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Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors
BACKGROUND: In‐person cognitive‐behavioral stress‐management interventions are consistently associated with reduced cancer distress. However, face‐to‐face delivery is an access barrier for many patients, and there is a need to develop remote‐delivered interventions. The current study evaluated the p...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286452/ https://www.ncbi.nlm.nih.gov/pubmed/32243717 http://dx.doi.org/10.1002/cam4.3000 |
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author | Børøsund, Elin Ehlers, Shawna L. Varsi, Cecilie Clark, Matthew M. Andrykowski, Michael A. Cvancarova, Milada Solberg Nes, Lise |
author_facet | Børøsund, Elin Ehlers, Shawna L. Varsi, Cecilie Clark, Matthew M. Andrykowski, Michael A. Cvancarova, Milada Solberg Nes, Lise |
author_sort | Børøsund, Elin |
collection | PubMed |
description | BACKGROUND: In‐person cognitive‐behavioral stress‐management interventions are consistently associated with reduced cancer distress. However, face‐to‐face delivery is an access barrier for many patients, and there is a need to develop remote‐delivered interventions. The current study evaluated the preliminary efficacy of an application (app)‐based cancer stress‐management intervention, StressProffen, in a randomized controlled trial. METHODS: Cancer survivors, maximum 1‐year posttreatment (N = 172), were randomized to StressProffen (n = 84) or a usual care control group (n = 88). Participants received a blended delivery care model: (a) one face‐to‐face introduction session, (b) 10 app‐based cognitive‐behavioral stress‐management modules, and (c) follow‐up phone calls at weeks 2‐3 and 6‐7. Outcome measures included stress (Perceived Stress Scale), anxiety and depression (Hospital Anxiety Depression Scale), and health‐related quality of life (HRQoL; Short‐Form Health Surveys [SF‐36]) at 3‐months post‐intervention, analyzed with change scores as dependent variables in linear regression models. RESULTS: Participants were primarily women (82%), aged 20‐78 years (mean 52, SD 11.2), with mixed cancer types (majority breast cancer; 48%). Analysis of 149 participants completing questionnaires at baseline and 3 months revealed significant intervention effects: decreased stress (mean difference [MD] −2.8; 95% confidence interval [CI], [−5.2 to −0.4]; P = .022) and improved HRQoL (Role Physical MD = 17.7, [CI 3.7‐31.3], P = .013; Social Functioning MD = 8.5, [CI 0.7‐16.2], P = .034; Role Emotional MD = 19.5, [CI 3.7‐35.2], P = .016; Mental Health MD = 6.7, [CI 1.7‐11.6], P = .009). No significant changes were observed for anxiety or depression. CONCLUSIONS: Digital‐based cancer stress‐management interventions, such as StressProffen, have the potential to provide easily accessible, effective psychosocial support for cancer survivors. |
format | Online Article Text |
id | pubmed-7286452 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-72864522020-06-11 Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors Børøsund, Elin Ehlers, Shawna L. Varsi, Cecilie Clark, Matthew M. Andrykowski, Michael A. Cvancarova, Milada Solberg Nes, Lise Cancer Med Clinical Cancer Research BACKGROUND: In‐person cognitive‐behavioral stress‐management interventions are consistently associated with reduced cancer distress. However, face‐to‐face delivery is an access barrier for many patients, and there is a need to develop remote‐delivered interventions. The current study evaluated the preliminary efficacy of an application (app)‐based cancer stress‐management intervention, StressProffen, in a randomized controlled trial. METHODS: Cancer survivors, maximum 1‐year posttreatment (N = 172), were randomized to StressProffen (n = 84) or a usual care control group (n = 88). Participants received a blended delivery care model: (a) one face‐to‐face introduction session, (b) 10 app‐based cognitive‐behavioral stress‐management modules, and (c) follow‐up phone calls at weeks 2‐3 and 6‐7. Outcome measures included stress (Perceived Stress Scale), anxiety and depression (Hospital Anxiety Depression Scale), and health‐related quality of life (HRQoL; Short‐Form Health Surveys [SF‐36]) at 3‐months post‐intervention, analyzed with change scores as dependent variables in linear regression models. RESULTS: Participants were primarily women (82%), aged 20‐78 years (mean 52, SD 11.2), with mixed cancer types (majority breast cancer; 48%). Analysis of 149 participants completing questionnaires at baseline and 3 months revealed significant intervention effects: decreased stress (mean difference [MD] −2.8; 95% confidence interval [CI], [−5.2 to −0.4]; P = .022) and improved HRQoL (Role Physical MD = 17.7, [CI 3.7‐31.3], P = .013; Social Functioning MD = 8.5, [CI 0.7‐16.2], P = .034; Role Emotional MD = 19.5, [CI 3.7‐35.2], P = .016; Mental Health MD = 6.7, [CI 1.7‐11.6], P = .009). No significant changes were observed for anxiety or depression. CONCLUSIONS: Digital‐based cancer stress‐management interventions, such as StressProffen, have the potential to provide easily accessible, effective psychosocial support for cancer survivors. John Wiley and Sons Inc. 2020-04-03 /pmc/articles/PMC7286452/ /pubmed/32243717 http://dx.doi.org/10.1002/cam4.3000 Text en © 2020 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Cancer Research Børøsund, Elin Ehlers, Shawna L. Varsi, Cecilie Clark, Matthew M. Andrykowski, Michael A. Cvancarova, Milada Solberg Nes, Lise Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title | Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title_full | Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title_fullStr | Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title_full_unstemmed | Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title_short | Results from a randomized controlled trial testing StressProffen; an application‐based stress‐management intervention for cancer survivors |
title_sort | results from a randomized controlled trial testing stressproffen; an application‐based stress‐management intervention for cancer survivors |
topic | Clinical Cancer Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286452/ https://www.ncbi.nlm.nih.gov/pubmed/32243717 http://dx.doi.org/10.1002/cam4.3000 |
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