Protocol for a Randomized Controlled Trial of Proactive Web-Based Versus Telephone-Based Information and Support: Can Electronic Platforms Deliver Effective Care for Lung Cancer Patients?
| Autor: | Frans Henskens, Amanda L. Baker, Elizabeth A. Fradgley, Douglas Bellamy, Daniel Barker, Christine Paul, Hannah Baird, Lorna O'Brien, Shiho Rose, Ian A G Roos, Glenda Colburn, Martine Cox, Tara Clinton-McHarg, Allison Boyes |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Telemedicine business.product_category education telephone counseling law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Telephone counseling psychological distress randomized controlled trial (RCT) law Internet access medicine Protocol Web application 030212 general & internal medicine business.industry General Medicine 3. Good health health information Distress lung cancer 030220 oncology & carcinogenesis Physical therapy Health education telemedicine General Health Questionnaire business |
| Zdroj: | JMIR Research Protocols |
| ISSN: | 1929-0748 |
| Popis: | Background: Community-based services such as telephone support lines can provide valuable informational, emotional, and practical support for cancer patients via telephone- or Web-based (live chat or email) platforms. However, very little rigorous research has examined the efficacy of such services in improving patient outcomes. Objective: This study will determine whether: proactive telephone or Web-delivered support produces outcomes superior to printed information; and Web-delivered support produces outcomes comparable to telephone support. Methods: A consecutive sample of 501 lung cancer outpatients will be recruited from 50 Australian health services to participate in a patient-randomized controlled trial (RCT). Eligible individuals must: be 18 years or older; have received a lung cancer diagnosis (including mesothelioma) within the previous 4 months; have an approximate life expectancy of at least 6 months; and have Internet access. Participants will be randomly allocated to receive: (1) an information booklet, (2) proactive telephone support, or (3) proactive Web support, chat, and/or email. The primary patient outcomes will be measured by the General Health Questionnaire (GHQ-12) and Health Education and Impact Questionnaire (heiQ) at 3 and 6 months post recruitment. The acceptability of proactive recruitment strategies will also be assessed. Results: It is hypothesized that participants receiving telephone or Web support will report reduced distress (GHQ-12 scores that are 0.3 standard deviations (SD) lower) and greater self-efficacy (heiQ scores that are 0.3 SDs higher) than participants receiving booklets. Individuals receiving Web support will report heiQ scores within 0.29 SDs of individuals receiving telephone support. Conclusions: If proven effective, electronic approaches such as live-chat and email have the potential to increase the accessibility and continuity of supportive care delivered by community-based services. This evidence may also inform the redesigning of helpline-style services to be effective and responsive to patient needs. |
| Databáze: | OpenAIRE |
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