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01-03-2011

Optimizing eHealth breast cancer interventions: which types of eHealth services are effective?

Authors: Timothy B Baker, Ph.D., Robert Hawkins, Ph.D., Suzanne Pingree, Ph.D., Linda J Roberts, Ph.D., Helene E McDowell, M.S., Bret R Shaw, Ph.D., Ron Serlin, Ph.D., Lisa Dillenburg, M.S.W., Christopher M Swoboda, M.S., Jeong-Yeob Han, Ph.D., James A Stewart, M.D., Cindy L Carmack-Taylor, Ph.D., Andrew Salner, M.D., Tanya R Schlam, Ph.D., Fiona McTavish, M.S., David H Gustafson, Ph.D.

Published in: Translational Behavioral Medicine | Issue 1/2011

Abstract

Little is known about the effective elements of Interactive Cancer Communication Systems (ICCSs). A randomized trial explored which types of services of a multifaceted ICCS benefited patients and the nature of the benefit. Women with breast cancer (N = 450) were randomized to different types of ICCS services or to a control condition that provided internet access. The Comprehensive Health Enhancement Support System (CHESS), served as the ICCS. ICCS services providing information and support, but not coaching such as cognitive behavior therapy, produced significant benefits in health information competence and emotional processing. Provision of Information and Support ICCS services significantly benefited women with breast cancer. More complex and interactive services designed to train the user had negligible effects.

Two other measures were originally viewed as primary (a measure of health care utilization and marital satisfaction), but these are no longer viewed as primary due to limitations in the quality of the utilization measure and changes in the development of the relationship intervention.

All randomized subjects with data at a follow-up time point were included in analyses. Also, data were gathered at 12 months post-treatment but are not reported. We did not expect significant treatment effects to persist for 12 months [8], and they did not. In fact, as will be apparent from the data to be presented, the significant effects tended to occur early in the course of treatment.

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Title: Optimizing eHealth breast cancer interventions: which types of eHealth services are effective?
Authors: Timothy B Baker, Ph.D.
Robert Hawkins, Ph.D.
Suzanne Pingree, Ph.D.
Linda J Roberts, Ph.D.
Helene E McDowell, M.S.
Bret R Shaw, Ph.D.
Ron Serlin, Ph.D.
Lisa Dillenburg, M.S.W.
Christopher M Swoboda, M.S.
Jeong-Yeob Han, Ph.D.
James A Stewart, M.D.
Cindy L Carmack-Taylor, Ph.D.
Andrew Salner, M.D.
Tanya R Schlam, Ph.D.
Fiona McTavish, M.S.
David H Gustafson, Ph.D.
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: Translational Behavioral Medicine / Issue 1/2011
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-010-0004-0

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Optimizing eHealth breast cancer interventions: which types of eHealth services are effective?

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