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Published in: Supportive Care in Cancer 5/2016

Open Access 01-05-2016 | Original Article

Feasibility of an eHealth application “OncoKompas” to improve personalized survivorship cancer care

Authors: S. Duman-Lubberding, C.F. van Uden-Kraan, F. Jansen, B.I. Witte, L.A. van der Velden, M. Lacko, P. Cuijpers, C.R. Leemans, I.M. Verdonck-de Leeuw

Published in: Supportive Care in Cancer | Issue 5/2016

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Abstract

Purpose

The purpose of this study was to investigate the feasibility of an online self-management application (OncoKompas) among cancer survivors. In OncoKompas, cancer survivors can monitor their quality of life (QOL) via participant reported outcomes (PROs) (“Measure”), which is followed by automatically generated individually tailored feedback (“Learn”) and personalized advice on supportive care services (“Act”).

Methods

A pretest–posttest design was used, conducting a survey before providing access to OncoKompas, and 2 weeks after, followed by an interview by a nurse. Adoption was defined as the percentage of cancer survivors that agreed to participate in the study and returned the T0 questionnaire. Implementation was defined as the percentage of participants that actually used OncoKompas as intended (T1). General satisfaction was assessed based on the mean score of three study-specific questions: (1) general impression of OncoKompas, (2) the user-friendliness, and (3) the ability to use OncoKompas without assistance (10-point Likert scales). Furthermore, satisfaction was measured with the Net Promotor Scale (NPS).

Results

OncoKompas was feasible with an adoption grade of 64 %, an implementation grade of 75–91 %, a mean satisfaction score of 7.3, and a positive NPS (1.9). Sociodemographic and clinical factors and QOL were not associated with satisfaction. Several facilitators and barriers related to the feasibility of OncoKompas were identified.

