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Development and evaluation of the usefulness, usability, and feasibility of iNNOV breast cancer

2022-01-01Artigo científico Acesso aberto
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dc.contributor.authorMendes-Santos, Cristina
dc.contributor.authorNunes, Francisco
dc.contributor.authorWeiderpass, Elisabete
dc.contributor.authorSantana, Rui
dc.contributor.authorAndersson, Gerhard
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblJMIR Publications
dc.date.accessioned2022-05-12T22:35:17Z
dc.date.available2022-05-12T22:35:17Z
dc.date.issued2022-01-01
dc.descriptionFunding Information: The authors wish to acknowledge the Erasmus+ program of the European Union: Phoenix Joint Doctoral Program on Dynamics of Health and Welfare, Fraunhofer Portugal Assistive Information and Communication Solutions, and Foundation for Science and Technology (individual research grant 2020.09045.BD) for supporting CMS. The authors thank Linköping University for covering the open-access publication fees. The authors thank all participants, as well as Elsa Oliveira and Ana Alves for their assistance in the data collection. Publisher Copyright: © Cristina Mendes-Santos, Francisco Nunes, Elisabete Weiderpass, Rui Santana, Gerhard Andersson. Originally published in JMIR Cancer (https://cancer.jmir.org), 15.02.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cancer, is properly cited. The complete bibliographic information, a link to the original publication on https://cancer.jmir.org/, as well as this copyright and license information must be included.
dc.description.abstractBackground: Despite the efficacy of psychosocial interventions in minimizing psychosocial morbidity in breast cancer survivors (BCSs), intervention delivery across survivorship is limited by physical, organizational, and attitudinal barriers, which contribute to a mental health care treatment gap in cancer settings. Objective: The aim of this study is to develop iNNOV Breast Cancer (iNNOVBC), a guided, internet-delivered, individually tailored, acceptance and commitment therapy–influenced cognitive behavioral intervention program aiming to treat mild to moderate anxiety and depression in BCSs as well as to improve fatigue, insomnia, sexual dysfunction, and health-related quality of life in this group. This study also aims to evaluate the usefulness, usability, and preliminary feasibility of iNNOVBC. Methods: iNNOVBC was developed using a user-centered design approach involving its primary and secondary end users, that is, BCSs (11/24, 46%) and mental health professionals (13/24, 54%). We used mixed methods, namely in-depth semistructured interviews, laboratory-based usability tests, short-term field trials, and surveys, to assess iNNOVBC’s usefulness, usability, and preliminary feasibility among these target users. Descriptive statistics were used to characterize the study sample, evaluate performance data, and assess survey responses. Qualitative data were recorded, transcribed verbatim, and thematically analyzed. Results: Overall, participants considered iNNOVBC highly useful, with most participants reporting on the pertinence of its scope, the digital format, the relevant content, and the appropriate features. However, various usability issues were identified, and participants suggested that the program should be refined by simplifying navigation paths, using a more dynamic color scheme, including more icons and images, displaying information in different formats and versions, and developing smartphone and tablet versions. In addition, participants suggested that tables should be converted into plain textboxes and data visualization dashboards should be included to facilitate the tracking of progress. The possibility of using iNNOVBC in a flexible manner, tailoring it according to BCSs’ changing needs and along the cancer care continuum, was another suggestion that was identified. Conclusions: The study results suggest that iNNOVBC is considered useful by both BCSs and mental health professionals, configuring a promising point-of-need solution to bridge the psychological supportive care gap experienced by BCSs across the survivorship trajectory. We believe that our results may be applicable to other similar programs. However, to fulfill their full supportive role, such programs should be comprehensive, highly usable, and tailorable and must adopt a flexible yet integrated structure capable of evolving in accordance with survivors’ changing needs and the cancer continuum.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent882716
dc.identifier.doi10.2196/33550
dc.identifier.otherPURE: 43866737
dc.identifier.otherPURE UUID: ffaab4c0-8a6f-458a-b007-90f9a69cc903
dc.identifier.otherScopus: 85124948017
dc.identifier.otherWOS: 000780159500002
dc.identifier.otherPubMed: 35166682
dc.identifier.otherPubMedCentral: PMC8889471
dc.identifier.urihttp://hdl.handle.net/10362/137845
dc.identifier.urlhttps://www.scopus.com/pages/publications/85124948017
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAcceptance and commitment therapy
dc.subjectAnxiety
dc.subjectBreast cancer survivors
dc.subjectCognitive behavioral therapy
dc.subjectDepression
dc.subjectDigital mental health
dc.subjectE-mental health
dc.subjectInternet interventions
dc.subjectMobile phone
dc.subjectUsability
dc.subjectUser-centered design
dc.subjectOncology
dc.subjectCancer Research
dc.subjectSDG 3 - Good Health and Well-being
dc.titleDevelopment and evaluation of the usefulness, usability, and feasibility of iNNOV breast canceren
dc.title.subtitlemixed methods studyen
dc.typejournal article
degois.publication.issue1
degois.publication.titleJMIR Cancer
degois.publication.volume8
dspace.entity.typePublication
rcaap.rightsopenAccess

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