Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory

Kim, Kyeng-Jin; Park, Wanju

doi:10.4040/jkan.2019.49.3.274

Cited by 12 publications

(6 citation statements)

References 20 publications

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“…For the current study's participants, considering that an average of 26 months had passed since the initial diagnosis, it can be assumed that they developed a new perspective that accepts uncertainty as a natural part of life. For patients with colorectal cancer who evaluated uncertainty as danger, a mobile navigation program was structured around the enhancement of nursing continuity and empowerment and was effective for growth through uncertainty [37]. Long-term exposure to uncertainty can lead to intrusive thinking, avoidance, and severe emotional distress [11].…”

Section: Discussionmentioning

confidence: 99%

RETRACTED: Influence of uncertainty in illness on health behavior in individuals with coronary artery disease: a path analysis

Jeong

Lee

Park

et al. 2023

Preprint

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Background The incidence of cardiovascular diseases is rapidly increasing worldwide, and the associated fatalities are also on the rise. In this study, we aimed to investigate the influence of uncertainty-related factors on health behavior in individuals with coronary artery disease based on Mishel’s disease uncertainty theory model. Methods We used a cross-sectional design and conducted path analysis to investigate the influence of uncertainty and related factors on health behavior. The participants were 228 patients with coronary artery disease who visited a hospital’s outpatient department of cardiology between September 2020 and June 2021. SPSS 25.0 and AMOS 25.0 were used to analyze the data. Results Our final model was a good fit for the data. We found that 11 out of 12 paths were significant. Uncertainty had a positive effect on danger and a negative effect on self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity had a positive effect on social support, self-efficacy, perceived benefit, and intention and a negative effect on perceived risk. Social support, self-efficacy, perceived benefit, and intention had a positive effect on health behavior. Perceived benefit and intention had the most significant direct effect and self-efficacy had the most significant indirect effect in the relationship between uncertainty and health behavior. The path model was suitable for predicting the health behavior of patients with coronary artery disease who experience uncertainty. Conclusions When a patient experiences uncertainty, interventions that increase self-efficacy are urgently needed. Nursing programs that can support patients in rapidly transforming their appraisal of uncertainty as a danger into an opportunity should be developed. In addition, programs to improve social support and self-efficacy by focusing on the perceived benefit and intention of health behavior are needed.

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Section: Discussionmentioning

confidence: 99%

RETRACTED: Influence of uncertainty in illness on health behavior in individuals with coronary artery disease: a path analysis

Jeong

Lee

Park

et al. 2023

Preprint

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“…Our trial shows that the MGCS program significantly decreased the uncertainty in patients with GC at 24 weeks. This is consistent with that reported in another study, which found that a mobile navigation program significantly decreased the uncertainty in patients with colorectal cancer [ 22 ]. During chemotherapy, patients with GC may feel ambiguous about what to expect from their illness and treatment because they are not provided with clear, credible, and sufficient information [ 14 ].…”

Section: Discussionsupporting

confidence: 93%

“…Previous research on a face-to-face uncertainty management intervention reduced uncertainty in illness for patients with HIV with an effect size of 0.53 [ 21 ]. Another study reported that a mobile navigation program reduced uncertainty in illness for patients with colorectal cancer with an effect size of 0.49 [ 22 ]. Thus, the effect size (0.49) of web-based intervention for patients with cancer was used to determine the sample size.…”

Section: Methodsmentioning

confidence: 99%

Mobile App for Gynecologic Cancer Support for Patients With Gynecologic Cancer Receiving Chemotherapy in China: Multicenter Randomized Controlled Trial

