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Understanding how <scp>eāhealth</scp> interventions meet psychosocial needs of breast cancer patients: The pathways of influence on quality of life and cancer concerns
- Source :
- Psycho-Oncology. 29:1704-1712
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- Objective This investigation explores how using different e-health interventions facilitates positive psychosocial changes and how these changes reduce cancer concerns and improve quality of life in breast cancer patients over time. Methods A total of 326 breast cancer patients were randomly assigned to one of three e-health interventions: (a) Internet only, (b) the Comprehensive Health Enhancement Support System information and support services (CHESS-IS), or (c) CHESS with mentor. Proximal health outcomes such as information overload, emotional functioning, and social support were measured alongside distal outcomes like cancer concerns and quality of life. Participants completed surveys at four time points: pretest as a baseline, 6 weeks, 3 months, and 6 months. Results Both interventions were effective in improving patient health beyond Internet only but they differed in type of change mechanism and clinical benefit. The CHESS-IS enhanced proximal outcomes at 3 months through improved information competence. The CHESS with mentor intervention reduced breast cancer concerns at 6 months, mediated mainly by emotional-social competence and emotional functioning. Conclusions Using e-health interventions like CHESS can help patients improve cancer information management skills and emotional functioning, contributing to better short-term health outcomes. Adding a human mentor can enhance the benefits of CHESS use, extending the experience among breast cancer patients. Theoretical, practical, and clinical implications of the study results are discussed.
- Subjects :
- Adult
Information management
Gerontology
education
Psychological intervention
Breast Neoplasms
Experimental and Cognitive Psychology
Emotional functioning
Social Skills
03 medical and health sciences
Social support
0302 clinical medicine
Breast cancer
Surveys and Questionnaires
Outcome Assessment, Health Care
Humans
Medicine
030212 general & internal medicine
Competence (human resources)
Information Services
Internet
business.industry
Social Support
Middle Aged
medicine.disease
Telemedicine
Information overload
Psychiatry and Mental health
Oncology
030220 oncology & carcinogenesis
Quality of Life
Female
Comprehensive Health Care
business
Psychosocial
Subjects
Details
- ISSN :
- 10991611 and 10579249
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Psycho-Oncology
- Accession number :
- edsair.doi.dedup.....12e109c95cfb289498ad73f5e2278c58