Feasibility, acceptability, and preliminary efficacy of a technology‐assisted psychosocial intervention for racially diverse men with advanced prostate cancer

Yanez, Betina R.; McGinty, Heather L.; Mohr, David C.; Begale, Mark; Dahn, Jason R.; Flury, Sarah C.; Perry, Kent T.; Penedo, Frank J.

doi:10.1002/cncr.29658

Cited by 81 publications

(179 citation statements)

References 41 publications

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“…These media could have the benefits of both telephone-delivery (circumventing distance) and face-to-face delivery (enhancing engagement). Recently, a trial of a tablet-delivered videoconferencing CBSM program for men with prostate cancer demonstrated preliminary efficacy in reducing depressive symptoms and improving relaxation self-efficacy [46]. It will be important for future research to study the acceptability and efficacy of video-enhanced telehealthcare among CFS patients and their medical specialists.…”

Section: Discussionmentioning

confidence: 99%

Telephone-administered versus live group cognitive behavioral stress management for adults with CFS

Hall

Lattie

Milrad

et al. 2017

Journal of Psychosomatic Research

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Objective Chronic Fatigue Syndrome (CFS) symptoms have been shown to be exacerbated by stress and ameliorated by group-based psychosocial interventions such as cognitive behavioral stress management (CBSM). Still, patients may have difficulty attending face-to-face groups. This study compared the effects of a telephone-delivered (T-CBSM) vs a live (L-CBSM) group on perceived stress and symptomology in adults with CFS. Methods Intervention data from 100 patients with CFS (mean age 50 years; 90% female) participating in T-CBSM (N = 56) or L-CBSM (N = 44) in previously conducted randomized clinical trials were obtained. Perceived Stress Scale (PSS) and the Centers for Disease Control and Prevention symptom checklist scores were compared with repeated measures analyses of variance in adjusted and unadjusted analyses. Results Participants across groups showed no differences in most demographic and illness variables at study entry and had similar session attendance. Both conditions showed significant reductions in PSS scores, with L-CBSM showing a large effect (partial ε2=.16) and T-CBSM a medium effect (partial ε2=.095). For CFS symptom frequency and severity scores, L-CBSM reported large effect size improvements (partial ε2=.19–.23), while T-CBSM showed no significant changes over time. Conclusions Two different formats for delivering group-based CBSM—live and telephone—showed reductions in perceived stress among patients with CFS. However, only the live format was associated with physical symptom improvements, with specific effects on post-exertional malaise, chills, fever, and restful sleep. The added value of the live group format is discussed, along with implications for future technology-facilitated group interventions in this population.

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Section: Discussionmentioning

confidence: 99%

Telephone-administered versus live group cognitive behavioral stress management for adults with CFS

Hall

Lattie

Milrad

et al. 2017

Journal of Psychosomatic Research

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“…Our control content was based on similar content tested in a psychosocial intervention with cancer survivors [24]. …”

Section: Intervention and Control Components And Deliverymentioning

confidence: 99%

“…To assess acceptability, all participants will be asked to complete a previously tested application satisfaction questionnaire on study usability and usefulness at six weeks post-baseline [24]. This questionnaire will measure the usefulness, satisfaction, learnability and usability of My Guide and My Health .…”

Section: Data Collection and Outcomesmentioning

confidence: 99%

“…Based on previous psychosocial and behavioral studies in oncology, an 80% recruitment rate, 80% retention rate, and an average of 10 h of use will be considered adequate measures of demand [24,55,56]. …”

Section: Data Collection and Outcomesmentioning

confidence: 99%

“…Our expected effect size of 0.63 is based on previous e-health interventions in oncology [24] and validation data on FACT-G [57]. For all outcomes, change from baseline will be calculated and the mean changes within study condition will be converted to effect sizes.…”

Section: Data Collection and Outcomesmentioning

confidence: 99%

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Study design and protocol for My Guide : An e-health intervention to improve patient-centered outcomes among Hispanic breast cancer survivors

Yanez

Buitrago

Buscemi

et al. 2018

Contemporary Clinical Trials

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Breast cancer is the most commonly diagnosed non-skin cancer in women and the leading cause of death among Hispanic women living in the United States. Relative to non-Hispanic white women, Hispanic women report poorer health related quality of life (HRQoL) after treatment. Although eHealth interventions delivered via Smartphones are a viable approach to addressing supportive care accessibility issues while also integrating multidisciplinary approaches for improving HRQoL, few eHealth interventions have been developed that specifically target Hispanic breast cancer survivors (BCS). This manuscript describes the methodology of a multisite, randomized controlled behavioral trial investigating the feasibility and preliminary efficacy of a Smartphone application aimed at improving HRQoL and cancer-specific distress among Hispanic BCS. Participants will be randomized to receive the intervention application, My Guide (psychoeducation & self-management program), or the health education control condition application, My Health (health education), for six weeks. All participants will also receive weekly telecoaching to enhance adherence to both control and intervention conditions. We will measure the study’s primary outcomes, general and disease-specific HRQoL and cancer-specific distress, at three time points: prior to, immediately after the intervention, and eight weeks after initial application use. My Guide may have the potential to improve HRQoL, and to address issues of limited access to supportive care among Hispanic women recovering from breast cancer treatment.

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Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors

et al. 2020

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Background:In-person cognitive-behavioral stress-management interventions are consistently associated with reduced cancer distress. However, face-to-face delivery is an access barrier for many patients, and there is a need to develop remote-delivered interventions. The current study evaluated the preliminary efficacy of an application (app)-based cancer stress-management intervention, StressProffen, in a randomized controlled trial. Methods: Cancer survivors, maximum 1-year posttreatment (N = 172), were randomized to StressProffen (n = 84) or a usual care control group (n = 88). Participants received a blended delivery care model: (a) one face-to-face introduction session, (b) 10 app-based cognitive-behavioral stress-management modules, and (c) followup phone calls at weeks 2-3 and 6-7. Outcome measures included stress (Perceived Stress Scale), anxiety and depression (Hospital Anxiety Depression Scale), and health-related quality of life (HRQoL; Short-Form Health Surveys [SF-36]) at 3-months post-intervention, analyzed with change scores as dependent variables in linear regression models. Results: Participants were primarily women (82%), aged 20-78 years (mean 52, SD 11.2), with mixed cancer types (majority breast cancer; 48%). Analysis of 149 participants completing questionnaires at baseline and 3 months revealed significant intervention effects: decreased stress (mean difference [MD] −2.8; 95% confidence interval [CI], [−5.2 to −0.4]; P = .022) and improved HRQoL (Role Physical MD = 17.7, [CI 3.7-31.3], P = .013; Social Functioning MD = 8.5, [CI 0.7-16.2], P = .034; Role Emotional MD = 19.5, [CI 3.7-35.2], P = .016; Mental Health MD = 6.7, [CI 1.7-11.6], P = .009). No significant changes were observed for anxiety or depression. Conclusions: Digital-based cancer stress-management interventions, such as StressProffen, have the potential to provide easily accessible, effective psychosocial support for cancer survivors. 3776 | BØRØSUND et al.

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Feasibility, acceptability, and preliminary efficacy of a technology‐assisted psychosocial intervention for racially diverse men with advanced prostate cancer

Cited by 81 publications

References 41 publications

Telephone-administered versus live group cognitive behavioral stress management for adults with CFS

Telephone-administered versus live group cognitive behavioral stress management for adults with CFS

Study design and protocol for My Guide : An e-health intervention to improve patient-centered outcomes among Hispanic breast cancer survivors

Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors

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