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Published on: February 6, 2015
Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors: A quasi-experimental study
Su-Ying Fang1, Yu-Ling Wang2, Wen-Hsiang Lu3
1Department of Nursing, College of Medicine, National Cheng Kung University, No. 1, University Road, Tainan City, 701, Taiwan.
Objective:
The purpose of this study was to evaluate the effect of a web-based survivorship care plan (SCP) computerized application (APP): (SCP-A) on women's unmet needs, fear of recurrence, symptom distress, anxiety, depression, and quality of life (QoL).
Methods:
Women diagnosed with breast cancer, who had completed their primary treatment but less than 5 years without a sign of recurrence (N = 165) were randomized to a SCP-A or a control group. Self-reported questionnaires were completed by the both groups at baseline (T0), 5 weeks (T1), 3 months (T2), 6 months (T3), and 12 months (T4).
Results:
Controlling for relevant covariates, mixed effect model analyses revealed a significant decrease in women in the SCP-A group compared to the control group for total unmet needs since T3 (p < .004) and fear of recurrence since T4 (p = .02). Women in the SCP-A group also reported significant improvements in QoL at T4 (p < .001) relative to those in the control group.
Conclusion:
Providing SCP using an information website application for women with breast cancer can decrease unmet needs, fear of recurrence, and improve quality of life during short-term and long-term use.
Practice Implications:
Web-based information that provides survivorship care plans for breast cancer survivors are beneficial.
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