TY - JOUR
T1 - CaringGuidance™ after breast cancer diagnosis eHealth psychoeducational intervention to reduce early post-diagnosis distress
AU - Lally, Robin M.
AU - Kupzyk, Kevin A.
AU - Bellavia, Gina
AU - Hydeman, Jennifer
AU - Gallo, Steven
AU - Helgeson, Vicki S.
AU - Erwin, Deborah
AU - Mills, Adam C.
AU - Brown, Jean K.
N1 - Funding Information:
Authors declare that they have no conflict of interest or relationship with the sponsor of this work. Drs. Lally and Bellavia received funding and Dr. Hydeman a consultation fee from the American Cancer Society grant funding this work during its conduct.
Funding Information:
Karen M. Meneses, PhD, RN, FAAN for her mentorship and collaboration throughout this project (deceased August 1, 2018). Christopher Moon, BA, BSN, RN; Catherine Brooks, BA; and Megan Yoerg, BSN (student) for contributions in the study conduct and data management. CaringGuidance? After Breast Cancer Diagnosis Copyright ? 2016 The Research Foundation for The State University of New York, licensed for academic research to the University of Nebraska.
Publisher Copyright:
© 2019, The Author(s).
PY - 2020/5/1
Y1 - 2020/5/1
N2 - Purpose: Significant cancer-related distress affects 30–60% of women diagnosed with breast cancer. Fewer than 30% of distressed patients receive psychosocial care. Unaddressed distress is associated with poor treatment adherence, reduced quality of life, and increased healthcare costs. This study aimed to evaluate the preliminary efficacy of a new web-based, psychoeducational distress self-management program, CaringGuidance™ After Breast Cancer Diagnosis, on newly diagnosed women’s reported distress. Methods: One-hundred women, in five states, diagnosed with breast cancer within the prior 3 months, were randomized to 12 weeks of independent use of CaringGuidance™ plus usual care or usual care alone. The primary multidimensional outcome, distress, was measured with the Distress Thermometer (DT), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Impact of Events Scale (IES) at baseline and months 1, 2, and 3. Intervention usage was continually monitored by the data analytic system imbedded within CaringGuidance™. Results: Although multilevel models showed no significant overall effects, post hoc analysis showed significant group differences in slopes occurring between study months 2 and 3 on distress (F(1,70) = 4.91, p =.03, η2 =.065) measured by the DT, and depressive symptoms (F(1, 76) = 4.25, p =.043, η2 =.053) favoring the intervention. Conclusions: Results provide preliminary support for the potential efficacy of CaringGuidance™ plus usual care over usual care alone on distress in women newly diagnosed with breast cancer. This analysis supports and informs future study of this self-management program aimed at filling gaps in clinical distress management.
AB - Purpose: Significant cancer-related distress affects 30–60% of women diagnosed with breast cancer. Fewer than 30% of distressed patients receive psychosocial care. Unaddressed distress is associated with poor treatment adherence, reduced quality of life, and increased healthcare costs. This study aimed to evaluate the preliminary efficacy of a new web-based, psychoeducational distress self-management program, CaringGuidance™ After Breast Cancer Diagnosis, on newly diagnosed women’s reported distress. Methods: One-hundred women, in five states, diagnosed with breast cancer within the prior 3 months, were randomized to 12 weeks of independent use of CaringGuidance™ plus usual care or usual care alone. The primary multidimensional outcome, distress, was measured with the Distress Thermometer (DT), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Impact of Events Scale (IES) at baseline and months 1, 2, and 3. Intervention usage was continually monitored by the data analytic system imbedded within CaringGuidance™. Results: Although multilevel models showed no significant overall effects, post hoc analysis showed significant group differences in slopes occurring between study months 2 and 3 on distress (F(1,70) = 4.91, p =.03, η2 =.065) measured by the DT, and depressive symptoms (F(1, 76) = 4.25, p =.043, η2 =.053) favoring the intervention. Conclusions: Results provide preliminary support for the potential efficacy of CaringGuidance™ plus usual care over usual care alone on distress in women newly diagnosed with breast cancer. This analysis supports and informs future study of this self-management program aimed at filling gaps in clinical distress management.
KW - Breast cancer
KW - Depressive symptoms
KW - Distress
KW - Internet
KW - Psychoeducation
KW - Self-management
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U2 - 10.1007/s00520-019-05028-0
DO - 10.1007/s00520-019-05028-0
M3 - Article
C2 - 31414245
AN - SCOPUS:85070950760
VL - 28
SP - 2163
EP - 2174
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
IS - 5
ER -