Internet interventions for improving psychological well-being in psycho-oncology: Review and recommendations

Leykin, Yan; Thekdi, Seema M.; Shumay, Dianne M.; Muñoz, Ricardo F.; Riba, Michelle; Dunn, Laura B.

doi:10.1002/pon.1993

Cited by 192Digital Mental Health InterventionsCancer survivorship and careHealth Literacy and Information Accessibility

Internet interventions for improving psychological well-being in psycho-oncology: Review and recommendations

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Leykin, Yan, Thekdi, Seema M., Shumay, Dianne M., Muñoz, Ricardo F., Riba, Michelle, Dunn, Laura B.·2012·Psycho-Oncology

DOI 10.1002/pon.1993PMC PMC3181007

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Abstract

OBJECTIVE: Too few cancer patients and survivors receive evidence-based interventions for mental health symptoms. This review examines the potential for Internet interventions to help fill treatment gaps in psychosocial oncology and presents evidence regarding the likely utility of Internet interventions for cancer patients. METHODS: The authors examined available literature regarding Internet interventions tailored to cancer patients' mental health needs and reviewed elements of Internet interventions for mental health relevant to advancing psycho-oncology Internet intervention research. RESULTS: Few rigorous studies focusing on mental health of cancer patients have been conducted online. A growing body of evidence supports the efficacy, accessibility, and acceptability of mental health Internet interventions for a variety of general and medical patient populations. The authors present recommendations and guidelines to assist researchers in developing, testing, and disseminating Internet interventions for cancer patients and survivors, to manage and improve their mental health. Issues unique to Internet interventions-including intervention structure, customization, provider interaction, and privacy and confidentiality issues-are discussed. These guidelines are offered as a step toward establishing a set of "best practices" for Internet interventions in psycho-oncology and to generate further discussion regarding the goals of such interventions and their place in cancer care. CONCLUSIONS: Internet interventions have the potential to fill an important gap in quality cancer care by augmenting limited available mental health services. These interventions should be developed in a manner consistent with best practices and must be empirically tested and validated. Copyright © 2011 John Wiley & Sons, Ltd.

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To be effective, digital psycho-oncological interventions must be adapted to cancer patients' needs.
“To be effective, digital psycho-oncological interventions must be adapted to cancer patients’ needs (12).”
From Mindfulness and skills-based eHealth intervention to reduce distress in cancer-affected patients in the Reduct trial: Intervention protocol of the make it training optimized (2022) · cites this paper as [12]
In the Recommendations section, under “Participant selection,” the paper says a one-size-fits-all approach is unlikely to succeed and recommends content tailored to cancer diagnoses or stages of illness. That supports adapting interventions to patients’ needs, but the claim’s “must be adapted” states a necessity more strongly than the paper does. (LLM, conf=0.83)
Experimental — accuracy not yet measured
Digital psycho-oncological interventions have the potential to help reduce the gap in mental health services.
“digital psycho-oncological interventions have been determined to have the potential to help reduce the gap in mental health services [12].”
From Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 3 Months after a Video-Based Intervention (2023) · cites this paper as [12]
Digital interventions cannot fully replace in-person psycho-oncological care.
“Following Leykin et al. [12], digital interventions cannot fully replace in-person psycho-oncological care.”
From Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 3 Months after a Video-Based Intervention (2023) · cites this paper as [12]
The web-based Make It Training has the potential to reach high numbers of patients and to overcome barriers that patients face in analogue face-to-face care.
“Given the increasing impact of digital technologies in daily life, the web-based Make It Training has the potential to reach high numbers of patients and to overcome barriers that patients face in analogue face-to-face care (eg, physical and psychological constraints due to cancer symptoms or treatments, limited psycho-oncological resources).59”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [59]
Digital interventions have advantages of cost-efficiency and high accessibility, and could particularly benefit underserved patients.
“Digital interventions do not only have the advantage of cost-efficiency and high accessibility and could, therefore, particularly benefit those currently underserved (12, 13).”
From Mindfulness and skills-based eHealth intervention to reduce distress in cancer-affected patients in the Reduct trial: Intervention protocol of the make it training optimized (2022) · cites this paper as [12]

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Using homework in therapy for depression
Garland, A., & Scott, J. L. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.10027 · Cited by 51 · cited 1× · see citing works
“A crucial component of skill building is homework, or practice, which is known to improve outcomes [61,62].”
Background
Improving the effectiveness of adjuvant psychological treatment for women with breast cancer: The feasibility of providing online support
Owen, J. E., Klapow, J. C., Roth, D. L., Nabell, L. M., & Tucker, D. C. (2003) · Psycho-Oncology · doi:10.1002/pon.733 · Cited by 51 · cited 1× · see citing works
“Internet interventions have the potential to fill an important gap in quality cancer care by adding to limited available mental health services [32–34] and offering valuable tools to help people better manage the emotional side of cancer treatment.”
