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Feasibility and acceptance of the CaringGuidance web-based, distress self-management, psychoeducational program initiated within 12 weeks of breast cancer diagnosis.
- Source :
-
Psycho-Oncology . Apr2019, Vol. 28 Issue 4, p888-895. 8p. 1 Chart. - Publication Year :
- 2019
-
Abstract
- <bold>Objective: </bold>Limited clinical resources create barriers to quality management of cancer-related distress. CaringGuidance After Breast Cancer Diagnosis is a web-based, patient-controlled, psychoeducational program of cognitive-behavioral, coping and problem-solving strategies aimed at early post-diagnosis distress reduction without clinical resources. This study evaluated the feasibility of recruiting and retaining newly diagnosed women to 12 weeks of CaringGuidance and program acceptance.<bold>Methods: </bold>Women with stage 0 to II breast cancer diagnosed within the prior 3 months were recruited from clinics and communities in four states, from 2013 to 2015 and randomized to 12 weeks of CaringGuidance plus usual care (n = 57) or usual care alone (n = 43). Recruitment, retention, and program use were tracked. Using standard and study-derived measures, demographic and psychological variables were assessed at baseline and monthly and program satisfaction at 12 weeks.<bold>Results: </bold>Of 139 women screened, 100 enrolled, five withdrew, and 12 were lost to follow-up (83% retention rate). Total program engagement was positively associated with greater baseline intrusive/avoidant thoughts. Intervention participants (92%) believed CaringGuidance would benefit future women and was easy to use. Sixty-six percent believed CaringGuidance helped them cope. Women used program content to change thoughts (49%) or behaviors (40%). Stress in the previous year was positively associated with reports that CaringGuidance was reassuring and helpful.<bold>Conclusions: </bold>Feasibility and acceptance of CaringGuidance was demonstrated pointing to the program's potential as a cancer-distress self-management intervention. Future research will explore program feasibility and acceptability in other regions of the United States, leading to clinical implementation trials. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BREAST cancer diagnosis
*WORKS councils
*FEASIBILITY studies
Subjects
Details
- Language :
- English
- ISSN :
- 10579249
- Volume :
- 28
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Psycho-Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 135668677
- Full Text :
- https://doi.org/10.1002/pon.5038