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Blended Care Intervention for Cancer Aftercare in General Practice Centers: Protocol for a Randomized Controlled
Michelle J M Smits1, Catherine A W Bolman1, Ilse Mesters2
1Department of Health Psychology, Faculty of Psychology, Open University of the Netherlands, Heerlen, Netherlands.
JMIR Research Protocols
|February 12, 2025
Summary
This study evaluates a blended care intervention for cancer survivors, combining eHealth with general practice. Results will inform cancer aftercare and eHealth implementation strategies.
Area of Science:
- Oncology
- General Practice
- eHealth
Background:
- General practitioners can improve cancer survivor care by integrating eHealth programs with in-person consultations.
- Blended care models offer a promising approach to support cancer survivors within primary care settings.
Purpose of the Study:
- To evaluate the cost-effectiveness of a blended intervention using the Cancer Aftercare Guide in general practice centers (GPCs).
- To assess the impact of blended care on adherence to lifestyle recommendations, psychosocial well-being, and quality of life for cancer survivors.
Main Methods:
- A parallel-group randomized controlled trial comparing a blended intervention group with a usual care control group.
- GPC-level randomization with participants nested within centers; data collected via online questionnaires at baseline, 6, and 12 months.
- Includes process and cost evaluations from a societal perspective, analyzing medical and productivity costs.
Main Results:
- Data collection is ongoing, with an estimated completion by April 2025 and data analysis starting in spring 2025.
- As of December 2024, 127 participants across 26 GPCs in the Netherlands have been recruited.
- Full results are anticipated for publication in 2026.
Conclusions:
- The study will provide insights into the effectiveness of blended care for cancer aftercare and eHealth implementation.
- Findings are relevant for optimizing cancer survivorship care in general practice and advancing eHealth integration.
- Recruitment challenges may arise due to healthcare system strain post-COVID-19 pandemic.
Keywords:
blended carecancer aftercarecost effectivenesseHealthgeneral practicegeneral practitionersonline interventionrandomized controlled trialMore Related Videos
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