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Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain : a mixed-method study

An De Groef, Margaux Evenepoel (UGent) , Sophie Van Dijck, Lore Dams, Vincent Haenen, Louise Wiles, Mark Catley, Anna Vogelzang, Ian Olver, Peter Hibbert, et al.
(2023) SUPPORTIVE CARE IN CANCER. 31(2).
Author
Organization
Abstract
Purpose: Here, we describe the development and pilot study of a personalized eHealth intervention containing a pain science education program and self-management support strategies regarding pain and pain-related functioning in female survivors of breast cancer. First, we aimed to evaluate the eHealth intervention’s acceptability, comprehensibility, and satisfaction; second, we aimed to assess its preliminary efficacy. Methods: A mixed-method study design was used. Breast cancer survivors with persistent pain were recruited. After 6 weeks of engagement with the eHealth intervention, acceptability, comprehensibility, and satisfaction were measured quantitatively with a self-constructed questionnaire and described qualitatively using focus groups. A joint display was used to present the meta-interferences between data. Efficacy was assessed via mixed effects models with repeated measures (outcomes assessed at baseline, 6 weeks, and 12 weeks). Results: Twenty-nine women with persistent pain after breast cancer surgery participated. Overall, the eHealth program was well received and experienced as easy to use and helpful. The eHealth intervention seems useful as an adjunct to comprehensive cancer aftercare. Efficacy estimates suggested a significant improvement in pain-related functioning, physical functioning, and quality of life. Conclusion: A personalized eHealth intervention appears valuable for persistent pain management after breast cancer surgery. A large controlled clinical trial to determine effectiveness, and a full process evaluation, seems warranted.
Keywords
Oncology, Breast cancer, Pain, Self-management, Pain science education, MEDICINE ROUND-TABLE, NEUROSCIENCE EDUCATION, CONSENSUS STATEMENT, EXERCISE GUIDELINES, AMERICAN-COLLEGE, METAANALYSIS, PREVALENCE, EFFICACY, SURGERY

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Citation

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MLA
De Groef, An, et al. “Feasibility and Pilot Testing of a Personalized EHealth Intervention for Pain Science Education and Self-Management for Breast Cancer Survivors with Persistent Pain : A Mixed-Method Study.” SUPPORTIVE CARE IN CANCER, vol. 31, no. 2, 2023, doi:10.1007/s00520-022-07557-7.
APA
De Groef, A., Evenepoel, M., Van Dijck, S., Dams, L., Haenen, V., Wiles, L., … Meeus, M. (2023). Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain : a mixed-method study. SUPPORTIVE CARE IN CANCER, 31(2). https://doi.org/10.1007/s00520-022-07557-7
Chicago author-date
De Groef, An, Margaux Evenepoel, Sophie Van Dijck, Lore Dams, Vincent Haenen, Louise Wiles, Mark Catley, et al. 2023. “Feasibility and Pilot Testing of a Personalized EHealth Intervention for Pain Science Education and Self-Management for Breast Cancer Survivors with Persistent Pain : A Mixed-Method Study.” SUPPORTIVE CARE IN CANCER 31 (2). https://doi.org/10.1007/s00520-022-07557-7.
Chicago author-date (all authors)
De Groef, An, Margaux Evenepoel, Sophie Van Dijck, Lore Dams, Vincent Haenen, Louise Wiles, Mark Catley, Anna Vogelzang, Ian Olver, Peter Hibbert, Bart Morlion, G. Lorimer Moseley, Lauren C. Heathcote, and Mira Meeus. 2023. “Feasibility and Pilot Testing of a Personalized EHealth Intervention for Pain Science Education and Self-Management for Breast Cancer Survivors with Persistent Pain : A Mixed-Method Study.” SUPPORTIVE CARE IN CANCER 31 (2). doi:10.1007/s00520-022-07557-7.
Vancouver
1.
De Groef A, Evenepoel M, Van Dijck S, Dams L, Haenen V, Wiles L, et al. Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain : a mixed-method study. SUPPORTIVE CARE IN CANCER. 2023;31(2).
IEEE
[1]
A. De Groef et al., “Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain : a mixed-method study,” SUPPORTIVE CARE IN CANCER, vol. 31, no. 2, 2023.
@article{01HNWVXR4AXTN6M1BYQ0JX7NQ0,
  abstract     = {{Purpose: 
Here, we describe the development and pilot study of a personalized eHealth intervention containing a pain science education program and self-management support strategies regarding pain and pain-related functioning in female survivors of breast cancer. First, we aimed to evaluate the eHealth intervention’s acceptability, comprehensibility, and satisfaction; second, we aimed to assess its preliminary efficacy.

Methods: 
A mixed-method study design was used. Breast cancer survivors with persistent pain were recruited. After 6 weeks of engagement with the eHealth intervention, acceptability, comprehensibility, and satisfaction were measured quantitatively with a self-constructed questionnaire and described qualitatively using focus groups. A joint display was used to present the meta-interferences between data. Efficacy was assessed via mixed effects models with repeated measures (outcomes assessed at baseline, 6 weeks, and 12 weeks).

Results: 
Twenty-nine women with persistent pain after breast cancer surgery participated. Overall, the eHealth program was well received and experienced as easy to use and helpful. The eHealth intervention seems useful as an adjunct to comprehensive cancer aftercare. Efficacy estimates suggested a significant improvement in pain-related functioning, physical functioning, and quality of life.

Conclusion: 
A personalized eHealth intervention appears valuable for persistent pain management after breast cancer surgery. A large controlled clinical trial to determine effectiveness, and a full process evaluation, seems warranted.}},
  articleno    = {{119}},
  author       = {{De Groef, An and Evenepoel, Margaux and Van Dijck, Sophie and Dams, Lore and Haenen, Vincent and Wiles, Louise and Catley, Mark and Vogelzang, Anna and Olver, Ian and Hibbert, Peter and Morlion, Bart and Moseley, G. Lorimer and Heathcote, Lauren C. and Meeus, Mira}},
  issn         = {{0941-4355}},
  journal      = {{SUPPORTIVE CARE IN CANCER}},
  keywords     = {{Oncology,Breast cancer,Pain,Self-management,Pain science education,MEDICINE ROUND-TABLE,NEUROSCIENCE EDUCATION,CONSENSUS STATEMENT,EXERCISE GUIDELINES,AMERICAN-COLLEGE,METAANALYSIS,PREVALENCE,EFFICACY,SURGERY}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{22}},
  title        = {{Feasibility and pilot testing of a personalized eHealth intervention for pain science education and self-management for breast cancer survivors with persistent pain : a mixed-method study}},
  url          = {{http://doi.org/10.1007/s00520-022-07557-7}},
  volume       = {{31}},
  year         = {{2023}},
}
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