1. A pre-post evaluation of a digital intervention to improve psychosocial outcomes of caregivers of people living with cancer in Vietnam.
- Author
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Santin, Olinda, Thi Ho, Hien, Bui, Chi Linh, Thi Nguyen, Huong, Ta, Hung Quang, Tran, Ngan Thu, Hoang, Minh Van, Dang, Thinh Huy Quoc, Pham, Thanh Minh, Pham, Hiep Nhu, Thi Chau, Hoa, Nguyen, Hoai Thi Khanh, Vo, Kha Van, Pham, Thuy Thanh, Dao, Lan Hoang Thanh, Ho, Dung Xuan, and Schofield, Penelope
- Subjects
DIGITAL technology ,PSYCHOTHERAPY ,HEALTH literacy ,MIDDLE-income countries ,RESEARCH funding ,T-test (Statistics) ,DIGITAL health ,MEDICAL care ,CANCER patients ,INTERNET ,DESCRIPTIVE statistics ,PRE-tests & post-tests ,QUALITY of life ,PSYCHOLOGY of caregivers ,TUMORS ,SOCIAL support ,HEALTH promotion ,DATA analysis software ,MENTAL depression ,LOW-income countries - Abstract
Objectives: To evaluate a co-designed intervention using digital resources "Vietnam Cancer Caring Coping" (V-CCC) on the health literacy, depression, and quality of life of caregivers supporting a cancer patient in oncology hospitals in Vietnam. Methods: A pre-post quantitative evaluation with adult cancer caregivers across regional Oncology hospitals in Vietnam (Ho Chi Minh City, Da Nang, Can Tho, and Hue). Participants completed baseline and follow-up measures of health literacy (HLS-SF12) depression (PHQ-9) and Health-related Quality of Life (5Q-5D-5L). Participants accessed and reviewed V-CCC for a 2-week period. Results: Two hundred and thirty-four caregivers completed pre and post-tests. Most participants were female (n = 143, 61%), married (n = 165, 70%), aged 18–44 (n = 155, 66%), lived rurally (n = 157, 67%). All health literacy scores of participants in post-intervention were significantly higher than that in pre-intervention across all domain's healthcare, disease prevention, and health promotion as well as the total score (p < 0.001). A significant reduction in the proportion of caregivers reporting PHQ-9 moderately severe/severe depression post-intervention was demonstrated (10.2 vs. 6.1%, respectively (p ≤ 0.001). No significant differences were observed pre and post-intervention across four 5Q-5D-5L health dimensions: mobility, self-care, usual activities, and pain/discomfort. Regarding anxiety/depression as measured by 5Q-5D-5L the proportion of participants who reported having moderate, severe, and extreme problems in pre- and post-intervention was statistically significant (32 vs. 24%), respectively (p = 0.0028). Conclusion: Co-designed digital resources can reduce health literacy inequities and improve psychological outcomes for cancer caregivers. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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