4.6 Article

Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain: a mixed-method study

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SUPPORTIVE CARE IN CANCER
卷 31, 期 2, 页码 -

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SPRINGER
DOI: 10.1007/s00520-022-07557-7

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Breast cancer; Pain; Self-management; Pain science education

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In this study, a personalized eHealth intervention was developed for female survivors of breast cancer to manage persistent pain. The acceptability, comprehensibility, and satisfaction of the intervention were evaluated quantitatively and qualitatively. The efficacy of the intervention was assessed using mixed effects models, which showed significant improvement in pain-related functioning, physical functioning, and quality of life.
PurposeHere, we describe the development and pilot study of a personalized eHealth intervention containing a pain science education program and self-management support strategies regarding pain and pain-related functioning in female survivors of breast cancer. First, we aimed to evaluate the eHealth intervention's acceptability, comprehensibility, and satisfaction; second, we aimed to assess its preliminary efficacy.MethodsA mixed-method study design was used. Breast cancer survivors with persistent pain were recruited. After 6 weeks of engagement with the eHealth intervention, acceptability, comprehensibility, and satisfaction were measured quantitatively with a self-constructed questionnaire and described qualitatively using focus groups. A joint display was used to present the meta-interferences between data. Efficacy was assessed via mixed effects models with repeated measures (outcomes assessed at baseline, 6 weeks, and 12 weeks).ResultsTwenty-nine women with persistent pain after breast cancer surgery participated. Overall, the eHealth program was well received and experienced as easy to use and helpful. The eHealth intervention seems useful as an adjunct to comprehensive cancer aftercare. Efficacy estimates suggested a significant improvement in pain-related functioning, physical functioning, and quality of life.ConclusionA personalized eHealth intervention appears valuable for persistent pain management after breast cancer surgery. A large controlled clinical trial to determine effectiveness, and a full process evaluation, seems warranted.

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