31 January 2018

CMyLife was recently awarded a ZonMw grant of 200,000 euro within the program Quality in Health Care. The grant will be used to further develop CMyLife’s innovations, and to scale up its nationwide implementation using action research.

According to professor Nicole Blijlevens, the founder of CMyLife, the care for patients with chronic myeloid leukemia is severely outdated. She envisions a treatment outside of the hospital, with empowered patients whom can lead near normal lives. Though chronic myeloid leukemia is a serious type of cancer, treatment has been revolutionized by oral chemotherapy which can completely control the disease, if taken lifelong.
For patients to take care of their own health, they need insight into the two most important factors that determine a successful treatment of their chronic myeloid leukemia: firstly, adherence to therapy, and secondly, an adequate monitoring of their disease. Patients can monitor their own therapy adherence using the CMyLife Medapp.

They can then share the results electronically with their treating physician, including a logbook of the side effects they have experienced from the oral chemotherapy. To ensure adequate disease monitoring with patients in the lead, a guideline app is developed that warns patients when they need to get their blood checked. Using the hospital’s laboratory values the app then informs patients whether the effect of their treatment is optimal or not, and what actions to take. This app is completely aligned with the national Dutch guideline for chronic myeloid leukemia.
Besides the further development of these apps, this project explores facilitating and hindering factors for the implementation and scaling up of CMyLife in general. This will result in an action plan for accelerated nationwide implementation, written under the guidance of implementation expert Rosella Hermens of IQhealthcare. Geneviève Ector is a medical doctor training as an haematologist, and she conducts another pillar of the ZonMw project as part of her PhD. “Earlier research suggests that medical doctors consider the effectiveness of CMyLife a crucial factor for its implementation in to their own practice”, according to Ector. “We therefore decided to measure the effectiveness of CMyLife: does it actually improve patient empowerment, treatment and guideline adherence and quality of life?”. Finally, this project fully engages the knowledge transfer of its findings, so other organizations and innovators can benefit fully.
 
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