An emotion-based online intervention for reducing anxiety and depression in cancer patients: Study protocol for a randomized controlled trial

Tsiouris, Angeliki; Mayer, Anna; Nölke, Charlotte; Ruckes, Christian; Labitzke, Nicole; Wiltink, Jörg; Beutel, Manfred E.; Zwerenz, Rüdiger

doi:10.1016/j.invent.2021.100410

Cited by 8 publications

(7 citation statements)

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“…Early intervention of patients with negative mood disorders in families with cancer is helpful to promote the prognosis and life quality of cancer patients [ 2 ]. The study found that the social concern of emotional disorders of cancer patients and their families is incomplete, lack of multidimensional longitudinal evaluation, establish the integration of hospital, community follow-up and Internet follow-up mechanism, determine the target population, and analyze the influencing factors in real time [ 3 ]. Achieve individual transmission analysis, specify blocking intervention measures.…”

Section: Introductionmentioning

confidence: 99%

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Zhang

Song

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To analyze the transmission and blocking intervention scheme of emotional disorders between cancer patients and their families. Methods. About 150 patients with cancer and 150 family members with mood disorders treated in a tertiary hospital in North China from March 2021 to Octobor2021 were enrolled. The patients were randomly assigned into control group and study group. The control group received routine intervention, and the study group received the diagnosis, intervention, and treatment strategies of doctor-patient-affective disorder. The factors related to the transmission of emotional disorders between cancer patients and their families were analyzed, and the alterations of anxiety, depression, social support, and satisfaction of the two groups were compared under different blocking intervention schemes. Results. (1) Univariate analysis indicated that there were significant differences in family age, family income, sex, location of tumor, course of disease, TNM stage, somatic symptoms, and the incidence of anxiety and depression. There exhibited no significant difference between the gender of the family, the years of education of the family, the occupational status of the family, the relationship between the family and the patient, the mode of payment of the patient’s medical expenses, the age of the patient, the mode of treatment of the patient, the degree of knowledge of the disease, and the incidence of anxiety and depression ( P > 0.05 ). The anxiety and depression status of relatives were taken as dependent variables, and the age of family members, family income status, sex of patients, location of tumor, course of disease, TNM stage, and physical symptoms of patients were taken as independent variables, and the data were analyzed by Logistic regression analysis. Logistic regression analysis indicated that family income, tumor location, disease course, TNM stage, and somatic symptoms were the risk factors of anxiety and depression in relatives. (2) Comparison of social support status and intergroup, the objective support, subjective support, support utilization, and total score of social support in the study group were higher compared to the control group. In terms of the depression score before intervention, there exhibited no significant difference ( P > 0.05 ), but after intervention, the depression score of the two groups decreased, and the depression score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention ( P < 0.05 ). In terms of the anxiety score before intervention, there exhibited no significant difference ( P > 0.05 ), but after intervention, the anxiety score of the two groups decreased, and the anxiety score of the study group was lower compared to the control group before intervention, 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention ( P < 0.05 ). Comparison of the satisfaction between the two groups and the study group was very satisfied in 56 cases, satisfactory in 14 cases, and general in 5 cases, and the satisfaction rate was 100.00%. The control group was very satisfied in 35 cases, satisfactory in 23 cases, general in 12 cases, and dissatisfied in 5 cases, and the satisfaction rate was 93.33%. The satisfaction of the study group was higher compared to the control group ( P < 0.05 ). Conclusion. Family income, tumor location, course of disease, TNM stage, and somatic symptoms are the risk factors of anxiety and depression in relatives. After establishing the diagnosis, intervention and treatment strategies of doctor-patient-affective disorder, the emotional disorder of family members of cancer patients, is significantly promoted, and the intervention satisfaction is high, so the scheme is worth promoting.

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Section: Introductionmentioning

confidence: 99%

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Zhang

Song

et al. 2022

Computational and Mathematical Methods in Medicine

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“…This result may be due to elderly people being interested in an attending training programs to overcome their feelings of depression by using different strategies to deal with this symptom such as positive thinking, self-awareness, and stress management. This result was supported by Tsiouris, et al, (2021) (22) studied the emotion-primarily based intervention for reducing anxiety and melancholy in elderly sufferers and observed that majority of aged human beings had improvement in despair for elderly patients. Conversely, this result turned into congruent with Douki, et al, (2019) (11) who studied the effectiveness of ne thinking education on anxiety, despair, and best of life of elderly people, and discovered that there may be relatively statistically vast development in overall depression level in the post-intervention segment.…”

