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Understanding acceptability of and engagement with Web-based interventions aiming to improve quality of life in cancer survivors: A synthesis of current research

Understanding acceptability of and engagement with Web-based interventions aiming to improve quality of life in cancer survivors: A synthesis of current research
Understanding acceptability of and engagement with Web-based interventions aiming to improve quality of life in cancer survivors: A synthesis of current research
Purpose

This review sought to summarize existing knowledge in order to inform the development of an online intervention that aims to improve quality of life after cancer treatment.

Methods

To inform our intervention, we searched for studies relating to web-based interventions designed to improve QoL in adults who have completed primary treatment for breast, prostate and colorectal cancer (as these are three of the most common cancers and impact a large number of cancer survivors). We included a variety of study designs (qualitative research, feasibility/pilot trials, randomised trials, and process evaluations) and extracted all available information regarding intervention characteristics, experiences, and outcomes. Data were synthesised as textual (qualitative) data and analysed using thematic analysis.

Results

Fifty-seven full text articles were assessed for eligibility and 16 papers describing nine interventions were analysed. Our findings suggest that cancer survivors value interventions that offer content specific to their changing needs and are delivered at the right stage of the cancer trajectory. Social networking features do not always provide added benefit, and behaviour change techniques need to be implemented carefully to avoid potential negative consequences for some users.

Conclusions

Future work should aim to identify appropriate strategies for promoting health behaviour change, as well as the optimal stage of cancer survivorship to facilitate intervention delivery.

Clinical Implications

The development of web-based interventions for cancer survivors requires further exploration to better understand how interventions can be carefully designed to match this group's unique needs and capabilities. User involvement during development may help to ensure that interventions are accessible, perceived as useful, and appropriate for challenges faced at different stages of the cancer survivorship trajectory.
cancer, digital intervention, intervention development, oncology, review, survivorship, Web-based
1057-9249
22-33
Corbett, Teresa
bce81837-17ae-46c3-a6b1-43a7e1f07f9c
Singh, Karmpaul
f6479a07-65cc-40ec-934d-7c6f5e4ed9b8
Payne, Liz
862f8fcf-711d-4146-a723-a9109339c70a
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Corbett, Teresa
bce81837-17ae-46c3-a6b1-43a7e1f07f9c
Singh, Karmpaul
f6479a07-65cc-40ec-934d-7c6f5e4ed9b8
Payne, Liz
862f8fcf-711d-4146-a723-a9109339c70a
Bradbury, Katherine
87fce0b9-d9c5-42b4-b041-bffeb4430863
Foster, Claire
00786ac1-bd47-4aeb-a0e2-40e058695b73
Watson, Eila
d295228d-d534-4c35-844f-ca8471c169c0
Richardson, Alison
3db30680-aa47-43a5-b54d-62d10ece17b7
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Corbett, Teresa, Singh, Karmpaul, Payne, Liz, Bradbury, Katherine, Foster, Claire, Watson, Eila, Richardson, Alison, Little, Paul and Yardley, Lucy (2018) Understanding acceptability of and engagement with Web-based interventions aiming to improve quality of life in cancer survivors: A synthesis of current research. Psycho-Oncology, 27 (1), 22-33. (doi:10.1002/pon.4566).

Record type: Article

Abstract

Purpose

This review sought to summarize existing knowledge in order to inform the development of an online intervention that aims to improve quality of life after cancer treatment.

Methods

To inform our intervention, we searched for studies relating to web-based interventions designed to improve QoL in adults who have completed primary treatment for breast, prostate and colorectal cancer (as these are three of the most common cancers and impact a large number of cancer survivors). We included a variety of study designs (qualitative research, feasibility/pilot trials, randomised trials, and process evaluations) and extracted all available information regarding intervention characteristics, experiences, and outcomes. Data were synthesised as textual (qualitative) data and analysed using thematic analysis.

Results

Fifty-seven full text articles were assessed for eligibility and 16 papers describing nine interventions were analysed. Our findings suggest that cancer survivors value interventions that offer content specific to their changing needs and are delivered at the right stage of the cancer trajectory. Social networking features do not always provide added benefit, and behaviour change techniques need to be implemented carefully to avoid potential negative consequences for some users.

Conclusions

Future work should aim to identify appropriate strategies for promoting health behaviour change, as well as the optimal stage of cancer survivorship to facilitate intervention delivery.

Clinical Implications

The development of web-based interventions for cancer survivors requires further exploration to better understand how interventions can be carefully designed to match this group's unique needs and capabilities. User involvement during development may help to ensure that interventions are accessible, perceived as useful, and appropriate for challenges faced at different stages of the cancer survivorship trajectory.

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More information

Accepted/In Press date: 4 October 2017
e-pub ahead of print date: 17 October 2017
Published date: January 2018
Keywords: cancer, digital intervention, intervention development, oncology, review, survivorship, Web-based

Identifiers

Local EPrints ID: 414881
URI: http://eprints.soton.ac.uk/id/eprint/414881
ISSN: 1057-9249
PURE UUID: 410fd10e-5b18-478f-bce9-16f1b068bf75
ORCID for Teresa Corbett: ORCID iD orcid.org/0000-0002-5620-5377
ORCID for Liz Payne: ORCID iD orcid.org/0000-0002-6594-5668
ORCID for Katherine Bradbury: ORCID iD orcid.org/0000-0001-5513-7571
ORCID for Claire Foster: ORCID iD orcid.org/0000-0002-4703-8378
ORCID for Alison Richardson: ORCID iD orcid.org/0000-0003-3127-5755
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 13 Oct 2017 16:30
Last modified: 17 Dec 2019 05:51

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