Demands and needs for psycho-oncological ehealth interventions in women with cancer: cross-sectional study.
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Abstract
BACKGROUND: Over the last decade, a growing body of studies regarding the application of eHealth and various digital interventions has been published and are widely used in the psycho-oncological care. However, the effectiveness of eHealth applications in psycho-oncological care is still questioned due to missing considerations regarding evidence-based studies on the demands and needs in cancer-affected patients. OBJECTIVE: This cross-sectional study aimed to explore the cancer-affected women's needs and wishes for psycho-oncological content topics in eHealth applications and whether women with cancer differ in their content topics and eHealth preferences regarding their experienced psychological burden. METHODS: Patients were recruited via an electronic online survey through social media, special patient Internet platforms, and patient networks (both inpatients and outpatients, University Hospital Tuebingen, Germany). Participant demographics, preferences for eHealth and psycho-oncological content topics, and their experienced psychological burden of distress, quality of life, and need for psychosocial support were evaluated. RESULTS: Of the 1172 patients who responded, 716 were included in the study. The highest preference for psycho-oncological content topics reached anxiety, ability to cope, quality of life, depressive feelings, and adjustment toward a new life situation. eHealth applications such as Web-based applications, websites, blogs, info email, and consultation hotline were considered to be suitable to convey these content topics. Psychological burden did not influence the preference rates according to psycho-oncological content and eHealth applications. CONCLUSIONS: Psycho-oncological eHealth applications may be very beneficial for women with cancer, especially when they address psycho-oncological content topics like anxiety, ability to cope, depressive feelings, self-esteem, or adjustment to a new life situation. The findings of this study indicate that psycho-oncological eHealth applications are a promising medium to improve the psychosocial care and enhance individual disease management and engagement among women with cancer.
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Spirituality, sense-making, and dealing with children were also relevant for eHealth interventions in this sample.
“Spirituality, sense-making, and dealing with children were also relevant for eHealth interventions in this sample.”
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 [47]
The Discussion (Principal Findings) says spirituality, sense-making, and dealing with children had no high relevance for eHealth interventions in this sample. The Interpretation of our Findings also says spirituality and sense-making were considered less important, contrary to presenting these topics as relevant intervention priorities. (LLM, conf=0.86)
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Experimental — accuracy not yet measuredeHealth applications were considered suitable for conveying these content topics.
“In addition, eHealth applications (including web-based applications, websites, blogs, information e-mails, and consultation hotlines) were considered suitable for conveying these content topics.”
The pre-study by Ringwald et al. included 716 patients.
“Seven hundred sixteen patients were included in the study.”
The content topics with the highest preference were anxiety, ability to cope, quality of life, depressive feelings, and adjustment to a new life situation.
“The content topics with the highest preference were anxiety, ability to cope, quality of life, depressive feelings, and adjustment to a new life situation.”
Patients' subjective psychological burden regarding distress, quality of life, and need for psychosocial support did not influence the preference rates for psycho-oncological contents and eHealth applications.
“The patients’ subjective psychological burden regarding distress, quality of life, and need for psychosocial support did not influence the preference rates for psycho-oncological contents and eHealth applications.”
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- Authors
- Ringwald, J., Marwedel, L., Junne, F., Ziser, K., Schäffeler, N., Gerstner, L., Wallwiener, M., Brucker, S. Y., Hautzinger, M., Zipfel, S., & Teufel, M.
- Affiliations
- Universitätsklinikum Tübingen (DE)
- University Hospital Heidelberg (DE)
- University of Tübingen (DE)
- University of Duisburg-Essen (DE)
- Corresponding author
- Ringwald, Johanna
- ORCID
- Venue
- JMIR Cancer
- Publisher
- JMIR Publications Inc.
- Published
- 2017-11-24
- Volume
- 3
- Issue
- 2
- Pages
- e19
- ISSN
- 2369-1999 (ISSN-L)
- PMC
- PMC5722981
- OpenAlex
- W2770150813
- Cited by
- 22
- References
- 55
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 3
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Cancer (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- 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 › Mobile Health and mHealth Applications
- Keywords
- psycho-oncology, digital health interventions, women with cancer, patient needs and preferences, psychological distress, anxiety, depression, coping, quality of life, psychosocial support, digital health applications, self-esteem, adaptation to illness
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