The Optimal Lymph-Flow ™

The goal of this project is to improve clinical practice by implementing The Optimal Lymph-Flow ™ -- a patient-centered educational and behavorial lymphedema prevention program -- to a cost-effective web-based platform that will be accessible via multiple communication devices, including tablets and smartphones. The objectives are to: (1) implement an automated touch screen tablet using an evidence-based and reliable symptom assessment tool to collect patient-generated data to evaluate pain and symptoms related to lymphedema among women treated for breast cancer as part of routine clinical practice and part of electronic medical record; (2) conduct a randomized clinical trial to evaluate the efficacy of the web-based The Optimal Lymph-Flow ™ program for managing chronic pain and symptoms related to lymphedema focusing on primary outcomes of pain reduction and symptom relief and secondary outcomes of limb volume difference by infra-red perometer, quality of life, and body mass index.