A Digital Self-management Program (Help to Overcome Problems Effectively) for People Living With Cancer: Feasibility Randomized Controlled Trial.
J Med Internet Res
; 23(11): e28322, 2021 11 05.
Article
in English
| MEDLINE | ID: covidwho-1547122
ABSTRACT
BACKGROUND:
We present the results of a feasibility, randomized waitlist control group (CG) parallel design study with a 11 allocation ratio. Participants were randomized into an intervention group (IG) or a waitlist CG. The intervention was a 6-week digital self-management program, Help to Overcome Problems Effectively (HOPE), for people with cancer.OBJECTIVE:
This study aims to test the feasibility of a digitally delivered self-management program for people with cancer. This will inform the design of a definitive randomized controlled trial. In addition, a preliminary assessment of the impact of the HOPE program via secondary outcomes will be used to assess signals of efficacy in a trial context.METHODS:
Participants were drawn from an opportunity sample, referred by Macmillan Cancer Support, and were invited via email to participate in the study (N=61). Primary outcomes were rates of recruitment, retention, follow-up, completion and adherence, sample size and effect size estimation, and assessment of progression criteria for a definitive trial. Secondary outcomes were self-report measures of participants' positive mental well-being, depression, anxiety, and patient activation (ie, confidence in managing their cancer). The intervention and data collection took place on the web.RESULTS:
The recruitment rate was 77% (47/61). A total of 41 participants completed the baseline questionnaires and were randomized to either the IG (n=21) or the waitlist CG (n=20). The retention rate (attending all program sessions) was greater than 50% (all 21/41, 51%, IG 10/21, 48%; and CG 11/20, 55%). The follow-up rate (completing all questionnaires) was greater than 80% (all 33/41, 80%; IG 16/21, 76%; and CG 17/20, 85%). The completion rate (attending ≥3 sessions and completing all questionnaires) was greater than 60% (all 25/41, 61%; IG 13/21, 62%; and CG 12/20, 60%). Engagement data showed that participants viewed between half (5.1/10, 51%) and three-quarters (12.2/16, 76%) of the pages in each session.CONCLUSIONS:
All progression criteria for a definitive trial were met, as supported by the primary outcome data. The IG showed improved postprogram scores on measures of positive mental well-being, depression, anxiety, and patient activation. A full-scale trial of the digital HOPE program for people with cancer will allow us to fully evaluate the efficacy of the intervention relative to a CG. TRIAL REGISTRATION ISRCTN Registry ISRCTN79623250; http//www.isrctn.com/ISRCTN79623250. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.2196/24264.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Self-Management
/
Neoplasms
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Language:
English
Journal:
J Med Internet Res
Journal subject:
Medical Informatics
Year:
2021
Document Type:
Article
Affiliation country:
28322
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