Development of a Framework and the Content for a Psychoeducational Internet-Delivered Intervention for Women after Treatment for Gynecological Cancer

Abstract

The number of women treated for gynecological cancer is increasing. At the same time, the duration of in-patient hospitalization has decreased, and follow-up with its primary focus on early recognition of recurrence does not meet all patients’ needs. One method of follow-up may be digital intervention. This study describes the development of a psychoeducational Internet-delivered intervention targeting women’s psychosocial needs during the follow-up period after treatment for gynecological cancer. The project consisted of three phases following the UK Medical Research Council Framework guidelines for the development of complex interventions. Phase one identified the evidence in the field, phase two identified the relevant theoretical framework, and phase three included a two-year work process including focus group interviews and think aloud interviews with users. Through the steps of literature review, theoretical framework, and an iterative development process with users and other stakeholders, a six-week program was developed. The program included psychoeducational information, multimedia, exercises, and weekly telephone follow-up with a dedicated nurse. This Internet-delivered intervention can be a novel method for addressing the gap in the provision of follow-up for women after treatment for gynecological cancer.

Towards adaptive technology in routine mental health care

“…49 Gynea, online intervention (Cancer survivors) : In this study, we developed an Internet-delivered intervention for addressing the psychosocial needs of gynaecological cancer survivors. 31 The intervention, which is to be evaluated through a clinical study, was designed to increase the quality of life for women who had survived gynaecological cancer by providing means to cope better with daily life after cancer treatment. In the article, 50 we present and discuss how three audiovisual narratives for the online intervention were designed based on a broad evidence base, a solid theoretical foundation, and through an experience-centred design process in close cooperation with gynaecological cancer survivors. PRIORI and MAThyS APP (Bipolar disorder) : In this study, we investigated how speech data could predict the mood of patients with bipolar disorder.…”

“…In INTROMAT, 29 the adaptive software infrastructure was developed through tight interdisciplinary cooperation within the following seven clinical cases. Early intervention and treatment for social anxiety disorder in VR-based exposure for adolescents with fear of public speaking, 30 psycho-social support for women after gynaecological cancer, 31 cognitive remediation of residual cognitive symptoms after major depressive disorder, 32 internet-delivered depression treatment in standard care, 33 internet delivered training program for adults with an ADHD diagnosis, 34 relapse prevention and early detection for bipolar disorder, 35 and coping with distress related to COVID-19. 36 …”

“…1. Early intervention and treatment for social anxiety disorder in VR-based exposure for adolescents with fear of public speaking, 30 2. psycho-social support for women after gynaecological cancer, 31 3. cognitive remediation of residual cognitive symptoms after major depressive disorder, 32 4. internet-delivered depression treatment in standard care, 33…”

In Case of an Emergency: The Development and Effects of a Digital Intervention for Coping With Distress in Norway During the COVID-19 Pandemic

“…Gynea targets women who have had gynecological cancer with the aim to increase quality of life and adjusting to life after cancer treatment. The intervention is guided and consists of eight modules and includes psychoeducation, and mindfulness and self-compassion exercises ( Sekse et al, 2021 ). The intervention is currently being evaluated for clinical effects ( ClinicalTrials.gov NCT04414436).…”

mHealth program for patients with advanced cancer receiving treatment in a public health hospital in Brazil

“…[7][8][9][10][11] In addition, these programs may enhance self-management and autonomy, improve care regardless of age, sex and stage of the disease, and facilitate access to supportive care. 7,[12][13][14][15][16] Further, the use of eHealth/ mHealth-based interventions may favor early access to supportive care, reduce the burden of symptoms, improve Health-Related Quality of Life (HR-QOL) and promote longer survival. 16,17 Despite this, eHealth/mHealth remained an infrequently utilized resource in low-and middle-income countries (LMICs).…”