Conclusion

OncoKompas is considered feasible, but has to be further improved. In order to enhance feasibility and increase satisfaction, we have to balance the time it takes to use OncoKompas, measurement precision, and tailoring towards personalized advices.
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Literature
1.
go back to reference A. de Graeff, J. R. de Leeuw, W. J. Ros, G. J. Hordijk, G. H. Blijham, and J. A. Winnubst, “Long-term quality of life of patients with head and neck cancer.,” Laryngoscope, vol. 110, no. 1, pp. 98–106, Jan. 2000. A. de Graeff, J. R. de Leeuw, W. J. Ros, G. J. Hordijk, G. H. Blijham, and J. A. Winnubst, “Long-term quality of life of patients with head and neck cancer.,” Laryngoscope, vol. 110, no. 1, pp. 98–106, Jan. 2000.
2.
go back to reference I. M. Verdonck-de Leeuw, S. E. Eerenstein, M. H. Van der Linden, D. J. Kuik, R. de Bree, and C. R. Leemans, “Distress in spouses and patients after treatment for head and neck cancer.,” Laryngoscope, vol. 117, no. 2, pp. 238–241, Feb. 2007. I. M. Verdonck-de Leeuw, S. E. Eerenstein, M. H. Van der Linden, D. J. Kuik, R. de Bree, and C. R. Leemans, “Distress in spouses and patients after treatment for head and neck cancer.,” Laryngoscope, vol. 117, no. 2, pp. 238–241, Feb. 2007.
3.
go back to reference N. K. Aaronson, V. Mattioli, O. Minton, J. Weis, C. Johansen, S. O. Dalton, I. M. Verdonck-de Leeuw, K. D. Stein, C. M. Alfano, A. Mehnert, A. de Boer, and L. V. van de Poll-Franse, “Beyond treatment – psychosocial and behavioural issues in cancer survivorship research and practice,” Eur J Cancer Suppl, vol. 12, no. 1, pp. 54–64, Jun. 2014. N. K. Aaronson, V. Mattioli, O. Minton, J. Weis, C. Johansen, S. O. Dalton, I. M. Verdonck-de Leeuw, K. D. Stein, C. M. Alfano, A. Mehnert, A. de Boer, and L. V. van de Poll-Franse, “Beyond treatment – psychosocial and behavioural issues in cancer survivorship research and practice,” Eur J Cancer Suppl, vol. 12, no. 1, pp. 54–64, Jun. 2014.
4.
go back to reference E. C. Moser and F. Meunier, “Cancer survivorship: a positive side-effect of more successful cancer treatment,” Eur J Cancer Suppl, vol. 12, no. 1, pp. 1–4, Jun. 2014. E. C. Moser and F. Meunier, “Cancer survivorship: a positive side-effect of more successful cancer treatment,” Eur J Cancer Suppl, vol. 12, no. 1, pp. 1–4, Jun. 2014.
5.
go back to reference F. Jansen, C. F. van Uden-Kraan, V. van Zwieten, B. I. Witte, and I. M. Verdonck-de Leeuw, “Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth.,” Support Care Cancer, vol. 23, no. 6, pp. 1679–1688, Jun. 2015. F. Jansen, C. F. van Uden-Kraan, V. van Zwieten, B. I. Witte, and I. M. Verdonck-de Leeuw, “Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth.,” Support Care Cancer, vol. 23, no. 6, pp. 1679–1688, Jun. 2015.
6.
go back to reference R. McCorkle, E. Ercolano, M. Lazenby, D. Schulman-Green, L. S. Schilling, K. Lorig, and E. H. Wagner, “Self-management: enabling and empowering patients living with cancer as a chronic illness.,” CA Cancer J Clin, vol. 61, no. 1, pp. 50–62, Jan. 2011. R. McCorkle, E. Ercolano, M. Lazenby, D. Schulman-Green, L. S. Schilling, K. Lorig, and E. H. Wagner, “Self-management: enabling and empowering patients living with cancer as a chronic illness.,” CA Cancer J Clin, vol. 61, no. 1, pp. 50–62, Jan. 2011.
7.
go back to reference A. J. Mitchell, “Short screening tools for cancer-related distress: a review and diagnostic validity meta-analysis.,” J Natl Compr Cancer Netw, vol. 8, no. 4, pp. 487–494, Apr. 2010. A. J. Mitchell, “Short screening tools for cancer-related distress: a review and diagnostic validity meta-analysis.,” J Natl Compr Cancer Netw, vol. 8, no. 4, pp. 487–494, Apr. 2010.
8.
go back to reference A. J. Mitchell, “Screening for cancer-related distress: when is implementation successful and when is it unsuccessful?,” Acta Oncol, vol. 52, no. 2, pp. 216–224, Feb. 2013. A. J. Mitchell, “Screening for cancer-related distress: when is implementation successful and when is it unsuccessful?,” Acta Oncol, vol. 52, no. 2, pp. 216–224, Feb. 2013.
9.
