Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

Bradbury, Katherine; Steele, Mary; Corbett, Teresa; Geraghty, Adam W A; Krusche, Adele; Heber, Elena; Easton, Stephanie; Cheetham-Blake, Tara; Slodkowska-Barabasz, Joanna; Müller, André; Smith, Kirsten A.; Wilde, Laura Joanne; Payne, Liz; Singh, Karmpaul; Bacon, Roger; Burford, Tamsin; Summers, Kevin; Turner, Lesley; Richardson, Alison; Watson, Eila; Foster, Claire; Little, Paul; Yardley, Lucy

doi:10.1038/s41746-019-0163-4

Cited by 41 publications

(57 citation statements)

References 86 publications

(116 reference statements)

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“…This study was part of a research programme that aimed to develop a digital intervention to support cancer survivors in making behaviour changes in order to improve HRQoL . We obtained approval from NHS (ref no.…”

Section: Methodsmentioning

confidence: 99%

Exploring cancer survivors' views of health behaviour change: “Where do you start, where do you stop with everything?”

et al. 2018

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Section: Methodsmentioning

confidence: 99%

Exploring cancer survivors' views of health behaviour change: “Where do you start, where do you stop with everything?”

et al. 2018

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“…Future research should include measures of ethnicity [ 75 ] and aim for a sample more representative of the population with GAD. Compared with other PBA studies [ 44 , 76 , 77 ], the small sample size used in this study to represent the target population means that study may not have covered all context-specific behaviors that users with GAD may experience. In addition, the intervention was a prototype (6 modules) of a larger intervention (30 modules), and therefore only investigates the initial feasibility of the intervention concept.…”

Section: Discussionmentioning

confidence: 99%

“…The second stage identifies guiding principles that inform the intervention development in addressing the persona’s key context-specific behavioral issues [ 43 ]. Understanding the user’s views and psychosocial context enables the ability to address barriers to engagement and therefore, increase acceptability, feasibility, and efficacy of the digital intervention [ 44 ].…”

Section: Introductionmentioning

confidence: 99%

Development and Feasibility of a Digital Acceptance and Commitment Therapy–Based Intervention for Generalized Anxiety Disorder: Pilot Acceptability Study

Hemmings¹,

Kawadler²,

Whatmough³

et al. 2021

JMIR Form Res

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Background Generalized anxiety disorder (GAD) is characterized by excessive worry that is difficult to control and has high comorbidity with mood disorders including depression. Individuals experience long wait times for diagnosis and often face accessibility barriers to treatment. There is a need for a digital solution that is accessible and acceptable to those with GAD. Objective This paper aims to describe the development of a digital intervention prototype of acceptance and commitment therapy (ACT) for GAD that sits within an existing well-being app platform, BioBase. A pilot feasibility study evaluating acceptability and usability is conducted in a sample of adults with a diagnosis of GAD, self-referred to the study. Methods Phase 1 applied the person-based approach (creation of guiding principles, intervention design objectives, and the key intervention features). In Phase 2 participants received the app-based therapeutic and paired wearable for 2 weeks. Self-report questionnaires were obtained at baseline and posttreatment. The primary outcome was psychological flexibility (Acceptance and Action Questionnaire-II [AAQ-II]) as this is the aim of ACT. Mental well-being (Warwick-Edinburgh Mental Well-being Scale [WEMWBS]) and symptoms of anxiety (7-item Generalized Anxiety Disorder Assessment [GAD-7]) and depression (9-item Patient Health Questionnaire [PHQ-9]) were also assessed. Posttreatment usability was assessed via self-report measures (System Usability Scale [SUS]) in addition to interviews that further explored feasibility of the digital intervention in this sample. Results The app-based therapeutic was well received. Of 13 participants, 10 (77%) completed the treatment. Results show a high usability rating (83.5). Participants found the digital intervention to be relevant, useful, and helpful in managing their anxiety. Participants had lower anxiety (d=0.69) and depression (d=0.84) scores at exit, and these differences were significantly different from baseline (P=.03 and .008 for GAD-7 and PHQ-9, respectively). Participants had higher psychological flexibility and well-being scores at exit, although these were not significantly different from baseline (P=.11 and .55 for AAQ-II and WEMWBS, respectively). Conclusions This ACT prototype within BioBase is an acceptable and feasible digital intervention in reducing symptoms of anxiety and depression. This study suggests that this intervention warrants a larger feasibility study in adults with GAD.

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“… 46 In addition, cancer survivors may question the relevance of general (ie, non-cancer specific) PA programmes to them, 47 and there is evidence that tailoring interventions to a specific target population is likely to increase effectiveness. 48 Taken together, this suggests that the route most likely to lead to changes in CCSs’ PA levels is to develop an intervention specifically for this group.…”

Section: Discussionmentioning

confidence: 99%

Using qualitative and co-design methods to inform the development of an intervention to support and improve physical activity in childhood cancer survivors: a study protocol for BEing Active after ChildhOod caNcer (BEACON)

et al. 2020

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IntroductionChildhood cancer survivors (CCSs) treated with cardiotoxic cancer treatments are at increased risk of developing cardiometabolic complications. This risk is further exacerbated by poor health behaviours. In particular, CCSs are less active than non-cancer comparators. Existing interventions aiming to improve physical activity (PA) levels in CCSs are methodologically weak. The aim of this study is to rigorously and systematically develop an evidence-based and theoretically-informed intervention to promote, support, improve and sustain PA levels in CCSs, with the long-term goal of reducing CCSs’ cardiovascular morbidity and mortality.Methods and analysisThe BEing Active after ChildhOod caNcer (BEACON) study involves two workpackages at two National Health Service sites in England, UK.Participants will be CCSs and their parents, and healthcare professionals (HCPs) involved in their care.Workpackage one (WP1) will use qualitative methods to explore and understand the barriers and facilitators to PA in CCSs. Two sets of semistructured interviews will be conducted with (1) CCSs (aged 10–24 years) and (2) parents of CCSs. WP2 will use co-design methods to bring together stakeholders (CCSs; their parents; HCPs; researchers) to develop a prototype intervention. Where possible, all data will be audio recorded and transcribed.Data from WP1 will be analysed using a thematic approach. Analysis of WP2 data will involve content analysis, and analysis of formative output and procedures.Ethics and disseminationThe study was approved by North East-Tyne & Wear South Research Ethics Committee (REC ref: 18/NE/0274). Research findings will be disseminated primarily via national and international conferences and publication in peer-reviewed journals. Patient and public involvement will inform further dissemination activities.

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Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach

Cited by 41 publications

References 86 publications

Exploring cancer survivors' views of health behaviour change: “Where do you start, where do you stop with everything?”

Exploring cancer survivors' views of health behaviour change: “Where do you start, where do you stop with everything?”

Development and Feasibility of a Digital Acceptance and Commitment Therapy–Based Intervention for Generalized Anxiety Disorder: Pilot Acceptability Study

Using qualitative and co-design methods to inform the development of an intervention to support and improve physical activity in childhood cancer survivors: a study protocol for BEing Active after ChildhOod caNcer (BEACON)

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