Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors

Lisa J. Beatty, Emma Bronte Kemp, Joseph R. Coll, Jane D. Turner, Phyllis N. Butow, Donna J. Milne, Patsy Yates, Sylvie D. Lambert, Addie C. Wootten, Desmond Yip, Bogda Koczwara

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Purpose: This multicentre randomised controlled trial examined the efficacy of Finding My Way (FMW), a 6-week/6-module online self-guided psychotherapeutic intervention for newly diagnosed curatively treated cancer survivors, in reducing cancer-related distress and improving quality of life compared to an online attention control. Methods: Participants were randomised on a 1:1 ratio using a gender-stratified block design to intervention (n = 94) or attention control (n = 97), and were blinded to condition. Assessments were completed at baseline (T0), post-intervention (T1), 3 months (T2), and 6 months (T3) post-intervention. Mixed model repeated measures analyses examined differences between groups for cancer-specific distress (primary outcome) and general distress, quality of life (QoL), coping, and health service utilisation (secondary outcomes). Results: While both groups reported reduced cancer-specific and general distress over time, between-group differences were not significant. Intervention participants reported lower total health service utilisation and supportive care utilisation post-intervention than controls (total HS use: between-group mean difference = − 1.07 (− 1.85 to − 0.28); supportive care use: between-group mean difference = − 0.64 (− 1.21 to − 0.06)) and significantly higher emotional functioning at 3 months (between-group mean difference = 7.04 (0.15 to 13.9)). At 6 months, the supportive care utilisation finding reversed (between-group mean difference = 0.78 points (0.19 to 1.37). Across remaining QoL and coping outcomes, no significant group differences emerged. Conclusions: While both groups experienced reductions in distress, between-group differences were not significant. This contrasts with the significantly improved emotional functioning observed in FMW participants at 3 months and the short-term reductions in health service utilisation. Long-term increases in supportive care service utilisation suggest FMW only met needs while being actively used. Trial registration: ACTRN12613000001796; http://www.ANZCTR.org.au/ACTRN12613000001796.aspx.

Original languageEnglish
Pages (from-to)2533-2544
Number of pages12
JournalSupportive Care in Cancer
Volume27
Issue number7
DOIs
Publication statusPublished - 1 Jul 2019

Keywords

  • RCT
  • Acute survivorship
  • Distress
  • CBT
  • Self-guided
  • Internet intervention

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