Uptake of an online psychological therapy program (iCanADAPT‐Early) when implemented within a clinical pathway in cancer care centres.
Abstract
Key points Providing access to an online psychological therapy program in cancer care did not result in significant uptake and engagement by patients, or referrals by cancer care professionals Despite many opportunities for referral by cancer care professionals, only 2% resulted in a referral to the program. None of these referrals were taken up Twenty five patients self‐referred, however only seven (28%) matched the recommended criteria for the program of mild to moderate psychological distress Patient engagement in the program was low, with 11/25 (44%) patients completing at least one lesson Cancer care professionals reported numerous barriers to use including patient barriers such as fatigue, and personal barriers such as forgetting to refer
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In the iCanAdapt-Early programme placed in primary care, referrals were extremely low and none were taken up.
“iCanAdapt-Early [65] programme was placed in primary care pathway across the 12 participating cancer services but the number of referrals made was extremely low and none of the referrals were taken up.”
Cites
Methods for the thematic synthesis of qualitative research in systematic reviews
Thomas, J., & Harden, A. (2008) · BMC Medical Research Methodology · doi:10.1186/1471-2288-8-45 · Cited by 9,312 · see citing works
Enabling the implementation of evidence based practice: a conceptual framework.
Kitson, A., Harvey, G., & McCormack, B. (1998) · Quality in Health Care · doi:10.1136/qshc.7.3.149 · Cited by 1,985 · see citing works
Practitioner review: Co‐design of digital mental health technologies with children and young people
Bevan Jones, R., Stallard, P., Agha, S. S., Rice, S., Werner‐Seidler, A., Stasiak, K., Kahn, J., Simpson, S. A., Alvarez‐Jimenez, M., Rice, F., et al. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13258 · Cited by 317 · see citing works
Butow, P., Price, M., Shaw, J., Turner, J., Clayton, J., Grimison, P., Rankin, N., & Kirsten, L. (2015) · Psycho-Oncology · doi:10.1002/pon.3920 · Cited by 178 · see citing works
Self-citationA systematic review of types and efficacy of online interventions for cancer patients.
McAlpine, H., Joubert, L., Martin-Sanchez, F., Merolli, M., & Drummond, K. J. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2014.11.002 · Cited by 160 · see citing works
Brandenbarg, D., Maass, S. W. M. C., Geerse, O. P., Stegmann, M. E., Handberg, C., Schroevers, M. J., & Duijts, S. F. A. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13086 · Cited by 148 · see citing works
Davies, F., Shepherd, H. L., Beatty, L., Clark, B., Butow, P., & Shaw, J. (2020) · Journal of Medical Internet Research · doi:10.2196/17362 · Cited by 110 · see citing works
Self-citationMurphy, 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
Self-citationThe ADAPT Program Group, Butow, P. N., Shaw, J., Shepherd, H. L., Price, M. A., Masya, L. M., Kelly, B. J., Rankin, N. M., Girgis, A., Hack, T. F., et al. (2018) · BMC Cancer · doi:10.1186/s12885-018-4962-9 · Cited by 49 · see citing works
Self-citationKessler Psychological Distress Scale (K10)
Pr, B., & Gfroerer, J. (2003) · Cited by 48 · see citing works
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Implementation of digital health interventions in rehabilitation: A scoping review
Pearce, L. M. N., Costa, N., Sherrington, C., & Hassett, L. M. (2023) · Clinical Rehabilitation · doi:10.1177/02692155231172299 · Cited by 52 · see citing works
Mao, J. J. J., Bryl, K., Gillespie, E. F., Green, A., Hung, T. K. W., Baser, R. E., Panageas, K. S., Postow, M. A., & Daly, B. (2025) · npj Digital Medicine · doi:10.1038/s41746-024-01387-z · Cited by 21 · see citing works
Davies, F., Harris, M., Shepherd, H. L., Butow, P. N., Beatty, L., Kemp, E., & Shaw, J. (2022) · Psycho-Oncology · doi:10.1002/pon.5900 · Cited by 6 · see citing works
Self-citationZibaite, S., Tripathee, S., Moffat, H., Elsberger, B., & Maclennan, S. (2024) · PLOS ONE · doi:10.1371/journal.pone.0312769 · Cited by 5 · see citing works
“…to refer to programs where they are available is as much of a challenge as making programs available post-evaluation [62]. iCanAdapt-Early [65] programme was placed in primary care pathway across the 12 participating cancer services but the number of referrals made was extremely low and…”
BackgroundRussell, L., McIntosh, R., Martin, C., Soo, W. K., & Ugalde, A. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09425-4 · Cited by 5 · see citing works
Beatty, L., Kemp, E., & Koczwara, B. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07205-0 · Cited by 2 · see citing works
Laidsaar‐Powell, R., Giunta, S., Beatty, L., Butow, P. N., Costa, D. S. J., Lam, A. K. F., Juraskova, I., Cook, O., Crawford-Williams, F. M., Rankin, N. M., et al. (2024) · Contemporary Clinical Trials · doi:10.1016/j.cct.2024.107749 · Cited by 1 · see citing works
Self-citationRussell, L., McIntosh, R., Martin, C., Soo, W. K., & Ugalde, A. (2023) · Figshare · doi:10.6084/m9.figshare.22767324
Russell, L., McIntosh, R., Martin, C., Soo, W. K., & Ugalde, A. (2023) · Figshare · doi:10.6084/m9.figshare.22767327
Russell, L., McIntosh, R., Martin, C., Soo, W. K., & Ugalde, A. (2023) · Figshare · doi:10.6084/m9.figshare.22767321
Russell, L., McIntosh, R., Martin, C., Soo, W. K., & Ugalde, A. (2023) · Figshare · doi:10.6084/m9.figshare.22767330
Nunes-Zlotkowski, K. F., Shepherd, H. L., Beatty, L., Butow, P. N., & Shaw, J. L. (2026) · Psycho-Oncology · doi:10.1002/pon.70629
Self-citation
- Authors
- Davies, F., Harris, M., Shaw, J., Butow, P., Newby, J., Murphy, M., Kirsten, L., The ADAPT Program Group, & Shepherd, H. L.
- Affiliations
- The University of Sydney (AU)
- UNSW Sydney (AU)
- Corresponding author
- Shepherd, Heather L.
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2021-09-14
- Volume
- 31
- Issue
- 2
- Pages
- 338-341
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W3199076405
- Cited by
- 13
- References
- 10
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 7 · 2022: 2
- FWCI
- 2.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion)
- Funders
- Cancer Institute NSW (14/TPG/1‐02)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- cancer care, program uptake, referral barriers, patient engagement, psychological distress, self-referral, care pathways, barriers to use, fatigue
- MeSH terms
- Anxiety, Depression, Humans, Neoplasms, Cognitive Behavioral Therapy, Treatment Outcome, Critical Pathways, Internet
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