Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/201889
Title: | An eHealth ecosystem for stepped and early psychosocial care in advanced lung cancer: Rationale and protocol for a randomized control trial |
Author: | Ochoa Arnedo, Cristian Arizu-Onassis, Alejandra Medina Alcaraz, Juan Carlos Flix-Valle, Aida Ciria Suárez, Laura Gómez-Fernández, Darío Souto-Sampera, Arnau Brao, Isabel Palmero, Ramón Nadal, Ernest González Barboteo, Jesús Serra Blasco, María |
Keywords: | Malalts de càncer Càncer de pulmó Cura dels malalts terminals Satisfacció dels pacients Psicoteràpia Cancer patients Lung cancer Terminal care Patient satisfaction Psychotherapy |
Issue Date: | 3-Apr-2023 |
Publisher: | Elsevier B.V. |
Abstract: | Background: Receiving a diagnosis of lung cancer is an emotional event, not least because it is usually diagnosed at advanced stages with limited life expectancy. Although evidence-based educational, emotional, and social interventions exist, they reach few patients and usually when it is too late. Objective: This project will be carried out in a comprehensive center for cancer care and health research, aiming to study the efficacy, costs, and utility of an eHealth ecosystem to meet the psychosocial needs of patients with advanced lung cancer. Method: We will enroll 76 patients with advanced lung cancer into an eHealth ecosystem of stepped and personalized psychosocial care for 9 months. These patients will be compared with another 76 receiving usual care in a non-inferiority randomized controlled trial. The following main outcomes will be measured every 3 months: emotional distress, spirituality, demoralization, quality of life, and medication adherence. Secondary outcomes will include symptomatology, health education, cost-utility analyses, usability and satisfaction with the platform, and time to detect emotional needs and provide care. Baseline differences between groups will be measured with the Student t-test or chi-square test, as appropriate. We will then compare the main outcomes between groups over time using multilevel linear models, report effect sizes (Hedges' g), and assess noninferiority. The cost-utility of both interventions will be considered in terms of quality adjusted life years and quality of life given the costs of providing each treatment. Discussion: This randomized controlled trial should provide new evidence on the efficacy and cost-utility of an eHealth ecosystem to deliver personalized and timely psychosocial care to patients with advanced lung cancer. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.invent.2023.100620 |
It is part of: | Internet Interventions, 2023, vol. 32, p. 100620 |
URI: | http://hdl.handle.net/2445/201889 |
Related resource: | https://doi.org/10.1016/j.invent.2023.100620 |
ISSN: | 2214-7829 |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
733250.pdf | 2.5 MB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License