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Open Access 01-05-2020 | Breast Cancer | Original Article

CaringGuidance™ after breast cancer diagnosis eHealth psychoeducational intervention to reduce early post-diagnosis distress

Authors: Robin M. Lally, Kevin A. Kupzyk, Gina Bellavia, Jennifer Hydeman, Steven Gallo, Vicki S. Helgeson, Deborah Erwin, Adam C. Mills, Jean K. Brown

Published in: Supportive Care in Cancer | Issue 5/2020

Abstract

Purpose

Significant cancer-related distress affects 30–60% of women diagnosed with breast cancer. Fewer than 30% of distressed patients receive psychosocial care. Unaddressed distress is associated with poor treatment adherence, reduced quality of life, and increased healthcare costs. This study aimed to evaluate the preliminary efficacy of a new web-based, psychoeducational distress self-management program, CaringGuidance™ After Breast Cancer Diagnosis, on newly diagnosed women’s reported distress.

Methods

One-hundred women, in five states, diagnosed with breast cancer within the prior 3 months, were randomized to 12 weeks of independent use of CaringGuidance™ plus usual care or usual care alone. The primary multidimensional outcome, distress, was measured with the Distress Thermometer (DT), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Impact of Events Scale (IES) at baseline and months 1, 2, and 3. Intervention usage was continually monitored by the data analytic system imbedded within CaringGuidance™.

Results

Although multilevel models showed no significant overall effects, post hoc analysis showed significant group differences in slopes occurring between study months 2 and 3 on distress (F(1,70) = 4.91, p = .03, η² = .065) measured by the DT, and depressive symptoms (F(1, 76) = 4.25, p = .043, η² = .053) favoring the intervention.

Conclusions

Results provide preliminary support for the potential efficacy of CaringGuidance™ plus usual care over usual care alone on distress in women newly diagnosed with breast cancer. This analysis supports and informs future study of this self-management program aimed at filling gaps in clinical distress management.

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Title: CaringGuidance™ after breast cancer diagnosis eHealth psychoeducational intervention to reduce early post-diagnosis distress
Authors: Robin M. Lally
Kevin A. Kupzyk
Gina Bellavia
Jennifer Hydeman
Steven Gallo
Vicki S. Helgeson
Deborah Erwin
Adam C. Mills
Jean K. Brown
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Breast Cancer
Breast Cancer
Published in: Supportive Care in Cancer / Issue 5/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-05028-0

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Abstract

Purpose

Methods

Results

Conclusions

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