Background
Association of Multiple Behavioral Risk Factors with Adolescents' Willingness to Engage in eHealth Promotion
Tercyak, K. P., Abraham, A. A., Graham, A. L., Wilson, L. D., & Walker, L. R. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn085 · Cited by 50 · cited 1× · see citing works
“Internet and mobile app interventions may be particularly appealing to adolescents and young adults in cancer treatment [74].”
Background
Use of formal and informal mental health resources by cancer survivors: differences between rural and nonrural survivors and a preliminary test of the theory of planned behavior
Andrykowski, M. A., & Burris, J. L. (2009) · Psycho-Oncology · doi:10.1002/pon.1669 · Cited by 46 · cited 1× · see citing works
“Importantly, Internet interventions can offer the same care to anyone, including populations that are typically underserved [39], without necessitating changes in local health care systems or financing.”
Background
Experience and predictors of symptoms, distress and health‐related quality of life over time in postmenopausal women with recurrent breast cancer
Sarenmalm, E. K., Öhlén, J., Odén, A., & Gaston‐Johansson, F. (2007) · Psycho-Oncology · doi:10.1002/pon.1258 · Cited by 42 · cited 1× · see citing works
“Depression and anxiety negatively affect quality of life, adherence, costs, health behaviors, and decision making [1,9,10].”
Background
The importance of usability testing in the development of an internet-based smoking cessation treatment resource
Stoddard, J. L., Augustson, E. M., & Mabry, P. L. (2006) · Nicotine & Tobacco Research · doi:10.1080/14622200601048189 · Cited by 34 · cited 2× · see citing works
“Usability testing Usability refers to the degree to which an intervention is clear, coherent, and user friendly [70].”
Background
Uncertainty Management Intervention for Older African American and Caucasian Long-Term Breast Cancer Survivors
Gil, K. M., Mishel, M. H., Germino, B. B., Porter, L. S., Carlton-LaNey, I. B., & Belyea, M. J. (2005) · Journal of Psychosocial Oncology · doi:10.1300/j077v23n02_02 · Cited by 22 · cited 1× · see citing works
“cancer patients have been examined in randomized controlled trials, these also show promise [16–18].”
Background
Optimizing the efficacy of smoking cessation contests: an exploration of determinants of successful quitting
van Osch, L., Lechner, L., Reubsaet, A., Steenstra, M. K., Wigger, S., & de Vries, H. (2008) · Health Education Research · doi:10.1093/her/cym090 · Cited by 21 · see citing works
Computer-Mediated Patient Education: Opportunities and Challenges for Supporting Women with Ovarian Cancer
Dumrongpakapakorn, P., Hopkins, K., Sherwood, P. R., Zorn, K. K., & Donovan, H. S. (2009) · Nursing Clinics of North America · doi:10.1016/j.cnur.2009.06.008 · Cited by 18 · cited 1× · see citing works
“Several Internet symptom management interventions are being studied to help patients with specific types of cancer, such as the WRITE Symptoms intervention for ovarian cancer, delivered by nurses via Internet message boards [48].”
Background
A New Age for Cancer Information Seeking: Are We Better Off Now?
Helft, P. R. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0496-6 · Cited by 16 · cited 1× · see citing works
“Indeed, when faced with the emotional stress, difficult decisions, and physical challenges that accompany their cancer experience, many patients search for support online [25].”
Background
Symptom-monitoring behaviors of rural cancer patients and survivors
Hermansen-Kobulnicky, C. J. (2008) · Supportive Care in Cancer · doi:10.1007/s00520-008-0552-8 · Cited by 15 · see citing works
Global Reach of an Internet Smoking Cessation Intervention among Spanish- and English-Speaking Smokers from 157 Countries
Barrera, A. Z., Pérez‐Stable, E. J., Delucchi, K., & Muñoz, R. F. (2009) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph6030927 · Cited by 12 · cited 1× · see citing works
“Unlike traditional treatment outcome studies, which recruit participants from a circumscribed area near the research facility, studies conducted on the Internet are able to recruit large samples of geographically diverse populations [57,65].”
Background
Untitled work
(1997) · doi:10.1002/(sici)1099-1611(199703)6:1
The prevalence of psychological distress by cancer site
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001) · Psycho-Oncology · doi:10.1002/1099-1611(200101/02)10:1

Flagged first, then by citations

Sorted by citations

Mental and Physical Health–Related Quality of Life among U.S. Cancer Survivors: Population Estimates from the 2010 National Health Interview Survey
Weaver, K. E., Forsythe, L. P., Reeve, B. B., Alfano, C. M., Rodriguez, J. L., Sabatino, S. A., Hawkins, N. A., & Rowland, J. H. (2012) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-12-0740 · Cited by 398 · see citing works
“The PROMIS validation sample used a commercial Internet polling panel (17), whereas NHIS data are collected in-person by trained census workers using a geographic sampling strategy.”
