Short-term effectiveness of an eHealth intervention aimed at improving cancer survivors’ quality of life

Abstract

Background: Since eHealth can be a valuable tool for addressing frequently occurring psychosocial problems in the population of cancer survivors, we developed the ‘Kanker Nazorg Wijzer’ (KNW; Cancer Aftercare Guide). This is an online tailored intervention aimed at increasing survivors’ quality of life by tackling frequently experienced problems. Methods: As part of a RCT, quality of life (EORTC QLQ-C30), psychological distress (HADS), and fatigue (CIS) at 6 months were compared between the intervention (n = 186) and control (n = 149) group, controlling for baseline values. MANCOVAs tested overall effects, ANCOVAs subscale effects. Findings: MANCOVAs only revealed an effect for psychological distress. Results of the ANCOVAs showed that the intervention group reported higher emotional functioning (QLQ-C30; p = .03, ƞ2 = .009), lower anxiety (HADS; p = .03, ƞ2 = .007) and depression (HADS; p = .01, ƞ2 = .011), less subjective fatigue (CIS; p = .03, ƞ2 = .007) and higher motivation for undertaking activities (CIS; p = .03, ƞ2 = .008). Discussion: The first results of the intervention-effectiveness are promising. The KNW seems to successfully address important patients’ needs. Further research will explore relevant moderators or mediators.