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  • Hauffman, AnnaUppsala universitet,Experimentell och klinisk onkologi,Birgitta Johansson (author)

Cocreated internet-based stepped care for individuals with cancer and concurrent symptoms of anxiety and depression : Results from the U-CARE AdultCan randomized controlled trial

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020-09-22
  • John Wiley & Sons,2020
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-420251
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-420251URI
  • https://doi.org/10.1002/pon.5489DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144725546URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objective The aim was to evaluate the effects of cocreated internet-based stepped care (iCAN-DO) on anxiety, depression, posttraumatic stress, and health-related quality of life (HRQoL) in individuals with cancer and self-reported anxiety and/or depression symptoms, compared with standard care.Methods Clinically recruited individuals with breast, colorectal, or prostate cancer underwent online screening with the Hospital Anxiety and Depression Scale (HADS). Those with anxiety and/or depression symptoms (>7 on any of the HADS subscales) were randomized to iCAN-DO or standard care. iCAN-DO comprised psychoeducation and self-care strategies (step 1) and internet-based cognitive behavioral therapy (iCBT, step 2). Data were collected before randomization and at 1, 4, 7, and 10 months and analyzed with intention-to-treat regression analysis and randomization tests.Results Online screening identified 245 (27%) of 909 individuals who reported anxiety and/or depression symptoms. They were randomized to iCAN-DO (n  = 124) or standard care (n = 121). Of them 49% completed the 10-month assessment, and in the iCAN-DO group 85% accessed step 1 and 13% underwent iCBT. iCAN-DO decreased the levels of symptoms of depression (−0.54, 95% confidence interval: −1.08 to −0.01, P < .05) and the proportion of individuals with symptoms of depression (P < .01) at 10 months, compared with standard care, according to HADS. There were no significant effects on anxiety, posttraumatic stress, or HRQoL.Conclusion Internet-based stepped care improves symptoms of depression in individuals with cancer. Further studies are needed to gain knowledge on how to optimize and implement internet-based support in oncology care.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Alfonsson, Sven,1977-Karolinska Institutet,Uppsala universitet,Klinisk psykologi i hälso- och sjukvård,Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute; Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden(Swepub:uu)sveal103 (author)
  • Bill-Axelson, AnnaUppsala universitet,Urologkirurgi(Swepub:uu)anbil030 (author)
  • Bergkvist, LeifUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)leber451 (author)
  • Forslund, MarinaUppsala universitet,Experimentell och klinisk onkologi(Swepub:uu)marfo258 (author)
  • Mattsson, SusanneUppsala universitet,Livsstil och rehabilitering vid långvarig sjukdom(Swepub:uu)susma948 (author)
  • von Essen, Louise,1957-Uppsala universitet,Klinisk psykologi i hälso- och sjukvård(Swepub:uu)louiesse (author)
  • Nygren, PeterUppsala universitet,Experimentell och klinisk onkologi(Swepub:uu)peterng (author)
  • Igelström, Helena,1976-Uppsala universitet,Åsenlöf: Fysioterapi,Experimentell och klinisk onkologi(Swepub:uu)helig421 (author)
  • Johansson, Birgitta,1959-Uppsala universitet,Experimentell och klinisk onkologi,Klinisk psykologi i hälso- och sjukvård,Birgitta Johansson(Swepub:uu)birgjhs (author)
  • Uppsala universitetExperimentell och klinisk onkologi (creator_code:org_t)

Related titles

  • In:Psycho-Oncology: John Wiley & Sons29:12, s. 2012-20181057-92491099-1611

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