Method
Beyond treatment – Psychosocial and behavioural issues in cancer survivorship research and practice
Aaronson, N. K., Mattioli, V., Minton, O., Weis, J., Johansen, C., Dalton, S. O., Leeuw, I. M. V., Stein, K., Alfano, C. M., Mehnert, A., et al. (2014) · European Journal of Cancer Supplements · doi:10.1016/j.ejcsup.2014.03.005 · Cited by 235 · see citing works
“[57] Leykin Y, Thekdi SM, Shumay DM, Muñoz RF, Riba M, Dunn LB.”
Sexual dysfunction and infertility as late effects of cancer treatment
Schover, L. R., van der Kaaij, M. A. E., van Dorst, E. B. L., Creutzberg, C. L., Huyghe, É., & Kiserud, C. E. (2014) · European Journal of Cancer Supplements · doi:10.1016/j.ejcsup.2014.03.004 · Cited by 234 · see citing works
“[120] Weinrich S, Koch M, Champion V, Leykin Y, Thekdi SM, Shumay DM, et al.”
Background
What Happens Now? Psychosocial Care for Cancer Survivors After Medical Treatment Completion
Stanton, A. L. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.39.7406 · Cited by 229 · see citing works
“The Internet and other efficient delivery modalities hold promise.(105) For example, an Internet-based cognitive-”
Background
BREATH: web-based self-management for psychological adjustment after primary breast cancer—results of a multicenter randomized controlled trial.
van den Berg, S. W., Gielissen, M. F. M., Custers, J. A. E., van der Graaf, W. T. A., Ottevanger, P. B., & Prins, J. B. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2013.54.9386 · Cited by 201 · see citing works
“Because approximately half of all BCSs already search the Internet for breast cancer–specific information,(12-15) the Internet is promising for providing psychooncological interventions.(16) However, there are few randomized controlled trials (RCTs) of Web-based interventions to support re-entry adjustment.”
Background
Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth
Jansen, F., van Uden-Kraan, C. F., van Zwieten, V., Witte, B. I., & Verdonck-de Leeuw, I. M. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-014-2514-7 · Cited by 195 · see citing works
“Although individual counseling is effective [37], it places a major burden on time of health-care professionals and healthcare budget [9].”
Background
Yoga for symptom management in oncology: a review of the evidence base and future directions for research
Danhauer, S. C., Addington, E. L., Cohen, L., Sohl, S. J., Van Puymbroeck, M., Albinati, N. K., & Culos‐Reed, S. N. (2019) · Cancer · doi:10.1002/cncr.31979 · Cited by 174 · see citing works
“The use of these approaches could address barriers to participation, such as accessibility, travel distance, and dissemination (eg, increased treatment fidelity).(80) Because there is now evidence supporting the efficacy of yoga, it is increasingly important to investigate the effectiveness of these approaches and oth…”
eHealth and mHealth interventions in pediatric cancer: A systematic review of interventions across the cancer continuum
Ramsey, W. A., Heidelberg, R. E., Gilbert, A. M., Heneghan, M. B., Badawy, S. M., & Alberts, N. M. (2019) · Psycho-Oncology · doi:10.1002/pon.5280 · Cited by 172 · see citing works
Investigation of 2 Types of Self-administered Acupressure for Persistent Cancer-Related Fatigue in Breast Cancer Survivors
Zick, S. M., Sen, A., Wyatt, G. K., Murphy, S. L., Arnedt, J. T., & Harris, R. E. (2016) · JAMA Oncology · doi:10.1001/jamaoncol.2016.1867 · Cited by 143 · see citing works
Cancer survivors in the first year after treatment: the prevalence and correlates of unmet needs in different domains
Willems, R. A., Bolman, C. A. W., Mesters, I., Kanera, I. M., Beaulen, A. A. J. M., & Lechner, L. (2016) · Psycho-Oncology · doi:10.1002/pon.3870 · Cited by 122 · see citing works
“To provide the right amount of support, tailored interventions may be an effective solution [33].”
Background
Supportive Care Interventions for People With Cancer Assisted by Digital Technology: Systematic Review
Marthick, M., McGregor, D., Alison, J. A., Cheema, B. S., Dhillon, H. M., & Shaw, T. J. (2021) · Journal of Medical Internet Research · doi:10.2196/24722 · Cited by 118 · see citing works
“…cancer-related reviews that should be further explored are mechanisms for participant feedback to drive the co-design of digital interventions [20,67], the efficiency of delivering relevant and tailored health care information [65], and ways to integrate supportive care services at all stages of…”
Efficacy of Internet-Based Cognitive Behavioral Therapy for Treatment-Induced Menopausal Symptoms in Breast Cancer Survivors: Results of a Randomized Controlled Trial
Atema, V., van Leeuwen, M., Kieffer, J. M., Oldenburg, H. S. A., van Beurden, M., Gerritsma, M. A., Kuenen, M. A., Plaisier, P. W., Lopes Cardozo, A. M. F., van Riet, Y. E. A., et al. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.18.00655 · Cited by 105 · see citing works
Effects of web-based interventions on cancer patients’ symptoms: review of randomized trials
Fridriksdóttir, N., Gunnarsdóttir, S., Zoëga, S., Ingadóttir, B., & Hafsteinsdóttir, E. J. G. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3882-6 · Cited by 99 · see citing works
“The intervention of each study was covered by its name, purpose, theoretical framework, content, program use and duration, and by six content elements identified as relevant for evidence-based web interventions [41, 42] as well as technical characteristics based on Barak’s definition of internet-supported therapeutic…”
Background
Effects of Internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis
Wang, Y., Lin, Y., Chen, J., Wang, C., Hu, R., & Wu, Y. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05383-3 · Cited by 91 · see citing works
Internet-based support programs to alleviate psychosocial and physical symptoms in cancer patients: a literature analysis.
