<i>SCOPE:</i> Examining Technology-Enhanced Collaborative Care Management of Depression in the Cancer Setting

Collaborative care management is an evidence-based approach to integrated psychosocial care for patients with comorbid cancer and depression. Prior work highlights challenges in patient-provider collaboration in navigating parallel cancer care and psychosocial care journeys of these patients. We design and deploy <i>SCOPE</i>, a platform for technology-enhanced collaborative care combining a patient-facing mobile app with a provider-facing registry. We examine <i>SCOPE</i> through a total of 45 interviews with patients and providers conducted in <i>SCOPE</i>'s 15 months of design and development and 24 months of <i>SCOPE</i>'s deployment for actual care in 6 cancer clinics. We find that: (1) <i>SCOPE</i> supported patient engagement in its underlying collaborative care and behavioral activation interventions, (2) patient-generated data in <i>SCOPE</i> improved patient-provider collaboration between and within in-person sessions, (3) <i>SCOPE</i> supported providers in delivering care and improved care team collaboration, (4) experience with <i>SCOPE</i> created evolving expectations for collaboration around data, and (5) <i>SCOPE</i>'s deployment in actual care surfaced important implementation barriers. We discuss the implications of our findings in terms of designing for engagement with behavioral health interventions, negotiating patient data sharing and provider responsiveness, supporting personalized self-tracking goals in evidence-based interventions, exploring the role of digital health navigators in technology-enhanced care, and the need for flexibility in aligning technology-supported interventions to patient needs.