Iris M. Kanera|Roy A. Willems|Catherine Bolman|Ilse Mesters|Victor Zambon|B. Gijsen|Lilian Lechner
Use and Appreciation of a Tailored Self-Management eHealth Intervention for Early Cancer Survivors: Process Evaluation of a Randomized Controlled Trial
Open University in the Netherlands|Open University in the Netherlands|Open University in the Netherlands|Maastricht University|Zuyderland Medisch Centrum|Netherlands Comprehensive Cancer Organisation|Open University in the Netherlands
fully automated computertailored webbased selfmanagement intervention kanker nazorg wijzer knw cancer aftercare guide developed support early cancer survivors adequately cope psychosocial complaints promote healthy lifestyle knw selfmanagement training modules target following topics return work fatigue anxiety depression relationships physical activity diet smoking cessation participants guided relevant modules personalized module referral advice based participants current complaints identified needsthe aim study evaluate adherence module referral advice examine knw module use predictors describe appreciation knw predictors additionally explored predictors personal relevancethis process evaluation conducted part randomized controlled trial early cancer survivors various types cancer recruited 21 dutch hospitals data online selfreport questionnaires logging data analyzed participants allocated intervention condition chisquare tests applied assess adherence module referral advice negative binominal regression analysis used identify predictors module use multiple linear regression analysis applied identify predictors appreciation ordered logistic regression analysis conducted explore possible predictors perceived personal relevancefrom respondents n231 mean age 556 sd 115 792 female 183231 983 227231 referred one knw modules mean 29 sd 15 857 198231 participants visited least one module mean 21 sd 16 significant positive associations found referral specific modules range 17 use corresponding modules likelihoods visiting modules higher respondents referred modules module referral advice predictors visiting higher number modules higher number referrals module referral advice 136 p009 partner significantly related lower number modules used 256 p044 overall appreciation high mean 75 sd 12 scale 110 significantly predicted higher perceived personal relevance 623 p000 none demographic cancerrelated characteristics significantly predicted perceived personal relevancethe knw general specifically knw modules well used highly appreciated early cancer survivors indications found module referral advice might meaningful intervention component guide users following preferred selection modules results indicate fully automated webbased knw provides personal relevant valuable information support early cancer survivors therefore intervention complement usual cancer aftercare may serve first step steppedcare approachnederlands trial register ntr3375 httpwwwtrialregisternltrialregadminrctviewasptc3375 archived webcite httpwwwwebcitationorg6jo4jo7kb