Bouma, G., Admiraal, J. M., de Vries, E. G. E., Schröder, C. P., Walenkamp, A. M. E., & Reyners, A. K. L. (2015) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2015.01.011 · Cited by 90 · see citing works
“Additionlly, several studies showed the feasibility and acceptability f internet-based support programs for both psychosocial and hysical symptoms in these patients [4,18,19].”
BackgroundInfluential
Randomised controlled trial of internet‐delivered cognitive behaviour therapy for clinical depression and/or anxiety in cancer survivors (<i>iCanADAPT Early</i>)
Murphy, M. J., Newby, J. M., Butow, P., Loughnan, S. A., Joubert, A. E., Kirsten, L., Allison, K., Shaw, J., Shepherd, H. L., Smith, J., et al. (2020) · Psycho-Oncology · doi:10.1002/pon.5267 · Cited by 93 · see citing works
“Facebook/online 48 42 24 39 24 45 X2 (3) = .”
Feasibility, acceptability, and preliminary efficacy of a technology-assisted psychosocial intervention for racially diverse men with advanced prostate cancer
Yanez, B., McGinty, H. L., Mohr, D. C., Begale, M. J., Dahn, J. R., Flury, S. C., Perry, K. T., & Penedo, F. J. (2015) · Cancer · doi:10.1002/cncr.29658 · Cited by 83 · see citing works
“The intervention can be accessed at a location of the patient’s choice; this will enhance accessibility for patients who would otherwise not be able to attend in person because of disease-related physical limitations or logistical barriers.(17) In addition, technology-assisted interventions allow for more efficient mo…”
Background
An integrative review of supportive e-health programs in cancer care
Ventura, F. I. Q. S., Öhlén, J., & Koinberg, I. (2012) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2012.10.007 · Cited by 82 · see citing works
Preliminary results of a randomised controlled trial of an online psychological intervention to reduce distress in men treated for localised prostate cancer
Wootten, A. C., Abbott, J.-A. M., Meyer, D., Chisholm, K., Austin, D. W., Klein, B., McCabe, M., Murphy, D. G., & Costello, A. J. (2015) · European Urology · doi:10.1016/j.eururo.2014.10.024 · Cited by 77 · see citing works
“The online environment holds appeal for many in accessing information and support anonymously, at a convenient time and location, and in a format that is easily tailored and personalised [16,17].”
Background
Web-Based Tailored Psychoeducation for Breast Cancer Patients at the Onset of the Survivorship Phase: A Multicenter Randomized Controlled Trial
Admiraal, J. M., van der Velden, A. W. G., Geerling, J. I., Burgerhof, J. G. M., Bouma, G., Walenkamp, A., de Vries, E. G. E., Schröder, C. P., & Reyners, A. K. L. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.009 · Cited by 77 · see citing works
Adolescent survivors of childhood cancer: are they vulnerable for psychological distress?
Gianinazzi, M. E., Rueegg, C. S., Wengenroth, L., Bergsträßer, E., Rischewski, J. R., Ammann, R. A., Kuehni, C. E., Michel, G., & for Swiss Pediatric Oncology Group (SPOG) (2013) · Psycho-Oncology · doi:10.1002/pon.3249 · Cited by 75 · see citing works
“New technologies such as the Internet could be used to overcome time-constraints and reach a broader spectrum of patients particularly adolescent survivors [34,35].”
Background
Web-Delivered cognitive behavioral therapy for distressed cancer patients: randomized controlled trial
Chambers, S. K., Ritterband, L. M., Thorndike, F., Nielsen, L., Aitken, J. F., Clutton, S., Scuffham, P. A., Youl, P., Morris, B., Baade, P. D., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8850 · Cited by 74 · see citing works
“Web-based interventions present a specific appeal here as a remotely delivered low-cost approach to supporting self-management with potential for widespread dissemination [10].”
