Long-term effectiveness and moderators of a web-based tailored intervention for cancer survivors on social and emotional functioning, depression, and fatigue: randomized controlled trial

Abstract

              <span> 
                </span><h3>Purpose</h3> 
                <p>The web-based computer-tailored <em>Kanker Nazorg Wijzer</em> (Cancer Aftercare Guide) supports cancer survivors with psychosocial issues during cancer recovery. The current study investigates whether the 6-month effects in increasing emotional and social functioning and reducing depression and fatigue hold at 12 months from baseline. Moreover, it explores whether patient characteristics moderate the 6- and 12-month intervention effectiveness.</p> 

              <span> 
                </span><h3>Methods</h3> 
                <p>Cancer survivors from 21 Dutch hospitals (November 2013–June 2014) were randomized to an intervention (<em>n</em> = 231) or a wait-list control group (<em>n</em> = 231). Intervention effects on emotional and social functioning (EORTC QLQ-C30), depression (HADS), and fatigue (CIS) were evaluated through multilevel linear regression analyses.</p> 

              <span> 
                </span><h3>Results</h3> 
                <p>At 12 months from baseline, the intervention group no longer differed from the control group in emotional and social functioning, depression, and fatigue. Moderator analyses indicated that, at 6 months, the intervention was effective in improving social functioning for men (<em>d</em> = 0.34), reducing fatigue for participants ≤56 years (<em>d</em> = 0.44), and reducing depression for participants who received chemotherapy (<em>d</em> = 0.36). At 12 months, participants with a medium educational level reported higher social functioning (<em>d</em> = 0.19), while participants with a low educational level reported lower social functioning (<em>d</em> = 0.22) than participants with a similar educational level in the control group.</p> 

              <span> 
                </span><h3>Conclusions</h3> 
                <p>The intervention gave cancer patients a head start to psychological recovery after the end of cancer treatment. The control group caught up in the long run.</p> 

              <span> 
                </span><h3>Implications for cancer survivors</h3> 
                <p>The Cancer Aftercare Guide expedited recovery after cancer treatment. Being a low intensity, easy accessible, and relatively low cost intervention, it could serve as a relevant step in recovery and stepped care.</p> 
              <br /><br />

http://ift.tt/2v7H0U6

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s