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Narrative Medicine: A Digital Diary in the Management of Patients with Bone and Soft Tissue Sarcoma—A Multidisciplinary Pilot Study

Title: Narrative Medicine: A Digital Diary in the Management of Patients with Bone and Soft Tissue Sarcoma—A Multidisciplinary Pilot Study
Authors: Maria Cecilia Cercato; Concetta Elisa Onesti; Sabrina Vari; Gabriella Maggi; Wioletta Faltyn; Serena Ceddia; Irene Terrenato; Virginia Scarinci; Francesca Servoli; Cristina Cenci; Roberto Biagini; Virginia Ferraresi
Source: Journal of Clinical Medicine, Vol 12, Iss 23, p 7218 (2023)
Publisher Information: MDPI AG
Publication Year: 2023
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: narrative medicine; bone sarcoma; soft tissue sarcoma; digital diary; Medicine
Description: Although patient narratives have been increasingly introduced in various fields of medicine, a standard method in clinical practice is still lacking. The objectives of this pilot study were to evaluate the feasibility and usefulness of a digital narrative diary integrated into the care pathway of patients with bone sarcoma and limb soft tissue sarcoma both from the patients’ and the healthcare professionals’ (HCPs) perspectives. A digital platform, DNMLAB, was designed to obtain guided narratives from patients during their pathway of care in compliance with confidentiality and data protection laws. The diary was used for patients, often young, facing a rare and impactful disease that is difficult to manage and with few opportunities to share experiences. The multidisciplinary team shared the narratives and integrated them into the patient’s treatment pathway. Narrative prompts were adequate for the care pathway. Patients correctly considered the diary as a shared area to think about their condition, and HCPs considered it “a shared area growing at each meeting with the patient”. The main advantages reported by patients were increased awareness, the opportunity to express their opinion on cures and important personal needs and the perception of better taking charge (score ≥ 4.6). The main advantages of HCP were improved communication, therapeutic alliance, and deeper knowledge of patients. This study confirmed the authors’ previous experiences, showing that a digital narrative process is feasible and useful for oncology clinical practice according to patients and HCPs.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/2077-0383/12/23/7218; https://doaj.org/toc/2077-0383; https://doaj.org/article/2064db059d3e4cefbb048da39d7cd014
DOI: 10.3390/jcm12237218
Availability: https://doi.org/10.3390/jcm12237218; https://doaj.org/article/2064db059d3e4cefbb048da39d7cd014
Accession Number: edsbas.455752C3
Database: BASE