Background
Targeted eHealth Intervention to Reduce Breast Cancer Survivors’ Fear of Recurrence: Results From the FoRtitude Randomized Trial
Wagner, L. I., Tooze, J. A., Hall, D. L., Levine, B. J., Beaumont, J., Duffecy, J., Victorson, D., Gradishar, W., Leach, J., Saphner, T., et al. (2021) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/djab100 · Cited by 67 · see citing works
Effectiveness of Psychological Capital Intervention and Its Influence on Work-Related Attitudes: Daily Online Self-Learning Method and Randomized Controlled Trial Design
Da, S., He, Y., & Zhang, X. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17238754 · Cited by 72 · see citing works
Web based survivorship interventions for women with breast cancer: An integrative review
Post, K. E., & Flanagan, J. (2016) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2016.10.004 · Cited by 68 · see citing works
A critical literature review of dyadic web‐based interventions to support cancer patients and their caregivers, and directions for future research
Luo, X., Gao, L., Li, J., Lin, Y., Zhao, J., & Li, Q. (2020) · Psycho-Oncology · doi:10.1002/pon.5278 · Cited by 67 · see citing works
“and the provision of emotional comfort, which is impossible for a computer to replicate.(51) It should be noted that the combination of traditional face-toface interventions with web-based interventions may create an effective support programme for particular populations, especially for the target populations of older…”
Background
A real-time electronic symptom monitoring system for patients after discharge following surgery: a pilot study in cancer-related surgery
Richards, H. S., Blazeby, J. M., Portal, A., Harding, R., Reed, T., Lander, T., Chalmers, K. A., Carter, R., Singhal, R., Absolom, K., et al. (2020) · BMC Cancer · doi:10.1186/s12885-020-07027-5 · Cited by 68 · see citing works
Integrative Therapies for Cancer-Related Fatigue
Arring, N., Barton, D. L., Brooks, T. M., & Zick, S. M. (2019) · The Cancer Journal · doi:10.1097/ppo.0000000000000396 · Cited by 64 · see citing works
Efficacy of an internet-based cognitive-behavioral intervention for long-term survivors of pediatric cancer: a pilot study
Seitz, D. C. M., Knaevelsrud, C., Duran, G., Waadt, S., Loos, S., & Goldbeck, L. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2193-4 · Cited by 63 · see citing works
“However, evidence of interventions focusing on psychosocial problems associated with chronic illness is limited, and most of the programs available for cancer survivors are not therapist-guided, but rather psycho-educational, selfadministered, or based on online peer support [30].”
Background
Web-Based Symptom Management for Women With Recurrent Ovarian Cancer: A Pilot Randomized Controlled Trial of the WRITE Symptoms Intervention
Donovan, H. S., Ward, S. E., Sereika, S. M., Knapp, J. E., Sherwood, P. R., Bender, C. M., Edwards, R. P., Fields, M. M., & Ingel, R. (2013) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.04.005 · Cited by 62 · see citing works
“This study supports the feasibility, acceptability and efficacy of web-based educational interventions [33,34,41].”
Result
Acceptability and feasibility of an e-mental health intervention for parents of childhood cancer survivors:“Cascade”
Wakefield, C. E., Sansom-Daly, U. M., McGill, B. C., Ellis, S. J., Doolan, E. L., Robertson, E. G., Mathur, S., & Cohn, R. J. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3077-6 · Cited by 61 · see citing works
“Online interventions present a promising model of support for parents after their child’s cancer treatment, as they take into account barriers to care [38].”
Background
Depression and anxiety in older adults with cancer: Systematic review and meta-summary of risk, protective and exacerbating factors
Lee, A. R. Y. B., Leong, I., Lau, G., Amanda, T. W., Ho, R., Ho, C. S. H., & Chen, M. Z. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2023.01.008 · Cited by 59 · see citing works
The Kanker Nazorg Wijzer (Cancer Aftercare Guide) protocol: the systematic development of a web-based computer tailored intervention providing psychosocial and lifestyle support for cancer survivors
Willems, R. A., Bolman, C. A. W., Mesters, I., Kanera, I. M., Beaulen, A. A. J. M., & Lechner, L. (2015) · BMC Cancer · doi:10.1186/s12885-015-1588-z · Cited by 55 · see citing works
Long-term efficacy and cost-effectiveness of blended cognitive behavior therapy for high fear of recurrence in breast, prostate and colorectal Cancer survivors: follow-up of the SWORD randomized controlled trial
Burm, R., Thewes, B., Rodwell, L., Kievit, W., Speckens, A., van de Wal, M., & Prins, J. (2019) · BMC Cancer · doi:10.1186/s12885-019-5615-3 · Cited by 55 · see citing works
“Possible disadvantages of online therapy include a lack of personal interaction, poorer adherence and less engagement [19].”
Background
Online-based interventions for sexual health among individuals with cancer: a systematic review
Kang, H. S., Kim, H. K., Park, S. M., & Kim, J. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-2972-6 · Cited by 55 · see citing works
“in cancer [20], and are particularly likely to provide wellmatched solutions to inadequate supportive care [21].”
