Engaging Elderly Breast Cancer Patients: The Potential of eHealth Interventions

Villani, Daniela; Cognetta, Chiara; Toniolo, D.; Scanzi, Francesco; Riva, Giuseppe

doi:10.3389/fpsyg.2016.01825

Cited by 8 publications

(6 citation statements)

References 37 publications

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“…Clear, accurate and informative websites can be seen as a first level of supportive care, but the mere provision of educational material does not significantly improve compliance or patients’ wellbeing. Thus, it is possible to recognize eHealth interventions that are more oriented to sustaining women’s well-being ( Villani et al, 2016b ). In one recent study, women with cancer identified Web-based applications, email, and blogs as appropriate vehicles to meet their needs for psychological and informational support and specified their preference for topics such as ability to cope, anxiety and depressive feelings ( Ringwald et al, 2017 ).…”

Section: The Opportunities Of Ehealth Interventionsmentioning

confidence: 99%

Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention

Villani

Cognetta²,

Repetto

et al. 2018

Front. Psychol.

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Breast cancer is the most common cancer in women worldwide, with increases in diagnoses at all ages. Due to several age-related factors, older breast cancer patients show particular difficulties in adjusting to breast cancer and its related treatments. One consistent indicator of vulnerability to long-term complications is emotional distress occurring within 3 months of diagnosis. Thus, it is critical to develop early interventions specifically aimed at mitigating distress and promoting emotional wellbeing in older breast cancer patients. By taking advantage of the opportunities of online interventions, the present study aimed to test the efficacy of a 2 weeks e-health stress inoculation training (SIT) intervention on emotion regulation and cancer-related well-being, compared with a control group without such intervention. Twenty-nine women with a diagnosis of breast cancer, who had received radical surgery and who were suitable candidates for adjuvant chemotherapy with anthracyclines and taxanes (mean age = 62.76; SD = 6.19) voluntarily took part in the current study after giving written informed consent. To test intervention efficacy, self-report questionnaires were administered to all participants at baseline, at the end of the 2 weeks intervention, and 3 months after the end of the intervention. Results showed that after 2 weeks of ehealth intervention, patients did not achieve significant change, however, they significantly reduced emotional suppression and increased cancer-related emotional well-being 3 months after the end of the intervention. Furthermore, by monitoring at a distance the emotional experience during the online intervention, we found an increase in relaxation and a reduction of anxiety. Finally, patients in the experimental group reported a good level of acceptance of the ehealth intervention. To conclude, designing and developing eHealth interventions as part of the regular care path for breast cancer patients of all ages represents both a challenge and an opportunity; in particular, online interventions can be an important step in universal psychosocial care within a tiered model of care.

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Section: The Opportunities Of Ehealth Interventionsmentioning

confidence: 99%

Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention

Villani

Cognetta²,

Repetto

et al. 2018

Front. Psychol.

Self Cite

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“…In this context, where ongoing disease management is required, eHealth interventions offer a viable and important support option. Many eHealth solutions have been developed for a variety of chronic illnesses, including diabetes [27,28], breast cancer [29], hypertension [30], cardiovascular disease [16], multiple sclerosis [31], headache [8], and chronic pain [12,14,32-38].…”

