Interactivity, Presence, and Targeted Patient Care: Mapping e-Health Intervention Effects Over Time for Cancer Patients with Depression
Open accessAbstract
This study examined the interplay of depression and different types of e-health interventions on breast cancer patients' perceived healthcare competence, emotional processing, and social well-being over time. The three e-health interventions--Internet Only as a control condition, CHESS (Comprehensive Health Enhancement Support System) Only, and CHESS with a Human Mentor, a cancer information specialist--provided varying degrees of interactivity and presence. A total of 328 women with breast cancer participated in one of the three interventions for a 6-month period. Women were further split into two groups based on reported levels of depression. For perceived healthcare competence and social well-being, results revealed significant interaction effects for intervention type by depression over time, such that breast cancer patients with higher levels of depression benefited most from the CHESS with Mentor intervention over the 6-month study period. For emotional processing, depressed cancer patients benefited more from the CHESS with Mentor than the other two interventions, regardless of time. These findings have (a) theoretical implications on how mental health factors can intersect with interactivity and presence to influence psychosocial outcomes, (b) conceptual implications for the role of human interaction within e-health systems, and (c) practical implications for the development of e-health interventions for cancer patients with depression.
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There are promising studies regarding anxiety and depression using eHealth with different psychological interventions, but the results are heterogeneous.
“There are promising studies regarding anxiety and depression using eHealth with different psychological interventions.9,14-17 However, the results are heterogeneous.14,15”
From Effects of a Video Sequence Based Intervention on Anxiety, Fatigue and Depression in Cancer Patients: Results of a Randomized Controlled Trial. (2023) · cites this paper as [17]
The “Depression among Cancer Patients” section describes evidence of positive psychosocial effects from e-health interventions, and the Discussion reports that the intervention types produced different outcomes for breast cancer patients. The cited paper does not establish promising results for anxiety or say that results across studies of different psychological interventions are heterogeneous. Page numbers are unavailable in our copy. (LLM, conf=0.82)
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- Authors
- Kim, S. C., Shaw, B. R., Shah, D. V., Hawkins, R. P., Pingree, S., McTavish, F. M., & Gustafson, D. H.
- Affiliations
- George Mason University (US)
- University of Wisconsin–Madison (US)
- Corresponding author
- Kim, Sojung Claire
- Venue
- Health Communication
- Publisher
- Informa UK Limited
- Published
- 2017-11-14
- Volume
- 34
- Issue
- 2
- Pages
- 162-171
- ISSN
- 1041-0236 (ISSN-L)
- 1532-7027
- PMC
- PMC6158118
- OpenAlex
- W2770817309
- Cited by
- 19
- References
- 48
- Citations by year
- 2026: 1 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 3
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Communication (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (P50 CA095817-05)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- breast cancer, depression, digital health interventions, interactivity, presence, chess, emotional processing, social well-being, psychosocial outcomes
- MeSH terms
- Breast Neoplasms, Depression, Female, Patient Care, Humans, Middle Aged, Quality of Life, Social Support, Telemedicine
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