Background
Online support community for adolescents and young adults (AYAs) with cancer: user statistics, evaluation, and content analysis
Kaal, S. E. J., Husson, O., van Dartel, F., Hermans, K., Jansen, R., Manten‐Horst, E., Servaes, P., van de Belt, T. H., Engelen, L. J., Prins, J. B., et al. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s171892 · Cited by 55 · see citing works
The long‐term impact of cancer: Evaluating psychological distress in adolescent and young adult cancer survivors in Switzerland
Michel, G., François, C., Harju, E., Dehler, S., & Roser, K. (2019) · Psycho-Oncology · doi:10.1002/pon.4981 · Cited by 52 · see citing works
“Internet‐based interventions may overcome accessibility barriers to psychological care, and they might also be more accepted than other approaches.(35) Future longitudinal studies in long‐term AYA cancer survivors are needed to detect and better understand which characteristics influence their psychological health alo…”
Background
<scp>Video conference</scp> vs <scp>face‐to‐face group psychotherapy for distressed cancer survivors</scp>: A <scp>randomized controlled trial</scp>
Lleras de Frutos, M., Medina, J. C., Vives, J., Casellas‐Grau, A., Marzo, J. L., Borràs, J. M., & Ochoa‐Arnedo, C. (2020) · Psycho-Oncology · doi:10.1002/pon.5457 · Cited by 50 · see citing works
“Considering the limited access to psycho-oncology services, and the broad availability of health-related resources on the internet,(17) online psychosocial treatments are a feasible, acceptable alternative that has the potential to solve some of aforementioned obstacles.(17,18) In psycho-oncology settings, treatments…”
Background
A systematic and comprehensive review of internet use in cancer patients: psychological factors.
Lleras de Frutos, M., Casellas‐Grau, A., Sumalla, E. C., de Gracia, M., Borràs, J. M., & Ochoa Arnedo, C. (2020) · Psycho-Oncology · doi:10.1002/pon.5194 · Cited by 52 · see citing works
A mixed-method study on the generic and ostomy-specific quality of life of cancer and non-cancer ostomy patients
Jansen, F., van Uden‐Kraan, C. F., Braakman, J. A., van Keizerswaard, P. M., Lissenberg-Witte, B. I., & Leeuw, I. M. V. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2528-1 · Cited by 52 · see citing works
Systematic review of technology‐based interventions to improve anxiety, depression, and health‐related quality of life among patients with prostate cancer
Qan'ir, Y., & Song, L. (2019) · Psycho-Oncology · doi:10.1002/pon.5158 · Cited by 45 · see citing works
Development and pilot testing of an online intervention to support young couples' coping and adjustment to breast cancer: Online couples intervention in breast cancer
Fergus, K. D., McLeod, D., Carter, W., Warner, E., Gardner, S. L., Granek, L., & Cullen, K. I. (2014) · European Journal of Cancer Care · doi:10.1111/ecc.12162 · Cited by 47 · see citing works
“The online format may also be perceived as less stigmatising (Leykin et al. 2011) than face-to-face therapeutic interventions and more acceptable to men in particular (Klemm et al. 2003; Broom 2005).”
BackgroundInfluential
Rationale of the BREAst cancer e-healTH [BREATH] multicentre randomised controlled trial: An Internet-based self-management intervention to foster adjustment after curative breast cancer by decreasing distress and increasing empowerment
van den Berg, S. W., Gielissen, M. F. M., Ottevanger, P. B., & Prins, J. B. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-394 · Cited by 50 · see citing works
“These support emails intend to reduce attrition by reminding users to return to and use the BREATH intervention [22].”
BackgroundMethod
An online psychological intervention can improve the sexual satisfaction of men following treatment for localized prostate cancer: outcomes of a randomised controlled trial evaluating my road ahead
Wootten, A. C., Meyer, D., Abbott, J.-A. M., Chisholm, K., Austin, D. W., Klein, B., McCabe, M., Murphy, D. G., & Costello, A. J. (2017) · Psycho-Oncology · doi:10.1002/pon.4244 · Cited by 47 · see citing works
“The relative anonymity and ease of accessing information and support appears to hold appeal for men, particularly in relation to accessing support in regards to sexual issues (14-16) and there is growing interest in, and support of, the delivery of internet-based interventions to augment the limited face-to face psych…”
Blended Psychological Therapy for the Treatment of Psychological Disorders in Adult Patients: Systematic Review and Meta-Analysis
(2024) · doi:10.2196/49660 · Cited by 45 · see citing works
Convenient and Live Movement (CALM) for women undergoing breast cancer treatment: Challenges and recommendations for internet-based yoga research
Addington, E. L., Sohl, S. J., Tooze, J. A., & Danhauer, S. C. (2018) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2018.02.001 · Cited by 45 · see citing works
Online interventions aimed at reducing psychological distress in cancer patients: evidence update and suggestions for future directions
Willems, R. A., Bolman, C. A. W., Lechner, L., Mesters, I., Gunn, K. M., Skrabal Ross, X., & Olver, I. (2020) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000483 · Cited by 41 · see citing works
“online interventions in psychooncology have the potential to reduce pressure on available healthmanagement resources and make psychosocial care available to a larger group of patients with cancer [10,11].”
