Internet‐based program for coping with cancer: a randomized controlled trial with hematologic cancer patients. Issue 5 (4th May 2012)

• Record Type: Journal Article
• Authors: David, N.; Schlenker, P.; Prudlo, U.; Larbig, W.
• Is Part Of: Psycho-oncology. Volume 22:Issue 5(2013)
• Page Start: 1064
• Page End: 1072
• Publication Date: 2012-05-04
• Subjects: Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.3104
• Languages: English
• ISSNs: 1057-9249

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pon3104-sec-0001" sec-type="section"> <title>Objective</title> <p>Psychosocial patient care in oncology is no longer limited to the inpatient setting. Outpatient services are in demand. Internet‐based interventions could aid in optimizing service delivery across disciplines. The effectiveness of an Internet‐based program for hematologic cancer patients was tested in a randomized controlled trial under field experimental conditions.</p> </sec> <sec id="pon3104-sec-0002" sec-type="section"> <title>Methods</title> <p>A 4‐week cognitive‐behavioral program for coping with cancer was offered to hematologic cancer patients online. One hundred eighty‐six registrants were randomly assigned to an intervention group (<italic>n</italic> = 105) or a waiting list (<italic>n</italic> = 81). The outcome measures, 'mental adjustment' (MAC) and 'psychological distress' (BSI), were assessed at registration and after 4 weeks. Patient satisfaction was assessed (ZUF‐8), and complete‐cases and intention‐to‐treat analyses were performed.</p> </sec> <sec id="pon3104-sec-0003" sec-type="section"> <title>Results</title> <p>At registration, the majority of participants displayed clinically significant distress (BSI) and lacked alternative access concerning psychosocial care. One hundred eleven patients filled out the post questionnaire at 4 weeks. In contrast to the waiting list, the intervention group displayed a significant increase in fighting spirit (<italic>d</italic> = 0.42; CI 95%, 0.04 to 0.80). The effect was confirmed by intention‐to‐treat analysis (<italic>d</italic> = 0.33; CI 95%, 0.04 to 0.62). Otherwise, no effects were observed. Patient satisfaction with the program was high.</p> </sec> <sec id="pon3104-sec-0004" sec-type="section"> <title>Conclusion</title> <p>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. Copyright © 2012 John Wiley & Sons, Ltd.</p> </sec> </abstract>