Sven Erik Strunk, Johanna Graf, Julia Barbara Krakowczyk, Alexandra Wieser, Jana Heinen, Caterina Schug PhD, Lisa Maria Jahre, Eva-Maria Skoda, Yesim Erim, Martin Teufel, Alexander Bäuerle
{"title":"Evaluation of the E-Psycho-Oncological Short-Term Intervention \"By Your Side\" to Reduce Cancer-Related Distress: A Pilot Study.","authors":"Sven Erik Strunk, Johanna Graf, Julia Barbara Krakowczyk, Alexandra Wieser, Jana Heinen, Caterina Schug PhD, Lisa Maria Jahre, Eva-Maria Skoda, Yesim Erim, Martin Teufel, Alexander Bäuerle","doi":"10.1177/15347354251320047","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>A large number of patients with cancer experience distress, but not all of them receive adequate psychological support. The e-psycho-oncological short-term intervention \"By your Side\" was developed to offer evidence-based and low-threshold support for cancer patients dealing with distress.</p><p><strong>Methods: </strong>A longitudinal intervention pilot study was conducted from 4 March 2022 to 4 January 2023. N = 91 participants took part in the study. N = 82 completed the first module, while n = 23 successfully completed the whole intervention and were included in the final data analyses. \"By your Side\" consists of 16 modules based on cognitive behavioral therapy, acceptance and commitment therapy and mindfulness-based stress reduction. Differences in distress between the baseline (T0), post-intervention (T1), and follow-up (T2) were analyzed using an ANCOVA and post-hoc <i>t</i>-tests. Secondary outcomes (anxiety, depression, mindfulness, and self-efficacy) were also compared between measuring points, using ANOVAs and post-hoc tests.</p><p><strong>Results: </strong>A significant reduction (<i>p</i><sub>adj</sub> = 0.014, <i>d</i> = 0.654) in distress from baseline (T0, <i>M</i> = 52.68, SD = 16.34) to follow-up (T2, <i>M</i> = 43.84, SD = 17.59) was observed. There was a significant decrease in anxiety symptoms and a significant increase in mindfulness and self-efficacy. The user's satisfaction (<i>M</i> = 28.00, range 8-32) and the usability (<i>M</i> = 89.57, range 0-100) of the intervention were high.</p><p><strong>Conclusion: </strong>The study provides preliminary evidence that the e-psycho-oncological short-term intervention \"By your Side\" can successfully reduce the distress of cancer patients. The high dropout rate (74.7%) must be taken into account.</p><p><strong>Trial registration: </strong>German Clinical Trial Register (https://www.drks.de/search/de/trial/DRKS00036001), DRKS number: 00036001 (retrospectively registered).</p>","PeriodicalId":13734,"journal":{"name":"Integrative Cancer Therapies","volume":"24 ","pages":"15347354251320047"},"PeriodicalIF":2.9000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Integrative Cancer Therapies","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15347354251320047","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: A large number of patients with cancer experience distress, but not all of them receive adequate psychological support. The e-psycho-oncological short-term intervention "By your Side" was developed to offer evidence-based and low-threshold support for cancer patients dealing with distress.
Methods: A longitudinal intervention pilot study was conducted from 4 March 2022 to 4 January 2023. N = 91 participants took part in the study. N = 82 completed the first module, while n = 23 successfully completed the whole intervention and were included in the final data analyses. "By your Side" consists of 16 modules based on cognitive behavioral therapy, acceptance and commitment therapy and mindfulness-based stress reduction. Differences in distress between the baseline (T0), post-intervention (T1), and follow-up (T2) were analyzed using an ANCOVA and post-hoc t-tests. Secondary outcomes (anxiety, depression, mindfulness, and self-efficacy) were also compared between measuring points, using ANOVAs and post-hoc tests.
Results: A significant reduction (padj = 0.014, d = 0.654) in distress from baseline (T0, M = 52.68, SD = 16.34) to follow-up (T2, M = 43.84, SD = 17.59) was observed. There was a significant decrease in anxiety symptoms and a significant increase in mindfulness and self-efficacy. The user's satisfaction (M = 28.00, range 8-32) and the usability (M = 89.57, range 0-100) of the intervention were high.
Conclusion: The study provides preliminary evidence that the e-psycho-oncological short-term intervention "By your Side" can successfully reduce the distress of cancer patients. The high dropout rate (74.7%) must be taken into account.
期刊介绍:
ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.