Table 2.

Examples of mPCL pilot test feedback and corresponding actions taken.

Issue identified	Action taken
CommCare failed to recognize installation codes necessary to install the mPCLa app on a study phone	ORCIb-based team instructed on resolution
CommCare failed to install updates	ORCI-based team instructed on resolution
LHWsc and patients unknowingly uninstalled mPCL or reset cellular internet settings	ORCI-based information technology support team member engaged to address issues on demand
Study nurse could not complete the mPCL clinical record if the cancer stage was not known	“Unknown” was added as a response selection
Patients requested to use their own personal SIM cards rather than using SIM card provided by study	Personal SIM cards were allowed and used with study phones, with participant’s permission
ORCI study team noted variability in the ease of training patients on the use of mPCL	Procedure established to capture data on patient’s mPCL training ease or difficulty (eg, number of times patient training repeated and specific challenges encountered during training)
Difficulty for the patient to select which care team member they wished to contact by phone in emergency setting (ie, nurse, LHW, or specialist)	mPCL adjusted to allow the patient to more easily select the desired care team member
Patients completed more than one Palliative Care Outcome Scale in a given day	Feedback provided to patient that they were submitting duplicate surveys, including a reminder that they could contact a care team member by phone in the event of escalating symptoms

^amPCL: mobile-Palliative Care Link.

^bORCI: Ocean Road Cancer Institute.

^cLHWs: local health workers.