Web-Delivered Cognitive Behavioral Therapy for Distressed Cancer Patients: Randomized Controlled Trial

Chambers, Suzanne K.; Ritterband, Lee M.; Thorndike, Frances P.; Nielsen, Lisa; Aitken, Joanne F.; Clutton, Samantha; Scuffham, Paul Anthony; Youl, Philippa; Morris, Bronwyn; Baade, Peter D.; Dunn, Jeff

doi:10.2196/jmir.8850

Cited by 57 publications

(100 citation statements)

References 36 publications

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“…Cancerspecific distress did not significantly moderate outcomes at any time point. Table 3 These outcomes add to the findings from three recent RCTs of online programs for recently diagnosed acute cancer survivors [19,15,18]. In contrast with the CancerCope trial for newly diagnosed distressed-patients [19], where no QOL impact was found, our study found FMW significantly improved emotional functioning.…”

Section: No Significant Differences Between Groups Were Observed For supporting

confidence: 71%

“…Table 3 These outcomes add to the findings from three recent RCTs of online programs for recently diagnosed acute cancer survivors [19,15,18]. In contrast with the CancerCope trial for newly diagnosed distressed-patients [19], where no QOL impact was found, our study found FMW significantly improved emotional functioning. This QOL benefit differs somewhat from our pilot RCT where physical, rather than emotional, functioning was improved [15], and the STREAM program for newlydiagnosed patients [18], where all QOL domains except emotional functioning improved.…”

Section: No Significant Differences Between Groups Were Observed For supporting

confidence: 71%

“…The STREAM program led to improved quality of life and reduced distress, but no impact on anxiety or depression [18]. CancerCope did not yield significant group differences for any primary or secondary outcome, however sub-group analyses showed higher program-adherence was associated with reduced psychological and cancer-specific distress, and unmet needs [19].…”

Section: Word Count: 248mentioning

confidence: 91%

“…Phase I and II trials demonstrated feasibility and pilot efficacy of the first iteration of this unguided program, Cancer Coping Online, in improving distress, maladaptive coping, and select quality of life domains [14,15]. Two further RCTs have recently been published; a German study comparing the therapist-guided CBT and mindfulness program "STREAM" against a waitlist control in 129 patients [18]; and an Australian study of an unguided web-based CBT program 'CancerCope' for 163 patients screened with high distress, compared to a static cancer education website [19]. The STREAM program led to improved quality of life and reduced distress, but no impact on anxiety or depression [18].…”

Section: Word Count: 248mentioning

confidence: 99%

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Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors

Beatty

Kemp

Coll

et al. 2018

Support Care Cancer

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We thank all the men and women who participated in this trial; consumer representative Julie Marker, chair Cancer Voices SA, who reviewed the study protocol and provided input throughout the study; and the research assistants / clinicians / clinical trial / support staff who were critical to the successful recruitment of this study. We also thank Breast Cancer Network Australia and Register4, and their staff, for their assistance in recruitment. We thank our associate investigator and valued colleague, the late Paul Katris, for his important contributions to all aspects of the study design, conduct, and promotion through his extensive network of contacts. The Finding My Way Authorship Group includes Prof Tracey Wade,

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Section: No Significant Differences Between Groups Were Observed For supporting

confidence: 71%

Section: No Significant Differences Between Groups Were Observed For supporting

confidence: 71%

Section: Word Count: 248mentioning

confidence: 91%

Section: Word Count: 248mentioning

confidence: 99%

See 2 more Smart Citations

Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors

Beatty

Kemp

Coll

et al. 2018

Support Care Cancer

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“…As most readily accessible websites are information-based sites, further work is needed to understand how these resources can be designed to maximise their impact for users. Studies examining the impact of web-based therapeutic programmes to reduce distress or anxiety in cancer patients frequently incorporate strategies such as reminder emails, personalised content, goal setting, videos and homework to increase user engagement (Beatty, Koczwara, & Wade, 2016;Chambers et al, 2018;Wootten et al, 2015). Identifying mechanisms for incorporating these strategies into information-based programmes may help to increase user engagement and encourage repeat visits thereby helping to address information needs.…”

