Internet‐based program for coping with cancer: a randomized controlled trial with hematologic cancer patients

David, Niklas; Schlenker, Peter; Prudlo, Uwe; Larbig, W.

doi:10.1002/pon.3104

Cited by 37 publications

(46 citation statements)

References 41 publications

(53 reference statements)

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“…Cognitive behavior therapy is the most common behavioral health intervention and has been adapted as a web‐based intervention for cancer survivors. Improvements were reported in negative affect, helplessness/hopelessness, anxious preoccupation, coping with cancer, increase in fight spirit, depression, and insomnia . A newer intervention, MBSR, is becoming more proliferative, and currently close to 80% of medical schools offer elements of mindfulness research and training…”

Section: Introductionmentioning

confidence: 99%

Feasibility of the mobile mindfulness‐based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors

et al. 2017

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These results provide preliminary support that the mMBSR(BC) program may be feasible and acceptable, showing a clinical impact on decreasing psychological and physical symptoms. This mobile-based program offers a delivery of a standardized MBSR(BC) intervention to BCS that is convenient for their own schedule while decreasing symptom burden in the survivorship phase after treatment for breast cancer.

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Section: Introductionmentioning

confidence: 99%

Feasibility of the mobile mindfulness‐based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors

et al. 2017

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“…In cancer care, Web-based support systems are described as helpful for individuals [ 12 ]. This includes findings of increased health information competence [ 13 , 14 ], emotional processing [ 13 ], fighting spirit [ 15 ], social support [ 14 , 16 ], quality of life [ 16 , 17 ], as well as reductions in symptom distress [ 18 , 19 ], and decrease in depression and anxiety scores [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Comparing Effects in Regular Practice of E-Communication and Web-Based Self-Management Support Among Breast Cancer Patients: Preliminary Results From a Randomized Controlled Trial

Børøsund¹,

Cvancarova²,

Moore³

et al. 2014

J Med Internet Res

133

242

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BackgroundWhile Web-based interventions have been shown to assist a wide range of patients successfully in managing their illness, few studies have examined the relative contribution of different Web-based components to improve outcomes. Further efficacy trials are needed to test the effects of Web support when offered as a part of routine care.ObjectiveOur aim was to compare in regular care the effects of (1) an Internet-based patient provider communication service (IPPC), (2) WebChoice, a Web-based illness management system for breast cancer patients (IPPC included), and (3) usual care on symptom distress, anxiety, depression, (primary outcomes), and self-efficacy (secondary outcome). This study reports preliminary findings from 6 months’ follow-up data in a 12-month trial.MethodsWe recruited 167 patients recently diagnosed with breast cancer and undergoing treatment from three Norwegian hospitals. The nurse-administered IPPC allowed patients to send secure e-messages to and receive e-messages from health care personnel at the hospital where they were treated. In addition to the IPPC, WebChoice contains components for symptom monitoring, tailored information and self-management support, a diary, and communication with other patients. A total of 20 care providers (11 nurses, 6 physicians, and 3 social workers) were trained to answer questions from patients. Outcomes were measured with questionnaires at study entry and at study months 2, 4, and 6. Linear mixed models for repeated measures were fitted to compare effects on outcomes over time.ResultsPatients were randomly assigned to the WebChoice group (n=64), the IPPC group (n=45), or the usual care group (n=58). Response rates to questionnaires were 73.7% (123/167) at 2 months, 65.9 (110/167) at 4 months, and 62.3% (104/167) at 6 months. Attrition was similar in all study groups. Among those with access to WebChoice, 64% (41/64) logged on more than once and 39% (25/64) sent e-messages to care providers. In the IPPC group, 40% (18/45) sent e-messages. Linear mixed models analyses revealed that the WebChoice group reported significantly lower symptom distress (mean difference 0.16, 95% CI 0.06-0.25, P=.001), anxiety (mean difference 0.79, 95% CI 0.09-1.49, P=.03), and depression (mean difference 0.79, 95% CI 0.09-1.49, P=.03) compared with the usual care group. The IPPC group reported significant lower depression scores compared with the usual care group (mean difference 0.69, 95% CI 0.05-1.32, P=.03), but no differences were observed for symptom distress or anxiety. No significant differences in self-efficacy were found among the study groups.ConclusionsIn spite of practice variations and moderate use of the interventions, our results suggest that offering Web support as part of regular care can be a powerful tool to help patients manage their illness. Our finding that a nurse-administered IPPC alone can significantly reduce depression is particularly promising. However, the multicomponent intervention WebChoice had additional positive effects.Trial RegistrationC...

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“…There is emerging but mixed evidence of their utility for people affected by cancer (e.g. David, Schlenker, Prudlo, & Larbig, 2013;Wootten et al, 2015), indicating a need for further development and evaluation. A 2015 systematic review noted the paucity of studies reporting on the efficacy of eHealth interventions for cancer patients or survivors and called for further development and evaluation using validated measures (McAlpine, Joubert, Martin-Sanchez, Merolli, & Drummond, 2015).…”

Section: Introductionmentioning

confidence: 99%

e-TC: Development and pilot testing of a web-based intervention to reduce anxiety and depression in survivors of testicular cancer

et al. 2017

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e-TC is an online intervention designed to address common psychosocial concerns of testicular cancer survivors. It aims to reduce anxiety, depression and fear of cancer recurrence by providing evidence-based information and psychological intervention. This paper details the development and pilot testing of e-TC. During pilot testing, 25 men (with varying psychological profiles) who had completed treatment for testicular cancer, 6 months to 5 years ago (which had not recurred), used e-TC over a 10-week period and provided quantitative and qualitative feedback on the feasibility and acceptability of the programme. Six men also completed a qualitative interview to provide detailed feedback on their experiences using e-TC. Fourteen men (56%) completed at least 80% of the programme. Participants reported a high level of satisfaction with the programme. Men's limited time was a barrier to programme use and completion, and participants suggested that men with a more recent diagnosis and a higher level of distress may be more likely to engage with the programme. e-TC appears to be a feasible and acceptable online intervention for survivors of testicular cancer. Findings from this study are currently being used to refine e-TC and guide the design of a larger efficacy study.

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Internet‐based program for coping with cancer: a randomized controlled trial with hematologic cancer patients

Abstract: The results demonstrate the potential efficacy of Internet-based programs while highlighting their limitations. Future research is needed to clarify and optimize efficacy, taking different program components and patient characteristics into particular consideration.

Cited by 37 publications

References 41 publications

Feasibility of the mobile mindfulness‐based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors

Feasibility of the mobile mindfulness‐based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors

Comparing Effects in Regular Practice of E-Communication and Web-Based Self-Management Support Among Breast Cancer Patients: Preliminary Results From a Randomized Controlled Trial

e-TC: Development and pilot testing of a web-based intervention to reduce anxiety and depression in survivors of testicular cancer

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