Effectiveness and implementation of an electronic health record-integrated digital health intervention for managing depressive symptoms in ambulatory oncology: The My Well-Being Guide study rationale and protocol.

Autor: Yanez B; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America. Electronic address: Betina.yanez@northwestern.edu., Czech KA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Buitrago D; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Smith JD; Department of Population Health Sciences, University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT, United States of America., Schueller SM; Department of Psychological Science, University of California, Irvine, CA, United States of America., Taub CJ; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Kircher S; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Garcia SF; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America; Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, United States of America., Bass M; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Mercer AM; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Silvera CA; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, FL, United States of America., Scholtens D; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Peipert JD; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Psihogios AM; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America; Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, United States of America., Duffecy J; Department of Psychiatry, University of Illinois Chicago, Chicago, IL, United States of America., Cella D; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America; Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, United States of America; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America., Antoni MH; Departments of Psychology and Medicine, University of Miami, Coral Gables, FL, United States of America; Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America; Department of Psychology, University of Miami, Coral Gables, FL, United States of America., Penedo FJ; Departments of Psychology and Medicine, University of Miami, Coral Gables, FL, United States of America; Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, FL, United States of America.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2023 Apr; Vol. 127, pp. 107121. Date of Electronic Publication: 2023 Feb 17.
DOI: 10.1016/j.cct.2023.107121
Abstrakt: Background: Rates of clinically elevated depressive symptoms among ambulatory oncology patients are higher than in the general population and are associated with poorer health-related quality of life. Furthermore, a reduction in depressive symptoms may be associated with improved cancer survival. Several interventions have demonstrated efficacy in reducing oncologic depressive symptoms, including cognitive-behavioral stress management (CBSM). However, more work is needed to understand how to best implement CBSM into practice, such as through stepped-care approaches and digital health interventions linked to electronic health records (EHR). This manuscript presents the protocol of the My Well-Being Guide study, a pragmatic type 1 effectiveness-implementation hybrid study. This trial will test the effectiveness of My Well-Being Guide, a seven-week structured, CBSM-based digital health intervention designed to reduce depressive symptoms. This trial will also evaluate My Well-Being Guide's implementation across two health systems.
Methods: The final sample (N = 4561) will be oncology patients at Northwestern Medicine or University of Miami Health System who are ≥18 years of age; have a cancer diagnosis; elevated depressive symptoms on the Patient-Reported Outcomes Measurement Information System Depression; and primary language is English or Spanish. Data collection will occur at baseline, and 2-, 6-, and 12-months post baseline. Outcome domains include depressive symptoms and implementation evaluation.
Discussion: This study may provide valuable data on the effectiveness of our depressive symptom management digital health intervention linked to the EHR and the scalability of digital health interventions in general.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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