go back to reference M. I. Fitch, “Supportive care framework.,” Can Oncol Nurs J, vol. 18, no. 1, pp. 6–24, Jan. 2008. M. I. Fitch, “Supportive care framework.,” Can Oncol Nurs J, vol. 18, no. 1, pp. 6–24, Jan. 2008.
10.
go back to reference J. E. W. C. van Gemert-Pijnen, N. Nijland, M. van Limburg, H. C. Ossebaard, S. M. Kelders, G. Eysenbach, and E. R. Seydel, “A holistic framework to improve the uptake and impact of eHealth technologies.,” J. Med. Internet Res., vol. 13, no. 4, p. e111, Jan. 2011. J. E. W. C. van Gemert-Pijnen, N. Nijland, M. van Limburg, H. C. Ossebaard, S. M. Kelders, G. Eysenbach, and E. R. Seydel, “A holistic framework to improve the uptake and impact of eHealth technologies.,” J. Med. Internet Res., vol. 13, no. 4, p. e111, Jan. 2011.
11.
go back to reference J. N. Stinson, G. C. Petroz, B. J. Stevens, B. M. Feldman, D. Streiner, P. J. McGrath, and N. Gill, “Working out the kinks: testing the feasibility of an electronic pain diary for adolescents with arthritis.,” Pain Res. Manag., vol. 13, no. 5, pp. 375–382, Jan.. J. N. Stinson, G. C. Petroz, B. J. Stevens, B. M. Feldman, D. Streiner, P. J. McGrath, and N. Gill, “Working out the kinks: testing the feasibility of an electronic pain diary for adolescents with arthritis.,” Pain Res. Manag., vol. 13, no. 5, pp. 375–382, Jan..
12.
go back to reference R. van der Vaart, C. H. C. Drossaert, E. Taal, and M. A. F. J. van de Laar, “Patient preferences for a hospital-based rheumatology interactive health communication application and factors associated with these preferences.,” Rheumatology (Oxford)., vol. 50, no. 9, pp. 1618–1626, Sep. 2011. R. van der Vaart, C. H. C. Drossaert, E. Taal, and M. A. F. J. van de Laar, “Patient preferences for a hospital-based rheumatology interactive health communication application and factors associated with these preferences.,” Rheumatology (Oxford)., vol. 50, no. 9, pp. 1618–1626, Sep. 2011.
13.
go back to reference S. Lubberding, C. F. van Uden-Kraan, E. A. Te Velde, P. Cuijpers, C. R. Leemans, and I. M. Verdonck-de Leeuw, “Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.,” J. Clin. Nurs., Feb. 2015. S. Lubberding, C. F. van Uden-Kraan, E. A. Te Velde, P. Cuijpers, C. R. Leemans, and I. M. Verdonck-de Leeuw, “Improving access to supportive cancer care through an eHealth application: a qualitative needs assessment among cancer survivors.,” J. Clin. Nurs., Feb. 2015.
14.
go back to reference R. de Bree, I. M. Verdonck-de Leeuw, A. L. Keizer, A. Houffelaar, and C. R. Leemans, “Touch screen computer-assisted health-related quality of life and distress data collection in head and neck cancer patients.,” Clin Otolaryngol, vol. 33, no. 2, pp. 138–142, Apr. 2008. R. de Bree, I. M. Verdonck-de Leeuw, A. L. Keizer, A. Houffelaar, and C. R. Leemans, “Touch screen computer-assisted health-related quality of life and distress data collection in head and neck cancer patients.,” Clin Otolaryngol, vol. 33, no. 2, pp. 138–142, Apr. 2008.
15.
go back to reference S. Vosbergen, E. K. Laan, E. B. Colkesen, M. A. J. Niessen, R. A. Kraaijenhagen, M.-L. Essink-Bot, and N. Peek, “Evaluation of end-user satisfaction among employees participating in a web-based health risk assessment with tailored feedback.,” J. Med. Internet Res., vol. 14, no. 5, p. e140, Jan. 2012. S. Vosbergen, E. K. Laan, E. B. Colkesen, M. A. J. Niessen, R. A. Kraaijenhagen, M.-L. Essink-Bot, and N. Peek, “Evaluation of end-user satisfaction among employees participating in a web-based health risk assessment with tailored feedback.,” J. Med. Internet Res., vol. 14, no. 5, p. e140, Jan. 2012.
16.
go back to reference S. M. Kelders, W. T. M. Pots, M. J. Oskam, E. T. Bohlmeijer, and J. E. W. C. van Gemert-Pijnen, “Development of a web-based intervention for the indicated prevention of depression.,” BMC Med Inform Decis Mak, vol. 13, p. 26, Jan. 2013. S. M. Kelders, W. T. M. Pots, M. J. Oskam, E. T. Bohlmeijer, and J. E. W. C. van Gemert-Pijnen, “Development of a web-based intervention for the indicated prevention of depression.,” BMC Med Inform Decis Mak, vol. 13, p. 26, Jan. 2013.
17.
