forest School of Medicine—Social Sciences and Health Policy, Office of Women in Medicine and Science, Winstom-Salem, North Carolina, United States
› Author Affiliations
Funding This project was supported by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health, through Grant Award Number UL1TR002733. This work was partially supported by a grant from the National Institute of Health, NCI R01 CA226078.
Further Information

Publication History

21 June 2018

18 July 2019

Publication Date:
03 October 2019 (online)



Background Cardiovascular (CV) disease continues to be a leading cause of morbidity and mortality with higher rates among cancer survivors than in the general population.

Objective This study was aimed to understand oncology providers' attitudes toward a digital CV health tool, delivered via a tablet, to promote CV health in cancer survivors.

Methods Using qualitative methods, 14 oncologists, from community and academic practice sites, were interviewed while they used the tool. Interviews were videotaped then analyzed using NVivo 11 software. Themes were inductively developed from the interviews.

Results Three major themes emerged from the interviews as follows: (1) system functionality, (2) facilitators and barriers to integration, and (3) appropriate end-users. Oncologists recognized the critical role of CV health promotion among cancer survivors and identified features about the tool that would be helpful for CV health promotion. Workflow (subtheme) was a barrier to tool use. This feedback enabled tool redesign for further testing in the context of survivorship care.

Conclusion Our findings emphasized the importance of identifying appropriate End-users which may include other survivorship care providers, patients, and primary care providers.

Implications Our research addresses the knowledge gap in the use of digital tools in cancer survivorship care, specifically digital tools to promote CV health. Future research is needed to evaluate digital tools in cancer survivorship care. Research investigating patients as users of digital tools may provide additional insight.

Protection of Human and Animal Subjects

This study was performed in compliance with the ethical standards of the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects and was reviewed and approved by the Institutional Review Boards of Wake Forest University and the Ohio State University.


The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or the NLM.

Supplementary Material