TY - JOUR
T1 - Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain
T2 - a mixed-method study
AU - De Groef, An
AU - Evenepoel, Margaux
AU - Van Dijck, Sophie
AU - Dams, Lore
AU - Haenen, Vincent
AU - Wiles, Louise
AU - Catley, Mark
AU - Vogelzang, Anna
AU - Olver, Ian
AU - Hibbert, Peter
AU - Morlion, Bart
AU - Moseley, G. Lorimer
AU - Heathcote, Lauren C.
AU - Meeus, Mira
PY - 2023/2
Y1 - 2023/2
N2 - Purpose: Here, 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. Methods: A 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). Results: Twenty-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. Conclusion: A 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.
AB - Purpose: Here, 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. Methods: A 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). Results: Twenty-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. Conclusion: A 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.
KW - Breast cancer
KW - Pain
KW - Pain science education
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=85146318953&partnerID=8YFLogxK
U2 - 10.1007/s00520-022-07557-7
DO - 10.1007/s00520-022-07557-7
M3 - Article
C2 - 36645526
AN - SCOPUS:85146318953
SN - 0941-4355
VL - 31
SP - 1
EP - 22
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 2
M1 - 119
ER -