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Evaluating the efficacy of a self-guided Web-based CBT intervention for reducing cancer-distress: a randomised controlled trial.
- Source :
-
Supportive Care in Cancer . Mar2016, Vol. 24 Issue 3, p1043-1051. 9p. - Publication Year :
- 2016
-
Abstract
- <bold>Purpose: </bold>This study evaluated the efficacy of a self-guided Web-based cognitive behaviour therapy (CBT) intervention compared to an attention control in improving cancer-related distress, health-related quality of life (HRQOL), and maladaptive coping, among people recently diagnosed with cancer.<bold>Methods: </bold>Sixty individuals with cancer diagnosed in the previous 6 months and receiving treatment with curative intent were randomised to receive either the 6-week intervention Cancer Coping Online (CCO: n = 30) or the 6-week Web-based attention control (n = 30). Outcome measures, including cancer distress (the Posttraumatic Stress Scale - Self-Report), general distress (Depression Anxiety Stress Scale), quality of life (EORTC QLQ-C30), and coping (mini-MAC), were administered at baseline, immediately post-intervention, and at 3 and 6 months post-intervention.<bold>Results: </bold>Significant main effects for time were found for cancer distress, global QOL, physical function, role function, social function, and anxious preoccupation. Post hoc between-group comparisons showed CCO participants had statistically significantly higher physical functioning compared to controls at 3 months of follow-up (d = -0.52, p = 0.02). Furthermore, compared to controls, post hoc comparisons found moderate between-group effect sizes favouring CCO post-intervention for cancer distress (d = 0.43) and anxious preoccupation (d = 0.38), and at 6 months of follow-up for global QOL (d = -0.43).<bold>Conclusions: </bold>These results provide preliminary support for the potential efficacy of a self-guided Web-based CBT programme in improving aspects of HRQOL, cancer-related distress, and anxious preoccupation after cancer diagnosis. This paper provides justification for, and will help inform the development of, subsequent larger multi-site studies. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COGNITIVE therapy
*PSYCHOLOGICAL distress
*INTERNET in medicine
*CANCER & psychology
*QUALITY of life
*PSYCHOLOGICAL adaptation
*MENTAL health
*ANXIETY
*ADAPTABILITY (Personality)
*COMPARATIVE studies
*INTERNET
*RESEARCH methodology
*MEDICAL cooperation
*HEALTH outcome assessment
*PSYCHOLOGICAL tests
*QUESTIONNAIRES
*RESEARCH
*STATISTICAL sampling
*EVALUATION research
*RANDOMIZED controlled trials
TUMORS & psychology
Subjects
Details
- Language :
- English
- ISSN :
- 09414355
- Volume :
- 24
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Supportive Care in Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 112693992
- Full Text :
- https://doi.org/10.1007/s00520-015-2867-6