Background
Project Connect Online: Randomized Trial of an Internet-Based Program to Chronicle the Cancer Experience and Facilitate Communication
Stanton, A. L., Thompson, E. H., Crespi, C. M., Link, J. S., & Waisman, J. R. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.46.9015 · Cited by 41 · see citing works
Cocreated internet‐based stepped care for individuals with cancer and concurrent symptoms of anxiety and depression: Results from the U‐CARE AdultCan randomized controlled trial
Hauffman, A., Alfonsson, S., Bill‐Axelson, A., Bergkvist, L., Forslund, M., Mattsson, S., von Essén, L., Nygren, P., Igelström, H., & Johansson, B. (2020) · Psycho-Oncology · doi:10.1002/pon.5489 · Cited by 41 · see citing works
“providing tailored self-care strategies to relieve them might enhance targeting.(36,37) However, it is important to recognize that tracking of symptoms may cause increased distress in some individuals,(36) who”
Background
Anxiety and Health-Related Quality of Life Among Patients With Low–Tumor Burden Non-Hodgkin Lymphoma Randomly Assigned to Two Different Rituximab Dosing Regimens: Results From ECOG Trial E4402 (RESORT)
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An Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors: results of a pilot study
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“There is growing evidence that guided Internet-based CBT is an effective method to treat a range of psychosocial problems in both the general population and in cancer survivors.(17-21)”
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A Smartphone App–Based Mindfulness Intervention for Cancer Survivors: Protocol for a Randomized Controlled Trial
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Screening for depression in cancer patients receiving radiotherapy: Feasibility and identification of effective tools in the NRG Oncology RTOG 0841 trial
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Effectiveness of online mindfulness-based interventions for cancer patients: a systematic review and meta-analysis
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A Participatory Design Approach to Develop a Web-Based Self-Care Program Supporting Early Rehabilitation among Patients after Total Laryngectomy
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The ONE‐MIND Study: Rationale and protocol for assessing the effects of ONlinE MINDfulness‐based cancer recovery for the prevention of fatigue and other common side effects during chemotherapy
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Being Prepared: Essential to Self-Care and Quality of Life for the Person With Cancer
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“Nevertheless, recent works pointed out the importance to start from needs assessment of the target population prior to the design and the delivery of the intervention (Friedman et al., 2011; Leykin et al., 2012; Ventura et al., 2013).”
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A Research Roadmap: Connected Health as an Enabler of Cancer Patient Support
Signorelli, G. R., Lehocki, F., Fernández, M. M., O'Neill, G., O’Connor, D., Brennan, L. K., Monteiro-Guerra, F., Rivero-Rodriguez, A., Hors-Fraile, S., Munoz-Penas, J., et al. (2019) · Journal of Medical Internet Research · doi:10.2196/14360 · Cited by 31 · see citing works
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Study design and protocol for My Guide : An e-health intervention to improve patient-centered outcomes among Hispanic breast cancer survivors
Yanez, B. R., Buitrago, D., Buscemi, J., Iacobelli, F., Adler, R. F., Corden, M. E., Perez-Tamayo, A. M., Guitelman, J., & Penedo, F. J. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.11.018 · Cited by 30 · see citing works
“In light of the increasing number of Hispanics accessing the Internet mostly through Smartphones, we selected this technology-based platform to deliver our intervention.”
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Development of mobile health–based self‐management support for patients with lung cancer: A stepwise approach
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“It also serves as an alternative approach to alleviate the problems of shortage of professionals and lag in information dissemination (Leykin et al., 2012).”
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Development, feasibility and usability of an online psychological intervention for men with prostate cancer: My Road Ahead
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Lymphoma InterVEntion (LIVE) – patient-reported outcome feedback and a web-based self-management intervention for patients with lymphoma: study protocol for a randomised controlled trial
Arts, L. P. J., van de Poll-Franse, L. V., van den Berg, S. W., Prins, J. B., Husson, O., Mols, F., Brands‐Nijenhuis, A. V. M., Tick, L. W., & Oerlemans, S. (2017) · Trials · doi:10.1186/s13063-017-1943-2 · Cited by 25 · see citing works
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“With respect to physical illness, the data available so far are very limited and underpowered but—especially for cognitive behavior therapy—promising.(16,17) The resources evaluated for cancer patients, however, are either psycho-educational, self-help, or online peer-support groups.”
Improving care after colon cancer treatment in The Netherlands, personalised care to enhance quality of life (I CARE study): study protocol for a randomised controlled trial
Duineveld, L. A. M., Wieldraaijer, T., van Asselt, K. M., Nugteren, I. C., Donkervoort, S. C., van de Ven, A. W. H., Smits, A. B., van Geloven, A. A. W., Bemelman, W. A., Beverdam, F. H., et al. (2015) · Trials · doi:10.1186/s13063-015-0798-7 · Cited by 24 · see citing works
“(22) Evidence shows that web-based interventions for patient empowerment can improve care for cancer patients.(23, 24) The aim of ICT-supported patient empowerment is to enable cancer patients to positively influence their treatment and rehabilitation, in keeping”
Nutritional Online Information for Cancer Patients: a Randomized Trial of an Internet Communication Plus Social Media Intervention
Gnagnarella, P., Misotti, A. M., Santoro, L., Akoumianakis, D., Campo, L. D., Lorenzo, F. D., Lombardo, C., Milolidakis, G., Sullivan, R. J., & McVie, J. G. (2015) · Journal of Cancer Education · doi:10.1007/s13187-015-0820-5 · Cited by 24 · see citing works
“health-promoting behaviours [6, 7]; but a recent meta-analysis concluded that while existing studies on the outcomes of online cancer support show promise for achieving positive effects, there is a need for rigorous design methodology with larger study populations [2].”
