William S Yi, Armaun D Rouhi, Caoimhe C Duffy, Yazid K Ghanem, Noel N Williams, Kristoffel R Dumon
A Systematic Review of Immersive Virtual Reality for Nontechnical Skills Training in Surgery
Journal of surgical education
women living metastatic breast cancer mbc risk significantly impaired quality life qol symptom burden distress fear progression unmet needs yet face barriers accessing evidencebased psychosocial treatments group therefore developed finding wayadvanced fmwa webbased selfguided psychosocial program women mbc study aims assess efficacy improving mental qol domains distress fear progression unmet needs health service utilisation multisite randomised controlled trial rct enrol 370 australian participants eligible participants adult 18 years women diagnosed mbc life expectancy 6 months sufficient englishlanguage literacy provide informed consent participants identified screened referred one 10 australian sites via selfreferral response advertisements participants complete four online questionnaires prior accessing program baseline 6 weeks later postintervention 3 months 6 months postintervention consenting participants randomised either fmwa intervention breast cancer network australias bcna onlineapp resource journey minimal intervention attentioncontrol singleblind study randomisation computergenerated stratified site fmwa 6module program addressing common issues experienced women mbc bcna control resources integrated within resources section modules immediately accessible additional booster module released 10 weeks later primary outcome mental qol statistical criteria superiority defined 4point difference groups posttreatment secondary outcomes include qol domains distress fear progression health service use intervention adherence user satisfaction first adequately powered rct selfdirected online intervention women mbc efficacious fmwa help address two national key priorities management mbc enhancing qol reducing symptom burden fmwa potential address unmet needs overcome access barriers overlooked population reducing health system burden study registered prospectively anzctr 29102021 trial id actrn12621001482853p httpsanzctrorgautrialregistrationtrialreviewaspxid382714isreviewtrue