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| Name | Class |
|---|---|
| South-Eastern Norway Regional Health Authority | OTHER |
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Being diagnosed and treated for cancer is usually associated with severe physical symptoms, impaired functional status, complex emotional, psychosocial and existential issues and substantial worries. Failure to help patients with their problems and worries can unnecessarily delay patients' recovery and rehabilitation, lead to chronic functional impairments, anxiety and depression and prolong patients' needs for health care and social services. The objectives of this interdisciplinary, international research project that includes collaboration with HELFO (The Norwegian Health Economy Administration), are to test and compare, in a randomized, controlled trial (RCT), the effects of (1) a practice-integrated online patient-provider communication (OPPC) service including access to asking questions to HELFO, (2) a multi-component Interactive Health Communication Application (IHCA) called WebChoice, and (3) usual care on: patient outcomes, health care and social services use and costs. Breast cancer patients undergoing treatment at three different hospitals in Norway will be randomized into two experimental and one control groups and will be followed with 5 repeated measures over one year. The proposed study will contribute to innovative methods and technologies that can radically improve patient-provider communication, care quality, and continuity of care. The two interventions tested in this study, the OPPC service with and without additional features of WebChoice, represent new forms of interactions and information sharing between patients and clinicians where patients can get seamless access to communication and information services from where and whenever they need it. This could significantly contribute to reducing unnecessary suffering, less fragmented health care, better efficiency, patient safety, patient satisfaction and have an impact on patients' health services utilization. The investigators' work addresses, therefore, important health policy goals with the potential for considerable societal gains.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OPPC service | Experimental | A practice-integrated nurse administered online patient-provider communication (OPPC) service including access to asking questions to social counselors |
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| WebChoice IHCA | Experimental | WebChoice is an interactive health communications application (IHCA) that in addition to offer a practice-integrated nurse administered online patient-provider communication (OPPC) service, allows patients to monitor their symptoms and health problems from home; provides them with individually tailored, just-in-time information and support to manage their symptoms and illness-related problems between treatments and during rehabilitation; and a forum, or e-group community, for group discussion with other cancer patients. |
|
| Control group | No Intervention | The control group receives usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OPPC service | Behavioral | Access to a practice-integrated nurse administered online patient-provider communication (OPPC) service including access to asking questions to social counselors |
| Measure | Description | Time Frame |
|---|---|---|
| Severity and duration of symptom distress | At baseline and at 2, 4, 6, 8 and 12 months | |
| Anxiety and depression | At baseline an at 2, 4, 6, 8 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Self-efficacy | At baseline and at 2, 4, 6, 8 and 12 months | |
| Uncertainty in illness | At baseline and at 2, 4, 6, 8 and 12 months | |
| Health care costs |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cornelia M Ruland, PhD | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital - Rikshospitalet | Oslo | 0027 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25525672 | Result | Borosund E, Cvancarova M, Moore SM, Ekstedt M, Ruland CM. Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. J Med Internet Res. 2014 Dec 18;16(12):e295. doi: 10.2196/jmir.3348. |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| WebChoice IHCA | Behavioral | The additional features of WebChoice allows patients to monitor their symptoms and health problems from home; provides them with individually tailored, just-in-time information and support to manage their symptoms and illness-related problems between treatments and during rehabilitation; and a forum, or e-group community, for group discussion with other cancer patients. |
|
| Post intervention, at 12 and 18 months |
| Quality of life | At baseline and at 4, 8 and 12 months |
| D017437 |
| Skin and Connective Tissue Diseases |