go back to reference R. G. Booth, “Examining the functionality of the DeLone and McLean information system success model as a framework for synthesis in nursing information and communication technology research.,” Comput. Inform. Nurs., vol. 30, no. 6, pp. 330–345, Jun. 2012. R. G. Booth, “Examining the functionality of the DeLone and McLean information system success model as a framework for synthesis in nursing information and communication technology research.,” Comput. Inform. Nurs., vol. 30, no. 6, pp. 330–345, Jun. 2012.
18.
go back to reference S. Lubberding, C.F. Van Uden-Kraan, W.J.M.J. Cuijpers, C.R. Leemans, and I.M. Verdonck-de Leeuw, “Developing an eHealth portal targeting survivorship cancer care: a user-centred design approach.,” Psycho-Oncology, vol. 22, pp. 15–16, 2013. S. Lubberding, C.F. Van Uden-Kraan, W.J.M.J. Cuijpers, C.R. Leemans, and I.M. Verdonck-de Leeuw, “Developing an eHealth portal targeting survivorship cancer care: a user-centred design approach.,” Psycho-Oncology, vol. 22, pp. 15–16, 2013.
19.
go back to reference Reichheld F, Markey R (2011) the ultimate question 2.0 (revised and expanded edition): how net promoter companies thrive in a customer-driven world. Harvard Business School Press:224 Reichheld F, Markey R (2011) the ultimate question 2.0 (revised and expanded edition): how net promoter companies thrive in a customer-driven world. Harvard Business School Press:224
20.
go back to reference J. F. Piccirillo, R. M. Tierney, I. Costas, L. Grove, and E. L. Spitznagel, “Prognostic importance of comorbidity in a hospital-based cancer registry.,” Jama, vol. 291, no. 20, pp. 2441–2447, May 2004. J. F. Piccirillo, R. M. Tierney, I. Costas, L. Grove, and E. L. Spitznagel, “Prognostic importance of comorbidity in a hospital-based cancer registry.,” Jama, vol. 291, no. 20, pp. 2441–2447, May 2004.
21.
go back to reference N. K. Aaronson, S. Ahmedzai, B. Bergman, M. Bullinger, A. Cull, N. J. Duez, A. Filiberti, H. Flechtner, S. B. Fleishman, and J. C. de Haes, “The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology.,” J Natl Cancer Inst, vol. 85, no. 5, pp. 365–376, Mar. 1993. N. K. Aaronson, S. Ahmedzai, B. Bergman, M. Bullinger, A. Cull, N. J. Duez, A. Filiberti, H. Flechtner, S. B. Fleishman, and J. C. de Haes, “The European organization for research and treatment of cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology.,” J Natl Cancer Inst, vol. 85, no. 5, pp. 365–376, Mar. 1993.
22.
go back to reference I. C. Cnossen, C. F. van Uden-Kraan, R. N. P. M. Rinkel, I. J. Aalders, C. J. T. de Goede, R. de Bree, P. Doornaert, D. H. F. Rietveld, J. A. Langendijk, B. I. Witte, C. R. Leemans, and I. M. Verdonck-de Leeuw, “Multimodal guided self-help exercise program to prevent speech, swallowing, and shoulder problems among head and neck cancer patients: a feasibility study.,” J. Med. Internet Res., vol. 16, no. 3, p. e74, Jan. 2014. I. C. Cnossen, C. F. van Uden-Kraan, R. N. P. M. Rinkel, I. J. Aalders, C. J. T. de Goede, R. de Bree, P. Doornaert, D. H. F. Rietveld, J. A. Langendijk, B. I. Witte, C. R. Leemans, and I. M. Verdonck-de Leeuw, “Multimodal guided self-help exercise program to prevent speech, swallowing, and shoulder problems among head and neck cancer patients: a feasibility study.,” J. Med. Internet Res., vol. 16, no. 3, p. e74, Jan. 2014.
23.
go back to reference C. M. Ruland, T. Andersen, A. Jeneson, S. Moore, G. H. Grimsbø, E. Børøsund, and M. C. Ellison, “Effects of an internet support system to assist cancer patients in reducing symptom distress: a randomized controlled trial.,” Cancer Nurs, vol. 36, no. 1, pp. 6–17, Jan. 2013. C. M. Ruland, T. Andersen, A. Jeneson, S. Moore, G. H. Grimsbø, E. Børøsund, and M. C. Ellison, “Effects of an internet support system to assist cancer patients in reducing symptom distress: a randomized controlled trial.,” Cancer Nurs, vol. 36, no. 1, pp. 6–17, Jan. 2013.
24.
