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dc.contributor.authorMartin, F
dc.contributor.authorWright, H
dc.contributor.authorMoody, L
dc.contributor.authorWhiteman, B
dc.contributor.authorMcGillion, M
dc.contributor.authorClyne, Wendy
dc.contributor.authorPearce, G
dc.contributor.authorTurner, A
dc.date.accessioned2020-09-15T08:11:28Z
dc.date.issued2020-05-19
dc.identifier.issn1438-8871
dc.identifier.issn1438-8871
dc.identifier.otherARTN e17824
dc.identifier.urihttp://hdl.handle.net/10026.1/16271
dc.description.abstract

<jats:sec> <jats:title>Background</jats:title> <jats:p>People living with cancer face numerous psychosocial challenges, including cancer-related fatigue, fear of recurrence, and depression. There is a lack of digital interventions tailored to the needs of people living with all types of cancer. We developed a 6-week, digital, peer-delivered, self-management program: iHOPE (Help to Overcome Problems Effectively; where ‘i’ indicates the digital version of the program). The program is underpinned by positive psychology and cognitive behavioral therapy to meet these psychosocial challenges.</jats:p> </jats:sec> <jats:sec> <jats:title>Objective</jats:title> <jats:p>This study aimed to assess the feasibility of the iHOPE program among people living with cancer. Program adherence and satisfaction along with changes in psychological distress and positive well-being were measured.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>A pre-post, acceptability, and feasibility design was used. People living with cancer (N=114) were recruited via a national cancer charity in the United Kingdom and were given access to the iHOPE program. Demographic and other participant characteristics were recorded. Participants completed digital measures at baseline and the end of the 6-week program for depression, anxiety, cancer-related fatigue, cancer worry or fear of cancer recurrence, positive mental well-being, hope, gratitude, and health status. The website’s system recorded data on the usage of the program. Satisfaction with the program was also measured.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>A total of 114 participants completed the baseline questionnaires. Of these, 70 people (61.4%) participated in all 6 sessions. The mean number of sessions undertaken was 5.0 (SD 1.5). Moreover, 44.7% (51/114) of participants completed at least three sessions and end-of-program outcome measures. A total of 59 participants completed the satisfaction questionnaire, where ≥90% (54/58) of participants reported that the program was easy to navigate and was well managed by the peer facilitators, and that they found the social networking tools useful. Preliminary efficacy testing among the 51 participants who completed baseline and postprogram outcome measures showed that postprogram scores decreased for depression, anxiety, cancer-related fatigue, and fear of recurrence (all P&lt;.001) and increased for positive mental well-being (P&lt;.001), hope (both P&lt;.001), and gratitude (P=.02).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>The feasibility evidence is promising, showing that the peer-delivered digital iHOPE program is acceptable and practical. Implementation of the iHOPE program on a wider scale will incorporate further research and development to maximize the completion rates of the measures. Initial effectiveness data suggest positive impacts on important cancer-related quality of life and mental well-being outcomes. A randomized controlled trial design with a longer follow-up is needed to confirm the potential of the iHOPE program for improving mental and physical health outcomes for cancer survivors.</jats:p> </jats:sec>

dc.format.extente17824-e17824
dc.format.mediumElectronic
dc.languageen
dc.language.isoen
dc.publisherJMIR Publications Inc.
dc.subjectpositive psychology
dc.subjectself-management
dc.subjecthope
dc.subjectquality of life
dc.subjectsurvivorship
dc.subjectcancer
dc.titleHelp to Overcome Problems Effectively for Cancer Survivors: Development and Evaluation of a Digital Self-Management Program
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000533789400001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue5
plymouth.volume22
plymouth.publication-statusPublished online
plymouth.journalJournal of Medical Internet Research
dc.identifier.doi10.2196/17824
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeCanada
dcterms.dateAccepted2020-03-21
dc.rights.embargodate2020-9-19
dc.identifier.eissn1438-8871
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.2196/17824
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-05-19
rioxxterms.typeJournal Article/Review


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