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Role of eHealth application Oncokompas in supporting self-management of symptoms and health-related quality of life in cancer survivors: a randomised, controlled trial
Open accessAbstract
Background Knowledge about the efficacy of behavioural intervention technologies that can be used by cancer survivors independently from a health-care provider is scarce. We aimed to assess the efficacy, reach, and usage of Oncokompas, a web-based eHealth application that supports survivors in self-management by monitoring health-related quality of life (HRQOL) and cancer-generic and tumour-specific symptoms and obtaining tailored feedback with a personalised overview of supportive care options.Methods In this non-blinded, randomised, controlled trial, we recruited patients treated at 14 hospitals in the Netherlands for head and neck cancer, colorectal cancer, breast cancer, Hodgkin lymphoma, or non-Hodgkin lymphoma. Adult survivors (aged ≥18 years) were recruited through the Netherlands Cancer Registry (NCR) and invited by their treating physician through the Patient Reported Outcomes Following Initial Treatment and Long term Evaluation of Survivorship (PROFILES) registry. Participants were randomly assigned (1:1) by an independent researcher to the intervention group (access to Oncokompas) or control group (access to Oncokompas after 6 months), by use of block randomisation (block length of 68), stratified by tumour type. The primary outcome was patient activation (knowledge, skills, and confidence for self-management), assessed at baseline, post-intervention, and 3-month and 6-month follow-up. Linear mixed models (intention-to-treat) were used to assess group differences over time from baseline to 6-month follow-up. The trial is registered in the Netherlands Trial Register, NTR5774 and is completed.Findings Between Oct 12, 2016, and May 24, 2018, 625 (21%) of 2953 survivors assessed for eligibility were recruited and randomly assigned to the intervention (320) or control group (305). Median follow-up was 6 months (IQR 6-6). Patient activation was not significantly different between intervention and control group over time (difference at 6-month follow-up 1·7 [95% CI -0·8-4·1], p=0·41).Interpretation Oncokompas did not improve the amount of knowledge, skills, and confidence for self-management in cancer survivors. This study contributes to the evidence for the development of tailored strategies for development and implementation of behavioural intervention technologies among cancer survivors.Funding Dutch Cancer Society (KWF Kankerbestrijding).
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“However, these were mainly fragmented, symptom-specific interventions, and the role of a comprehensive digital companion allowing continuous education, self-management, and monitoring is not yet established in cancer survivors.55,56”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [55]
In the citing paper
“However, these were mainly fragmented, symptom-specific interventions, and the role of a comprehensive digital companion allowing continuous education, self-management, and monitoring is not yet established in cancer survivors.55,56”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [55]
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Metadata
- Authors
- van der Hout, A., van Uden-Kraan, C. F., Holtmaat, K., Jansen, F., Lissenberg-Witte, B. I., Nieuwenhuijzen, G. A. P., Hardillo, J. A., Baatenburg de Jong, R. J., Tiren-Verbeet, N. L., Sommeijer, D. W., de Heer, K., Schaar, C. G., Sedee, R.-J. E., Bosscha, K., van den Brekel, M. W. M., Petersen, J. F., Westerman, M., Honings, J., Takes, R. P., Houtenbos, I., van den Broek, W. T., de Bree, R., Jansen, P., Eerenstein, S. E. J., Leemans, C. R., Zijlstra, J. M., Cuijpers, P., van de Poll-Franse, L. V., & Verdonck-de Leeuw, I. M.
- Affiliations
- Amsterdam Public Health (NL)
- Amsterdam University Medical Centers (NL)
- Catharina Ziekenhuis (NL)
- Erasmus MC (NL)
- Flevoziekenhuis (NL)
- Gelre Hospitals (NL)
- Stichting Haaglanden Medisch Centrum (NL)
- Jeroen Bosch Ziekenhuis (NL)
- The Netherlands Cancer Institute (NL)
- Noordwest Ziekenhuisgroep (NL)
- Radboud University Medical Center (NL)
- Spaarne Ziekenhuis (NL)
- Elisabeth-TweeSteden Ziekenhuis (NL)
- ORCID
- Venue
- The Lancet Oncology
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 21
- Issue
- 1
- Pages
- 80-94
- ISSN
- 1470-2045 (ISSN-L)
- OpenAlex
- W2995196726
- Cited by
- 176
- References
- 31
- Citations by year
- 2026: 11 · 2025: 22 · 2024: 30 · 2023: 27 · 2022: 34 · 2021: 34 · 2020: 16
- FWCI
- 8.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Lancet Oncology (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- e-health applications, cancer survivors, self-management, health-related quality of life, cancer symptoms, patient activation, online intervention, personalized feedback, supportive care, PROFILES registry, head and neck cancer, colorectal cancer, breast cancer, Hodgkin's disease, non-Hodgkin lymphoma, intervention efficacy, profiles
- MeSH terms
- Patient Reported Outcome Measures, Cancer Survivors, Self-Management, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neoplasms, Prognosis, Quality of Life, Surveys and Questionnaires, Survival Rate, Telemedicine
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