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September 8, 2026Implementation Science CommunicationsOpen Access

How remote symptom monitoring works in routine oncology care: process mapping with a cultural-models lens

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Authors

NHN. HendersonSASherrie D. AlexanderTPTanvi V. Padalkar

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Overview

Multi-method study uncovers key workflow and cultural components of remote symptom monitoring in cancer care, highlighting shared expectations that sustain routine clinical adoption.

Key Points

  • To identify the clinical workflows, coordination demands, and shared cultural models necessary to sustain remote symptom monitoring programs within routine oncology care.
  • Conducted a multi-method study at an NCI-designated comprehensive cancer center using ethnographic observation, process mapping, and semi-structured interviews with healthcare professionals (N=25) and patients (N=20).
  • Applied a cultural-models framework using freelist logic and constant comparison across four core subprocesses: screening, enrollment, survey completion, and symptom intervention.
  • Identified five overarching cultural components shaping remote symptom monitoring operations: ownership, mechanism, timing, auditing, and operational challenges.
  • Demonstrated that successful workflow execution depends on non-clinical navigators managing screening and enrollment logistics, treatment-aligned weekly survey intervals, and nurse-led alert triage.
  • Derived 12 multidisciplinary recommendations targeting role-specific training, communication gaps, and protocol adaptation to optimize the patient experience.

Cite This Study

Henderson et al. (2026) studied this question.

synapsesocial.com/papers/6aa0091858e84d0ff5b47b90https://doi.org/10.1186/s43058-026-01094-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Practical Insights from Operationalizing a Remote Symptom Monitoring Program Using a Commercial Platform in a Canadian Community Cancer Clinic: A Post-Implementation Qualitative Evaluation2026
  2. 2Remote Symptom Monitoring With Electronic Patient-Reported Outcomes in Clinical Cancer Populations2026
  3. 3Development and implementation of a digital remote symptom monitoring program (RESPONSe) to support patients undergoing IV chemotherapy at a community ambulatory cancer clinic in Richmond, BC, Canada.2024 · 2 citations
  4. 4Patient and provider perceptions of the benefits and limitations of implementing ePRO-driven remote symptom monitoring into real-world cancer care settings.2024 · 1 citations
  5. 5Engagement Among Diverse Patient Backgrounds in a Remote Symptom Monitoring Program2024 · 27 citations