Section: Discussionmentioning

confidence: 76%

“…One point for each correct answer. The correct answer is yes for questions number (2,3,4,6,8,10,11,12,13,14,16,17,18,20,22,23,24,25) and the correct answer is no for questions number (1,5,7,9,15,19,21). The correct answer was scored 1 and the wrong answer was scored 0.…”

Section: Scoring Systemmentioning

confidence: 99%

Psychoeducational and Rehabilitation Interventions for Late Life Anxiety and Depression among the Older Adults at Geriatric Home

El-Fatah

Elborie

2022

Preprint

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Background: The Decade of Healthy Ageing (2021–2030) seeks to reduce health inequities and improve the lives of older people. purpose of the study is to evaluate the effect of the psychoeducational and rehabilitation interventions for late-life anxiety and depression among older adults at geriatric homes, a quasi-experimental research design was performed on convenient sample consisting of 20 elderlies at Om-Kolsom geriatric home are in Helwan city, Egypt on May 2021.Results: There is a statistically significant improvement in depression and anxiety symptoms among the elderly who have been studied, and in total depression and anxiety levels in the post-intervention study compared with pre-intervention.Conclusions: At a geriatric home, psychoeducational and rehabilitation interventions are effective in reducing symptoms of depression and anxiety among the elderly.

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“…On average, users are expected to spend approximately 30 to 60 minutes on each unit. Detailed information on the study design of the RCT has been provided elsewhere [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Recruitment of Patients With Cancer for a Clinical Trial Evaluating a Web-Based Psycho-Oncological Intervention: Secondary Analysis of a Diversified Recruitment Strategy in a Randomized Controlled Trial

Tsiouris,

Mayer,

Wiltink

et al. 2023

JMIR Cancer

Self Cite

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Background Participant recruitment poses challenges in psycho-oncological intervention research, such as psycho-oncological web-based intervention studies. Strict consecutive recruitment in clinical settings provides important methodological benefits but is often associated with low response rates and reduced practicability and ecological validity. In addition to preexisting recruitment barriers, the protective measures owing to the COVID-19 pandemic restricted recruitment activities in the clinical setting since March 2020. Objective This study aims to outline the recruitment strategy for a randomized controlled trial evaluating the unguided emotion-based psycho-oncological online self-help (epos), which combined traditional and web-based recruitment. Methods We developed a combined recruitment strategy including traditional (eg, recruitment in clinics, medical practices, cancer counseling centers, and newspapers) and web-based recruitment (Instagram, Facebook, and web pages). Recruitment was conducted between May 2020 and September 2021. Eligible participants for this study were adult patients with any type of cancer who were currently receiving treatment or in posttreatment care. They were also required to have a good command of the German language and access to a device suitable for web-based interventions, such as a laptop or computer. Results We analyzed data from 304 participants who were enrolled in a 17-month recruitment period using various recruitment strategies. Web-based and traditional recruitment strategies led to comparable numbers of participants (151/304, 49.7% vs 153/304, 50.3%). However, web-based recruitment required much less effort. Regardless of the recruitment strategy, the total sample did not accurately represent patients with cancer currently undergoing treatment for major types of cancer in terms of various sociodemographic characteristics, including but not limited to sex and age. However, among the web-recruited study participants, the proportion of female participants was even higher (P<.001), the mean age was lower (P=.005), private internet use was higher (on weekdays: P=.007; on weekends: P=.02), and the number of those who were currently under treatment was higher (P=.048). Other demographic and medical characteristics revealed no significant differences between the groups. The majority of participants registered as self-referred (236/296, 79.7%) instead of having followed the recommendation of or study invitation from a health care professional. Conclusions The combined recruitment strategy helped overcome general and COVID-19–specific recruitment barriers and provided the targeted participant number. Social media recruitment was the most efficient individual recruitment strategy for participant enrollment. Differences in some demographic and medical characteristics emerged, which should be considered in future analyses. Implications and recommendations for social media recruitment based on personal experiences are presented. Trial Registration German Clinical Trials Register DRKS00021144; https://drks.de/search/en/trial/DRKS00021144 International Registered Report Identifier (IRRID) RR2-10.1016/j.invent.2021.100410

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An emotion-based online intervention for reducing anxiety and depression in cancer patients: Study protocol for a randomized controlled trial

Cited by 8 publications

References 50 publications

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Study on the Conduction Analysis and Blocking Intervention Scheme of Emotional Disorders between Cancer Patients and Their Families

Psychoeducational and Rehabilitation Interventions for Late Life Anxiety and Depression among the Older Adults at Geriatric Home

Recruitment of Patients With Cancer for a Clinical Trial Evaluating a Web-Based Psycho-Oncological Intervention: Secondary Analysis of a Diversified Recruitment Strategy in a Randomized Controlled Trial

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