Section: Discussionmentioning

confidence: 99%

Does access to an information-based, breast cancer specific website help to reduce distress in young women with breast cancer? Results from a randomised trial

et al. 2018

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To assess the effectiveness of a purpose-built information-based website to reduce distress among young women with breast cancer. A total of 337 participants (Intervention Group [IG] n = 202; Usual Care Group [UCG] n = 177) returned the completed baseline questionnaires (T1). Details regarding accessing the website were provided to IG participants. Follow-up questionnaires were completed: (a) 3 months (T2) and (b) 6 months after baseline (T3). Outcomes included anxiety and depression (primary outcomes), quality of life (QoL) and unmet information needs. About 70% of the IG accessed the website, typically only once (median: 1, range 1-15), spending a median of 19 min (range: 1-315) on the site. Mean levels of anxiety and depression did not differ between the two groups at T1, T2 or T3. While improvement in total QoL was greater in the IG than UCG between T1 and T2, QoL scores did not differ between groups at T3. The number of unmet needs did not differ between the two groups at T3. The intervention was not effective in reducing anxiety, or depression in this group of women. As a high number of unmet needs were identified, other strategies for addressing these needs of young women with breast cancer are needed.

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Problem-Solving Skills Training for Parents of Children With Chronic Health Conditions

Zhou,

Luo,

Xiong

et al. 2024

JAMA Pediatr

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ImportanceProblem-solving skills training (PSST) has a demonstrated potential to improve psychosocial well-being for parents of children with chronic health conditions (CHCs), but such evidence has not been fully systematically synthesized.ObjectiveTo evaluate the associations of PSST with parental, pediatric, and family psychosocial outcomes.Data SourcesSix English-language databases (PubMed, Embase, CINAHL, PsycINFO, Web of Science, and Cochrane Library), 3 Chinese-language databases (China National Knowledge Infrastructure, China Science and Technology Journal Database, and Wanfang), gray literature, and references were searched from inception to April 30, 2023.Study SelectionRandomized clinical trials (RCTs) that performed PSST for parents of children with CHCs and reported at least 1 parental, pediatric, or family psychosocial outcome were included.Data Extraction and SynthesisStudy selection, data extraction, and quality assessment were conducted independently by 2 reviewers. Data were pooled for meta-analysis using the standardized mean difference (SMD) by the inverse variance method or a random-effects model. Subgroup analyses of children- and intervention-level characteristics were conducted.Main Outcomes and MeasuresThe psychosocial outcomes of the parents, their children, and their families, such as problem-solving skills, negative affectivity, quality of life (QOL), and family adaptation.ResultsThe systematic review included 23 RCTs involving 3141 parents, and 21 of these trials were eligible for meta-analysis. There was a significant association between PSST and improvements in parental outcomes, including problem-solving skills (SMD, 0.43; 95% CI, 0.27-0.58), depression (SMD, −0.45; 95% CI, −0.66 to −0.23), distress (SMD, −0.61; 95% CI, −0.81 to −0.40), posttraumatic stress (SMD −0.39; 95% CI, −0.48 to −0.31), parenting stress (SMD, −0.62; 95% CI, −1.05 to −0.19), and QOL (SMD, 0.45; 95% CI, 0.15-0.74). For children, PSST was associated with better QOL (SMD, 0.76; 95% CI, 0.04-1.47) and fewer mental problems (SMD, −0.51; 95% CI, −0.68 to −0.34), as well as with less parent-child conflict (SMD, −0.38; 95% CI, −0.60 to −0.16). Subgroup analysis showed that PSST was more efficient for parents of children aged 10 years or younger or who were newly diagnosed with a CHC. Significant improvements in most outcomes were associated with PSST delivered online.Conclusions and RelevanceThese findings suggest that PSST for parents of children with CHCs may improve the psychosocial well-being of the parents, their children, and their families. Further high-quality RCTs with longer follow-up times and that explore physical and clinical outcomes are encouraged to generate adequate evidence.

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Web-Delivered Cognitive Behavioral Therapy for Distressed Cancer Patients: Randomized Controlled Trial

Cited by 57 publications

References 36 publications

Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors

Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors

Does access to an information-based, breast cancer specific website help to reduce distress in young women with breast cancer? Results from a randomised trial

Problem-Solving Skills Training for Parents of Children With Chronic Health Conditions

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