Section: Introductionmentioning

confidence: 99%

An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis

Slattery¹,

Haugh²,

O’Connor³

et al. 2019

J Med Internet Res

100

104

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Background Electronic health (eHealth) is the use of information and communication technology in the context of health care and health research. Recently, there has been a rise in the number of eHealth modalities and the frequency with which they are used to deliver technology-assisted self-management interventions for people living with chronic pain. However, there has been little or no research directly comparing these eHealth modalities. Objective The aim of this systematic review with a network meta-analysis (NMA) is to compare the effectiveness of eHealth modalities in the context of chronic pain. Methods Randomized controlled trials (N>20 per arm) that investigated interventions for adults with chronic pain, delivered via an eHealth modality, were included. Included studies were categorized into their primary node of delivery. Data were extracted on the primary outcome, pain interference, and secondary outcomes, pain severity, psychological distress, and health-related quality of life. Pairwise meta-analyses were undertaken where possible, and an NMA was conducted to generate indirect comparisons and rankings of modalities for reducing pain interference. Results The search returned 18,470 studies with 18,349 being excluded (duplicates=2310; title and abstract=16,039). Of the remaining papers, 30 studies with 5394 randomized participants were included in the review. Rankings tentatively indicated that modern eHealth modalities are the most effective, with a 43% chance that mobile apps delivered the most effective interventions, followed by a 34% chance that interventions delivered via virtual reality were the most effective. Conclusions This systematic review with an NMA generated comparisons between eHealth modalities previously not compared to determine which delivered the most effective interventions for the reduction of pain interference in chronic pain patients. There are limitations with this review, in particular, the underrepresented nature of some eHealth modalities included in the analysis. However, in the event that the review is regularly updated, a clear ranking of eHealth modalities for the reduction of pain interference will emerge.

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“…A diagnosis of breast cancer is considered a potential traumatic event associated with physical and psychological effects (Martino et al, 2013, 2015; Villani et al, 2016) that may also occur after the end of medical treatments (Cordova et al, 2007; Elklit and Blum, 2011). Cancer has a specific and peculiar nature because of the difficulty of recognizing a unique stressful.…”

Section: Introductionmentioning

confidence: 99%

“…This aim allows us to focus our attention on the meaning-making of a vulnerable target during the traumatic experience, an innovative point of view with respect to the literature mainly focused on post-traumatic narrative elaboration, or at the end of the experience. This study gives the opportunity to throw some preliminary clinical reflections on the construction of personalized support interventions for women under 50 with breast cancer and their needs (Villani et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Underfifty Women and Breast Cancer: Narrative Markers of Meaning-Making in Traumatic Experience

et al. 2019

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A diagnosis of breast cancer is considered a potential traumatic event associated with physical and psychological effects. In literature, an exploration of breast cancer experience in young women is lacking, able to shed light on the narrative processes of meaning-making of the experience in specific phases of treatment, as may be the initial impact with the onset of the cancer. Meaning-making processes are determinant aspects when dealing with traumatic events. The research took place at National Cancer Institute Pascale of Naples. We collected 50 ad hoc narrative interviews to explore the different domains of the experience with under-fifty women at the first phase of the hospitalization. The Narrative Interviews were analyzed through a qualitative methodology constructed ad hoc . Starting from the functions of meaning-making that the narrative mediate we have highlight the different modes to articulate the narrative functions: The Organization of Temporality: chronicled (38%), actualized (26%), suspended (18%), interrupted (16%), and confused (2%). The Search for Meaning: internalized (42%); generalized (24%); externalized (18%); suspended (16%). The Emotional Regulation: disconnected (44%), splitted (28%), pervasive (26%), and connected (2%). The Organization of self-other Relationship: supportive (46%), avoidant (22%), overturned (16%), and sacrificial (16%). The Finding Benefit: revaluating (38%), flattened (34%), and postponed (28%). The Orientation to Action: combative (38%), blocked (36%), and suspended (26%). Findings capture the impact with the onset of the cancer, identifying both risk and resource aspects. The study allows to identify a specific use of narrative device by under-fifty women who impacted with the experience of breast cancer. The ways in which meaning-making functions are articulated highlight the specificity of the first phase of the treatment of the cancer. From a clinical psychology point of view, our findings can be used as clinical narrative markers to grasp, in a diachronic way, the process of meaning-making, integration, and coping during the first phase of breast cancer experience in young women. We consider it valuable to increase longitudinal studies with young women to highlight trajectories of meaning-making during the different phases of the treatment to think about personalized intervention practices diachronically to the experience.

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Engaging Elderly Breast Cancer Patients: The Potential of eHealth Interventions

Cited by 8 publications

References 37 publications

Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention

Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention

An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis

Underfifty Women and Breast Cancer: Narrative Markers of Meaning-Making in Traumatic Experience

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