go back to reference C. M. Ruland, R. M. Maffei, E. Børøsund, A. Krahn, T. Andersen, and G. H. Grimsbø, “Evaluation of different features of an eHealth application for personalized illness management support: cancer patients’ use and appraisal of usefulness.,” Int J Med Inform, vol. 82, no. 7, pp. 593–603, Jul. 2013. C. M. Ruland, R. M. Maffei, E. Børøsund, A. Krahn, T. Andersen, and G. H. Grimsbø, “Evaluation of different features of an eHealth application for personalized illness management support: cancer patients’ use and appraisal of usefulness.,” Int J Med Inform, vol. 82, no. 7, pp. 593–603, Jul. 2013.
25.
go back to reference C. K. L. Or and B.-T. Karsh, 2009 “A systematic review of patient acceptance of consumer health information technology.,” J Am Med Inform Assoc, vol. 16, no. 4, pp. 550–560, Jan.. C. K. L. Or and B.-T. Karsh, 2009 “A systematic review of patient acceptance of consumer health information technology.,” J Am Med Inform Assoc, vol. 16, no. 4, pp. 550–560, Jan..
26.
go back to reference Y. K. Bartlett, D. L. Selby, A. Newsham, A. Keding, D. Forman, J. Brown, G. Velikova, and P. Wright, “Developing a useful, user-friendly website for cancer patient follow-up: users’ perspectives on ease of access and usefulness.,” Eur J Cancer Care (Engl)., vol. 21, no. 6, pp. 747–757, Nov. 2012. Y. K. Bartlett, D. L. Selby, A. Newsham, A. Keding, D. Forman, J. Brown, G. Velikova, and P. Wright, “Developing a useful, user-friendly website for cancer patient follow-up: users’ perspectives on ease of access and usefulness.,” Eur J Cancer Care (Engl)., vol. 21, no. 6, pp. 747–757, Nov. 2012.
27.
go back to reference E. Børøsund, M. Cvancarova, M. Ekstedt, S. M. Moore, and C. M. Ruland, “How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer.,” J. Med. Internet Res., vol. 15, no. 3, p. e34, Jan. 2013. E. Børøsund, M. Cvancarova, M. Ekstedt, S. M. Moore, and C. M. Ruland, “How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer.,” J. Med. Internet Res., vol. 15, no. 3, p. e34, Jan. 2013.
28.
go back to reference A.-M. Wiggers, N. Peek, R. Kraaijenhagen, and M. Jaspers, “Determinants of eligibility and use of ehealth for cardiac rehabilitation patients: preliminary results.,” Stud Health Technol Inform, vol. 205, pp. 818–822, Jan. 2014. A.-M. Wiggers, N. Peek, R. Kraaijenhagen, and M. Jaspers, “Determinants of eligibility and use of ehealth for cardiac rehabilitation patients: preliminary results.,” Stud Health Technol Inform, vol. 205, pp. 818–822, Jan. 2014.
29.
go back to reference C. F. Van Uden-Kraan, C. H. C. Drossaert, E. Taal, W. M. Smit, H. J. Bernelot Moens, and M. A. F. J. Van de Laar, “Determinants of engagement in face-to-face and online patient support groups.,” J. Med. Internet Res., vol. 13, no. 4, p. e106, Jan. 2011. C. F. Van Uden-Kraan, C. H. C. Drossaert, E. Taal, W. M. Smit, H. J. Bernelot Moens, and M. A. F. J. Van de Laar, “Determinants of engagement in face-to-face and online patient support groups.,” J. Med. Internet Res., vol. 13, no. 4, p. e106, Jan. 2011.
30.
go back to reference S. M. Kelders, J. E. W. C. Van Gemert-Pijnen, A. Werkman, N. Nijland, and E. R. Seydel, “Effectiveness of a Web-based intervention aimed at healthy dietary and physical activity behavior: a randomized controlled trial about users and usage.,” J. Med. Internet Res., vol. 13, no. 2, p. e32, Jan. 2011. S. M. Kelders, J. E. W. C. Van Gemert-Pijnen, A. Werkman, N. Nijland, and E. R. Seydel, “Effectiveness of a Web-based intervention aimed at healthy dietary and physical activity behavior: a randomized controlled trial about users and usage.,” J. Med. Internet Res., vol. 13, no. 2, p. e32, Jan. 2011.
31.
go back to reference M. W. Verheijden, M. P. Jans, V. H. Hildebrandt, and M. Hopman-Rock, “Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle.,” J. Med. Internet Res., vol. 9, no. 1, p. e1, Jan. 2007. M. W. Verheijden, M. P. Jans, V. H. Hildebrandt, and M. Hopman-Rock, “Rates and determinants of repeated participation in a web-based behavior change program for healthy body weight and healthy lifestyle.,” J. Med. Internet Res., vol. 9, no. 1, p. e1, Jan. 2007.
32.
go back to reference Y. M. Chae, H. J. Park, J. G. Cho, G. D. Hong, and K. A. Cheon, “The reliability and acceptability of telemedicine for patients with schizophrenia in Korea.,” J Telemed Telecare, vol. 6, no. 2, pp. 83–90, Jan. 2000. Y. M. Chae, H. J. Park, J. G. Cho, G. D. Hong, and K. A. Cheon, “The reliability and acceptability of telemedicine for patients with schizophrenia in Korea.,” J Telemed Telecare, vol. 6, no. 2, pp. 83–90, Jan. 2000.
