Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors: A quasi-experimental study

Su Ying Fang, Yu Ling Wang, Wen Hsiang Lu, Kuo Ting Lee, Yao Lung Kuo, Susan Jane Fetzer

Research output: Contribution to journalArticle

Abstract

Objective: The purpose of this study was to evaluate the effect of a web-based survivorship care plan (SCP) computerized application (APP): (SCP-A) on women's unmet needs, fear of recurrence, symptom distress, anxiety, depression, and quality of life (QoL). Methods: Women diagnosed with breast cancer, who had completed their primary treatment but less than 5 years without a sign of recurrence (N = 165) were randomized to a SCP-A or a control group. Self-reported questionnaires were completed by the both groups at baseline (T0), 5 weeks (T1), 3 months (T2), 6 months (T3), and 12 months (T4). Results: Controlling for relevant covariates, mixed effect model analyses revealed a significant decrease in women in the SCP-A group compared to the control group for total unmet needs since T3 (p < .004) and fear of recurrence since T4 (p = .02). Women in the SCP-A group also reported significant improvements in QoL at T4 (p < .001) relative to those in the control group. Conclusion: Providing SCP using an information website application for women with breast cancer can decrease unmet needs, fear of recurrence, and improve quality of life during short-term and long-term use. Practice Implications: Web-based information that provides survivorship care plans for breast cancer survivors are beneficial.

Original languageEnglish
JournalPatient Education and Counseling
DOIs
Publication statusAccepted/In press - 2019 Jan 1

Fingerprint

Survivors
Survival Rate
Breast Neoplasms
Fear
Recurrence
Quality of Life
Control Groups
Non-Randomized Controlled Trials
Anxiety
Depression

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{8a201eee187b451d83f8690a50e5b349,
title = "Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors: A quasi-experimental study",
abstract = "Objective: The purpose of this study was to evaluate the effect of a web-based survivorship care plan (SCP) computerized application (APP): (SCP-A) on women's unmet needs, fear of recurrence, symptom distress, anxiety, depression, and quality of life (QoL). Methods: Women diagnosed with breast cancer, who had completed their primary treatment but less than 5 years without a sign of recurrence (N = 165) were randomized to a SCP-A or a control group. Self-reported questionnaires were completed by the both groups at baseline (T0), 5 weeks (T1), 3 months (T2), 6 months (T3), and 12 months (T4). Results: Controlling for relevant covariates, mixed effect model analyses revealed a significant decrease in women in the SCP-A group compared to the control group for total unmet needs since T3 (p < .004) and fear of recurrence since T4 (p = .02). Women in the SCP-A group also reported significant improvements in QoL at T4 (p < .001) relative to those in the control group. Conclusion: Providing SCP using an information website application for women with breast cancer can decrease unmet needs, fear of recurrence, and improve quality of life during short-term and long-term use. Practice Implications: Web-based information that provides survivorship care plans for breast cancer survivors are beneficial.",
author = "Fang, {Su Ying} and Wang, {Yu Ling} and Lu, {Wen Hsiang} and Lee, {Kuo Ting} and Kuo, {Yao Lung} and Fetzer, {Susan Jane}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.pec.2019.09.012",
language = "English",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors

T2 - A quasi-experimental study

AU - Fang, Su Ying

AU - Wang, Yu Ling

AU - Lu, Wen Hsiang

AU - Lee, Kuo Ting

AU - Kuo, Yao Lung

AU - Fetzer, Susan Jane

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: The purpose of this study was to evaluate the effect of a web-based survivorship care plan (SCP) computerized application (APP): (SCP-A) on women's unmet needs, fear of recurrence, symptom distress, anxiety, depression, and quality of life (QoL). Methods: Women diagnosed with breast cancer, who had completed their primary treatment but less than 5 years without a sign of recurrence (N = 165) were randomized to a SCP-A or a control group. Self-reported questionnaires were completed by the both groups at baseline (T0), 5 weeks (T1), 3 months (T2), 6 months (T3), and 12 months (T4). Results: Controlling for relevant covariates, mixed effect model analyses revealed a significant decrease in women in the SCP-A group compared to the control group for total unmet needs since T3 (p < .004) and fear of recurrence since T4 (p = .02). Women in the SCP-A group also reported significant improvements in QoL at T4 (p < .001) relative to those in the control group. Conclusion: Providing SCP using an information website application for women with breast cancer can decrease unmet needs, fear of recurrence, and improve quality of life during short-term and long-term use. Practice Implications: Web-based information that provides survivorship care plans for breast cancer survivors are beneficial.

AB - Objective: The purpose of this study was to evaluate the effect of a web-based survivorship care plan (SCP) computerized application (APP): (SCP-A) on women's unmet needs, fear of recurrence, symptom distress, anxiety, depression, and quality of life (QoL). Methods: Women diagnosed with breast cancer, who had completed their primary treatment but less than 5 years without a sign of recurrence (N = 165) were randomized to a SCP-A or a control group. Self-reported questionnaires were completed by the both groups at baseline (T0), 5 weeks (T1), 3 months (T2), 6 months (T3), and 12 months (T4). Results: Controlling for relevant covariates, mixed effect model analyses revealed a significant decrease in women in the SCP-A group compared to the control group for total unmet needs since T3 (p < .004) and fear of recurrence since T4 (p = .02). Women in the SCP-A group also reported significant improvements in QoL at T4 (p < .001) relative to those in the control group. Conclusion: Providing SCP using an information website application for women with breast cancer can decrease unmet needs, fear of recurrence, and improve quality of life during short-term and long-term use. Practice Implications: Web-based information that provides survivorship care plans for breast cancer survivors are beneficial.

UR - http://www.scopus.com/inward/record.url?scp=85072395454&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072395454&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2019.09.012

DO - 10.1016/j.pec.2019.09.012

M3 - Article

AN - SCOPUS:85072395454

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

ER -