Overview

Evaluate the feasibility of using a chatbot combined with continuous activity monitoring to proactively identify, appropriately triage and help manage patients' symptoms during cancer treatment Determine whether such an early outpatient clinic-based intervention can decrease rates of excess triage visits

Correlate changes in activity and early symptom management to emergency department visits, unplanned inpatient hospitalizations and treatment breaks

Eligibility

Inclusion Criteria:

• Adults (age >18 years) with a diagnosis of a head and neck, lung, gastrointestinal cancer, that are receiving concurrent chemotherapy and radiation treatment.
• Possession of a mobile device that can receive SMS texts and can deliver FitBit data wirelessly
• Ability read and respond in English
• Ability to provide informed consent to participate in the study

Exclusion Criteria:

• Patients who are bed bound at baseline (ECOG 4)
• Patients who rely on a wheelchair for ambulation