33.
go back to reference J.-G. Jeannot, F. Froehlich, V. Wietlisbach, B. Burnand, O. Terraz, and J.-P. Vader, “Patient use of the internet for health care information in Switzerland.,” Swiss Med Wkly, vol. 134, no. 21–22, pp. 307–312, May 2004. J.-G. Jeannot, F. Froehlich, V. Wietlisbach, B. Burnand, O. Terraz, and J.-P. Vader, “Patient use of the internet for health care information in Switzerland.,” Swiss Med Wkly, vol. 134, no. 21–22, pp. 307–312, May 2004.
34.
go back to reference Millard RW, Fintak PA (2002) Use of the internet by patients with chronic illness. Dis Manag Heal Outcomes 10(3):187–194CrossRef Millard RW, Fintak PA (2002) Use of the internet by patients with chronic illness. Dis Manag Heal Outcomes 10(3):187–194CrossRef
35.
go back to reference Venkatesh FD, Morris V, Davis MG (2003) User acceptance of information technology: toward a unified view. MIS Quarterly. 27:425–478 Venkatesh FD, Morris V, Davis MG (2003) User acceptance of information technology: toward a unified view. MIS Quarterly. 27:425–478
36.
go back to reference V. Voncken-Brewster, H. Tange, A. Moser, Z. Nagykaldi, H. de Vries, and T. van der Weijden, “Integrating a tailored e-health self-management application for chronic obstructive pulmonary disease patients into primary care: a pilot study.,” BMC Fam Pract, vol. 15, p. 4, Jan. 2014. V. Voncken-Brewster, H. Tange, A. Moser, Z. Nagykaldi, H. de Vries, and T. van der Weijden, “Integrating a tailored e-health self-management application for chronic obstructive pulmonary disease patients into primary care: a pilot study.,” BMC Fam Pract, vol. 15, p. 4, Jan. 2014.
37.
go back to reference W. Brouwer, A. Oenema, R. Crutzen, J. de Nooijer, N. K. de Vries, and J. Brug, “What makes people decide to visit and use an internet-delivered behavior-change intervention?,” Health Educ, vol. 109, no. 6, pp. 460–473, Oct. 2009. W. Brouwer, A. Oenema, R. Crutzen, J. de Nooijer, N. K. de Vries, and J. Brug, “What makes people decide to visit and use an internet-delivered behavior-change intervention?,” Health Educ, vol. 109, no. 6, pp. 460–473, Oct. 2009.
38.
go back to reference J. O. Prochaska, “Multiple health behavior research represents the future of preventive medicine.,” Prev Med (Baltim)., vol. 46, no. 3, pp. 281–285, Mar. 2008. J. O. Prochaska, “Multiple health behavior research represents the future of preventive medicine.,” Prev Med (Baltim)., vol. 46, no. 3, pp. 281–285, Mar. 2008.
39.
go back to reference J. R. Schubart, H. L. Stuckey, A. Ganeshamoorthy, and C. N. Sciamanna, “Chronic health conditions and internet behavioral interventions: a review of factors to enhance user engagement.,” Comput Inform Nurs, vol. 29, no. 2 Suppl, pp. TC9–T20, Feb. 2011. J. R. Schubart, H. L. Stuckey, A. Ganeshamoorthy, and C. N. Sciamanna, “Chronic health conditions and internet behavioral interventions: a review of factors to enhance user engagement.,” Comput Inform Nurs, vol. 29, no. 2 Suppl, pp. TC9–T20, Feb. 2011.
40.
go back to reference W. Brouwer, W. Kroeze, R. Crutzen, J. de Nooijer, N. K. de Vries, J. Brug, and A. Oenema, “Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? A systematic review.,” J. Med. Internet Res., vol. 13, no. 1, p. e2, Jan. 2011. W. Brouwer, W. Kroeze, R. Crutzen, J. de Nooijer, N. K. de Vries, J. Brug, and A. Oenema, “Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? A systematic review.,” J. Med. Internet Res., vol. 13, no. 1, p. e2, Jan. 2011.
Metadata
Title
Feasibility of an eHealth application “OncoKompas” to improve personalized survivorship cancer care
Authors
S. Duman-Lubberding
C.F. van Uden-Kraan
F. Jansen
B.I. Witte
L.A. van der Velden
M. Lacko
P. Cuijpers
C.R. Leemans
I.M. Verdonck-de Leeuw
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 5/2016
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-015-3004-2

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