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Online couple interventions in cancer
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Experiences of Internet-Based Stepped Care in Individuals With Cancer and Concurrent Symptoms of Anxiety and Depression: Qualitative Exploration Conducted Alongside the U-CARE AdultCan Randomized Controlled Trial
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“Further, some previous studies have used tracking of symptoms as a means to tailor the content by, for example, suggesting material to the user [35-37].”
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Internet-based Support Programs to Alleviate Psychosocial and Physical Symptoms in Cancer Patients: A Literature Analysis
Admiraal, J. M., Bouma, G., Schroeder, C. P., de Vries, E. G. E., Walenkamp, A., & Reyners, A. K. L. (2014) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 22 · see citing works
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Development of an eHealth tool for cancer patients: monitoring psychoemotional aspects with the family resilience (FaRe) questionnaire
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Effectiveness, acceptance and satisfaction of guided chat groups in psychosocial aftercare for outpatients with prostate cancer after prostatectomy
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Designing an mHealth application to bridge health disparities in Latina breast cancer survivors: a community-supported design approach
Iacobelli, F., Adler, R. F., Buitrago, D., Buscemi, J., Corden, M. E., Perez-Tamayo, A. M., Penedo, F. J., Rodriguez, M., & Yanez, B. R. (2018) · Design for Health · doi:10.1080/24735132.2018.1452871 · Cited by 21 · see citing works
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“Research has demonstrated that Internet-based interventions are practical tools for improving psychological and behavioral cancer health outcomes [12,13].”
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Integrating Top-down and Bottom-up Requirements in eHealth Development: The Case of a Mobile Self-compassion Intervention for People With Newly Diagnosed Cancer
Austin, J., Drossaert, C. H. C., van Dijk, J., Sanderman, R., Børøsund, E., Mirković, J., Schotanus-Dijkstra, M., Peeters, N. J., Klooster, J. W. J. R. V. '., Schroevers, M. J., et al. (2022) · JMIR Cancer · doi:10.2196/37502 · Cited by 23 · see citing works
“More theoryand evidence-driven interventions are recommended for improving effectiveness and adherence [17,19-22].”
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Psychological Symptoms and Stress Are Associated With Decrements in Attentional Function in Cancer Patients Undergoing Chemotherapy
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Identification of Anxiety and Depression Symptoms in Patients With Cancer: Comparison Between Short and Long Web-Based Questionnaires
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“Findings from research projects evaluating Web-based screening followed by psychosocial support, when distress is identified, indicate that this may be an efficient way to reduce suffering [19-21].”
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"A systematic review of the effects of internet-based psychological interventions on emotional distress and quality of life in adult cancer patients"
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Authors: Leykin, Y., Thekdi, S. M., Shumay, D. M., Muñoz, R. F., Riba, M., & Dunn, L. B.
Affiliations: University of California, San Francisco (US)
The University of Texas MD Anderson Cancer Center (US)
San Francisco General Hospital (US)
University of Michigan (US)
Corresponding author: Dunn, Laura B.
ORCID: Leykin, Yan
Shumay, Dianne M.
Muñoz, Ricardo F.
Dunn, Laura B.
Venue: Psycho-Oncology
Publisher: Wiley
Published: 2011-05-24
Volume: 21
Issue: 9
Pages: 1016-1025
ISSN: 1057-9249 (ISSN-L)
1099-1611
DOI: 10.1002/pon.1993
PMC: PMC3181007
OpenAlex: W1956290675
Cited by: 192
References: 76
Citations by year: 2026: 5 · 2025: 11 · 2024: 11 · 2023: 16 · 2022: 13 · 2021: 9 · 2020: 18 · 2019: 26 · 2018: 11 · 2017: 10 · 2016: 21 · 2015: 13 · 2014: 16 · 2013: 8 · 2012: 4
FWCI: 1.57
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Psycho-Oncology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Deep Blue (University of Michigan) (submittedVersion)
Funders: National Institute of Mental Health (K08MH091501, 1R34MH091231)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords: online intervention, cancer patients, cancer survivors, psychological well-being, mental health, psycho-oncology, best practices, intervention design, privacy and confidentiality, treatment gap
MeSH terms: Humans, Medical Oncology, Mental Health, Mental Health Services, Neoplasms, Patient Education as Topic, Psychotherapy, Quality of Life, Social Support, Internet

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