Lin,

Ye,

Lin

et al. 2023

J Med Internet Res

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Background Patients with gynecologic cancer receiving chemotherapy often report unmet supportive care needs. Compared with traditional face-to-face clinical interventions, mobile health can increase access to supportive care and may address patients’ needs. Although app-based support programs have been developed to support patients with gynecologic cancer, their efficacy has not been adequately tested. Objective The aim of this study was to examine the efficacy of a mobile app for gynecologic cancer support (MGCS) for patients with gynecologic cancer receiving chemotherapy in China. Methods A multicenter randomized controlled trial was conducted in 2 university-affiliated hospitals in China. A total of 168 Chinese patients with gynecologic cancer were recruited and randomized to receive routine care or MGCS program plus routine care for 24 weeks. The Mishel uncertainty in illness theory guided the development of MGCS program, which has 4 modules: weekly topics, emotional care, discussion center, and health consultation. The primary outcome of this program was the assessment of the uncertainty in illness. The secondary outcomes were quality of life, symptom distress, and social support. All health outcomes were evaluated at baseline (T0), 12 weeks (T1), and 24 weeks (T2). Repeated measures analysis of covariance was used to assess the efficacy of the MGCS program. Results In this trial, 67 patients in the control group and 69 patients in the intervention group completed 2 follow-up assessments (response rate, 136/168, 81%). At 12 weeks, no significant differences were observed in any of the health outcomes between the 2 groups. At 24 weeks, compared to patients in the control group, those in the intervention group reported significant decreased uncertainty in illness (P<.001; d=–0.60; adjusted mean difference –7.69, 95% CI –11.31 to –4.07) and improved quality of life (P=.04; d=0.30; adjusted mean difference 4.77, 95% CI 0.12-9.41). Conclusions The MGCS program demonstrated efficacy in supporting patients with gynecologic cancer receiving chemotherapy. This trial illustrates that an app-based program can be incorporated into routine care to support patients with cancer and suggests that allocation of more resources (grants, manpower, etc) to mobile health in clinics is warranted. Trial Registration Chinese Clinical Trial Registry ChiCTR2000033678; https://www.chictr.org.cn/showproj.html?proj=54807

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“…Previous online interventions did not evaluate the effect size of uncertainty in illness for participants with gynaecological cancer. Similar research on a mobile navigation program reported a medium effect size for uncertainty in illness for participants with colorectal cancer (Cohen's d =.49) (Kim & Park, 2019). To achieve a 0.80 power and a 0.05 significance level, this study will need a minimum of 134 participants (67 in each group).…”

Section: The Studymentioning

confidence: 72%

A multi‐centre randomized controlled trial of mobile gynaecological cancer support program for patients with gynaecological cancer undergoing chemotherapy: Study protocol

Lin

Chan

et al. 2021

Journal of Advanced Nursing

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Aim Patients with gynaecological cancer often experience high levels of uncertainty in illness during chemotherapy and report unmet supportive care needs. Mobile applications (apps) are increasing being used as an easily accessible alternative to support these patients, but a lack of rigorous trials have been conducted to explore their effectiveness. Based on Mishel's uncertainty in illness theory, the Mobile Gynaecological Cancer Support (MGCS) program is an app‐based program that includes four modules: 1) weekly topics, 2) emotional care, 3) discussion centre and 4) health consultation. The aim of this study is to assess the effectiveness of MGCS for Chinese patients with gynaecological cancer receiving chemotherapy in respect of reducing uncertainty in illness and symptom distress and improving quality of life and social support. Design A multi‐centre randomized controlled trial will be used. Methods One hundred and sixty‐eight patients with gynaecological cancer commencing chemotherapy will be recruited from three university affiliated hospitals and assigned to the control or intervention group with block randomization. The control group will only receive routine care. The intervention group will access the MGCS program for 24 weeks and receive routine care. Health outcomes will be evaluated at baseline, 12 weeks, and 24 weeks. Repeated measures multivariate analysis of covariance (intention‐to‐treat) will be used to assess the effectiveness of MGCS. Discussion This is the first trial to explore the effectiveness of an app‐based program for patients with gynaecological cancer using a robust and rigorous study design in China. If effective, this trial will provide evidence for an app‐based program to support these patients. Impact The knowledge gained can be applied to develop other culturally appropriate app‐based programs for cancer groups worldwide, and provide evidence for health policymakers to allocate more resources and train staff for e‐health. Trial Registration ChiCTR2000033678 (Chinese Clinical Trial Registry Registered 08 June, 2020).

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Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory

Cited by 12 publications

References 20 publications

RETRACTED: Influence of uncertainty in illness on health behavior in individuals with coronary artery disease: a path analysis

RETRACTED: Influence of uncertainty in illness on health behavior in individuals with coronary artery disease: a path analysis

Mobile App for Gynecologic Cancer Support for Patients With Gynecologic Cancer Receiving Chemotherapy in China: Multicenter Randomized Controlled Trial

A multi‐centre randomized controlled trial of mobile gynaecological cancer support program for patients with gynaecological cancer undergoing chemotherapy: Study protocol

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