Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial

Chambers, SK; Ritterband, LM; Thorndike, F; Nielsen, L; Aitken, JF; Clutton, S; Scuffham, PA; Youl, P; Morris, B; Baade, PD; Dunn, J

Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial

Chambers, SK

Ritterband, LM

Thorndike, F Nielsen, L Aitken, JF Clutton, S Scuffham, PA

Youl, P

Morris, B Baade, PD

Dunn, J

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Publication Type:: Journal Article
Citation:: Journal of Medical Internet Research, 2018, 20 (1)
Issue Date:: 2018-01-01

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Field	Value	Language
dc.contributor.author	Chambers, SK https://orcid.org/0000-0003-2369-6111	en_US
dc.contributor.author	Ritterband, LM https://orcid.org/0000-0001-7624-5213	en_US
dc.contributor.author	Thorndike, F	en_US
dc.contributor.author	Nielsen, L	en_US
dc.contributor.author	Aitken, JF	en_US
dc.contributor.author	Clutton, S	en_US
dc.contributor.author	Scuffham, PA https://orcid.org/0000-0001-5931-642X	en_US
dc.contributor.author	Youl, P https://orcid.org/0000-0001-6318-5741	en_US
dc.contributor.author	Morris, B	en_US
dc.contributor.author	Baade, PD https://orcid.org/0000-0001-8576-8868	en_US
dc.contributor.author	Dunn, J	en_US
dc.date.available	2017-11-16	en_US
dc.date.issued	2018-01-01	en_US
dc.identifier.citation	Journal of Medical Internet Research, 2018, 20 (1)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129958
dc.description.abstract	© 2018 Journal of Medical Internet Research. All rights reserved. Background: Web-based interventions present a potentially cost-effective approach to supporting self-management for cancer patients; however, further evidence for acceptability and effectiveness is needed. Objective: The goal of our research was to assess the effectiveness of an individualized Web-based cognitive behavioral therapy (CBT) intervention on improving psychological and quality of life outcomes in cancer patients with elevated psychological distress. Methods: A total of 163 distressed cancer patients (111 female, 68.1%) were recruited through the Queensland Cancer Registry and the Cancer Council Queensland Cancer Helpline and randomly assigned to either a Web-based tailored CBT intervention (CancerCope) (79/163) or a static patient education website (84/163). At baseline and 8-week follow-up we assessed primary outcomes of psychological and cancer-specific distress and unmet psychological supportive care needs and secondary outcomes of positive adjustment and quality of life. Results: Intention-to-treat analyses showed no evidence of a statistically significant intervention effect on primary or secondary outcomes. However, per-protocol analyses found a greater decrease for the CancerCope group in psychological distress (P=.04), cancer-specific distress (P=.02), and unmet psychological care needs (P=.03) from baseline to 8 weeks compared with the patient education group. Younger patients were more likely to complete the CancerCope intervention. Conclusions: This online CBT intervention was associated with greater decreases in distress for those patients who more closely adhered to the program. Given the low costs and high accessibility of this intervention approach, even if only effective for subgroups of patients, the potential impact may be substantial.	en_US
dc.relation.ispartof	Journal of Medical Internet Research	en_US
dc.relation.isbasedon	10.2196/jmir.8850	en_US
dc.subject.classification	Medical Informatics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Internet	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Cognitive Behavioral Therapy	en_US
dc.title	Web-delivered cognitive behavioral therapy for distressed cancer patients: Randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	20	en_US
utslib.for	0803 Computer Software	en_US
utslib.for	1112 Oncology and Carcinogenesis	en_US
utslib.for	1701 Psychology	en_US
utslib.for	08 Information and Computing Sciences	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

© 2018 Journal of Medical Internet Research. All rights reserved. Background: Web-based interventions present a potentially cost-effective approach to supporting self-management for cancer patients; however, further evidence for acceptability and effectiveness is needed. Objective: The goal of our research was to assess the effectiveness of an individualized Web-based cognitive behavioral therapy (CBT) intervention on improving psychological and quality of life outcomes in cancer patients with elevated psychological distress. Methods: A total of 163 distressed cancer patients (111 female, 68.1%) were recruited through the Queensland Cancer Registry and the Cancer Council Queensland Cancer Helpline and randomly assigned to either a Web-based tailored CBT intervention (CancerCope) (79/163) or a static patient education website (84/163). At baseline and 8-week follow-up we assessed primary outcomes of psychological and cancer-specific distress and unmet psychological supportive care needs and secondary outcomes of positive adjustment and quality of life. Results: Intention-to-treat analyses showed no evidence of a statistically significant intervention effect on primary or secondary outcomes. However, per-protocol analyses found a greater decrease for the CancerCope group in psychological distress (P=.04), cancer-specific distress (P=.02), and unmet psychological care needs (P=.03) from baseline to 8 weeks compared with the patient education group. Younger patients were more likely to complete the CancerCope intervention. Conclusions: This online CBT intervention was associated with greater decreases in distress for those patients who more closely adhered to the program. Given the low costs and high accessibility of this intervention approach, even if only effective for subgroups of patients, the potential impact may be substantial.

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http://hdl.handle.net/10453/129958