Web-based stress management for newly diagnosed cancer patients (MSc Alexandra Faessler)
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Webbased stress management for newly diagnosed cancer pa6ents M. Sc. Alexandra Faessler 1
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Transcript of Web-based stress management for newly diagnosed cancer patients (MSc Alexandra Faessler)
Web-‐based stress management for newly diagnosed cancer pa6ents
M. Sc. Alexandra Faessler
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TEAM
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Structure
• Online Interven:ons • Stress in cancer pa:ents • STREAM • Case-‐study • Ques:ons
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What do you think?
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– Is face to face CBT more effec:ve than online CBT? Barak et al. (2008), Spek et al. (2007), Andersson & Hedman (2013)
– Is therapeu:c alliance (goals, bond, task) in face to face CBT higher than in online interven:ons? Klasen (2013)
– Is therapeu:c alliance associated with outcome on online interven:ons?Preschl (2011), Maerker (2011), Knavelsrud (2007)
Pros
• People which cant come to Yf therapy • Finance, :me, personal, geographical issues
• Long waitlist • Immobility • S:gma • Costs • Flexibility • Anonymity …
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Cons
• Suizidality, chronical Depression, Dissozia:on • Crisis situa:ons • Risk of misinterpreta:on of informa:on • Ethical issues (Security) …
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Example
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h`p://www.interapy.nl/over-‐interapy/interapy-‐interna:onal
(Wangner & Lange 2008)
Treatment effects (d)
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N Intrusions Avoidance Depression Anxiety
Instruments: SCL-‐90, BSI, IES = Impact of events scale
Cancer: Distress
9 Mehnert et al, 2012, Penedo et al. 2013, Rehse, 2003, Chambers et al, 2012Park, 2007 , McCormick&Conley, West J Med, 1995
-‐Depression -‐Anxiety -‐mental disorder (1/3) -‐Side effects (pain, fa:gue)
-‐Quality of life -‐Psychological support -‐Compliance -‐Health behavior -‐Immune system func:on (?)
à Every 4th pa:ent asks for psychological help/support
Online interven:ons for cancer pa:ents
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STREAM: -‐ German language -‐ With minimal contact
Aim: pa:ents
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How can I reduce stress?
What is acceptance? Mindfulness?
What are my resources? Low threshold support
Aim: science
- Feasibility and applicability - Preliminary efficacy
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A randomized, wait-‐list controlled interven:on study
30/01/2014 A Web-‐based stress management -‐ Astrid Grossert 13
Start Therapy 12 W 20 W 24 W
Newly diagnosed cancer pa:ents
N=38
R
Interven6on group: Therapy & stream including
weekly mail contact N= 21
Therapy & Stream including weekly mail contact
Controll group: Therapy & care as usual
N=17
Therapy & care as usual
Recruitment: -‐internet, -‐flyers, -‐hospital
T1 T2 T3
Aim: Health care system
- Be`er accessibility of psychooncological support - Implementa:on in psychooncological support
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Our self-‐help interven:on with minimal contact
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Video: h`ps://www.youtube.com/watch?v=ZyqRhqXhsXA
Modules
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Modules of STREAM 1) Psychoeduca:on on stress 2) Body stress reduc:on 3) Cogni:ve stress reduc:on 4) Emo:onal stress reduc:on 5) Mindfulness and acceptance 6) Quality of life and pleasure 7) Social network and
communica:on skills 8) Summary
Our aims
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• For pa:ents à single pa:ents already profit
now • For science à in process • For health care à longer process
NEW TREATMENT METHODS
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Literature
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