A web-based self-help intervention for partners of cancer patients based on Acceptance and Commitment Therapy: a protocol of a randomized controlled trialReport as inadecuate




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BMC Public Health

, 15:303

Health behavior, health promotion and society

Abstract

BackgroundThere is a growing recognition that cancer not only affects the lives of the patients, but also the lives of their partners. Partners of cancer patients are highly involved in the illness trajectory by providing informal care and they often experience distress. However, supporting interventions for this group are scarce and existing interventions bear several limitations. On the basis of the need for theory- and evidence-based supportive interventions for partners of cancer patients, the web-based self-help intervention Hold on, for each other has been developed. This intervention is based on Acceptance and Commitment Therapy. The primary objective of the RCT is to investigate the cost- effectiveness of the intervention. Additional goals are 1 to examine if psychological flexibility, self-compassion, mastery, supportive behavior, posttraumatic growth and resilience are mediators of the intervention’s effects on the partners’ mental health; 2 to examine the moderating effects of the socio demographics age, gender, education, working situation, family situation and disease-related characteristics of the patients sort of cancer, stage of disease, duration and treatment of cancer; and 3 to investigate to what extend participants are satisfied with the intervention, which parts of the intervention are mostly used, and how adherent the users are.

Methods-DesignA three-armed randomized controlled trial RCT will be conducted to compare two versions of the intervention Hold on, for each other with a waiting list control condition. Both intervention conditions contain the same content and differ only with regard to the form of professional support personal support versus automatic support. Adult partners of cancer patients with mild to moderate depressive and anxiety symptoms, will be recruited through a multi-component strategy. Online measurements by self-assessment will be made on four measurement points prior to randomization baseline-measurement and 3, 6 and 12 months after baseline.

DiscussionWhen proven effective, Hold on, for each other can be an invaluable contribution to the healthcare system and it could be offered to all partners of cancer patients who are in need for additional support.

Trial registrationDutch Trial Register, trial registration number NTR4035, date of registration: 17 March 2013.

KeywordsCancer Oncology Distress RCT Partners Self-help Web-based Effectiveness Cost-effectiveness Acceptance and Commitment Therapy  Download fulltext PDF



Author: Nadine Köhle - Constance HC Drossaert - Karlein MG Schreurs - Mariët Hagedoorn - Irma M Verdonck-de Leeuw - Ernst T Bo

Source: https://link.springer.com/







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