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Supportive Care in Cancer

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01-02-2018 | Original Article

Patient and provider perceptions of Internet-delivered cognitive behavior therapy for recent cancer survivors

Authors: Nicole M. Alberts, Heather D. Hadjistavropoulos, Nickolai Titov, Blake F. Dear

Published in: Supportive Care in Cancer | Issue 2/2018

Abstract

Purpose

Although most cancer survivors adjust well, a subset experiences clinical levels of anxiety and depression following cancer treatment. Internet-delivered cognitive behavior therapy (iCBT) is a promising intervention for symptoms of anxiety and depression among survivors; however, patient and provider perceptions of iCBT have not been examined.

Methods

We employed an exploratory qualitative method and conducted semi-structured interviews with 13 cancer survivors and 10 providers to examine iCBT strengths and weaknesses, areas for improvement, and perceived barriers to program completion. A thematic content analysis approach was used to analyze the data.

Results

The majority of survivors liked the flexible, convenient, and private nature of the program. Many viewed the program as helping them feel less alone following cancer treatment. Areas of improvement included suggestions of additional information regarding cancer treatment side effects. Barriers to completing the program were identified by a minority of survivors and included finding time to complete the program and current symptoms. Providers liked the program’s accessibility and its ability to provide support to patients after cancer treatment. All providers perceived the program as useful in their current work with survivors. Concerns around the fit of the program (e.g., for particular patients) were expressed by a minority of providers.

Conclusions

Results provide additional evidence for the acceptability of an iCBT program among recent cancer survivors and providers in oncology settings. The current study highlights the value of research exploring iCBT for cancer survivors and provides insights for other groups considering Internet-delivered care for survivors.

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Title: Patient and provider perceptions of Internet-delivered cognitive behavior therapy for recent cancer survivors
Authors: Nicole M. Alberts
Heather D. Hadjistavropoulos
Nickolai Titov
Blake F. Dear
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 2/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-017-3872-8

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