Engaging Elderly Breast Cancer Patients Through an e-health Intervention: A Case Series Study

The aging population increases the number of new diagnoses of breast cancer and women of all ages experience psychological stress for possible treatment related side effects. To prepare elderly women diagnosed with breast cancer to face the imminent chemotherapy we developed an e-health intervention based on the Stress Inoculation Training (SIT) protocol, lasting two weeks. The online intervention includes 10 sessions to see once a day. The research design is a controlled trial comparing an experimental group, following the online intervention in addition to traditional treatment provided by the hospital, and a control group without treatment. The aim of this contribution is to explore the level of engagement of eight patients through a case series study. Furthermore, the acceptance of the online intervention by elderly patients in terms of perceived pleasantness, usefulness and easiness is assessed. Data show that patients remain in a stable position (mainly ranging from the arousal and the adhesion phases) within the engagement process after two weeks. Furthermore, patients of the experimental group report a good level of acceptance of the e-health intervention. Thus, preliminary results suggest that the e-health intervention is well accepted by elderly patients and that it addresses patients’ need of knowing the imminent treatment experience and of understanding how to deal with it.

[1]  David Khayat,et al.  Changing patient perceptions of the side effects of cancer chemotherapy , 2002, Cancer.

[2]  Giuseppe Riva,et al.  eHealth for Patient Engagement: A Systematic Review , 2016, Front. Psychol..

[3]  Giuseppe Riva,et al.  Engaging Elderly Breast Cancer Patients: The Potential of eHealth Interventions , 2016, Front. Psychol..

[4]  J. Kabat-Zinn,et al.  Mindfulness-Based Interventions in Context: Past, Present, and Future , 2003 .

[5]  A. Jemal,et al.  Breast Cancer Statistics , 2013 .

[6]  Giuseppe Riva,et al.  Technologies for patient engagement. , 2013, Health affairs.

[7]  Gül Seçkin.  I Am Proud and Hopeful: Age-Based Comparisons in Positive Coping Affect Among Women Who Use Online Peer-Support , 2011, Journal of psychosocial oncology.

[8]  Yilan Liao,et al.  Unsafe riding practice among electric bikers in Suzhou, China: an observational study , 2014, BMJ Open.

[9]  Giuseppe Riva,et al.  Helping Women with Breast Cancer to Cope with Hair Loss: An e-SIT Protocol , 2015, MindCare.

[10]  Andrea Bonanomi,et al.  Students' acceptance of tablet PCs in Italian high schools: Profiles and differences , 2018, Br. J. Educ. Technol..

[11]  Luca Chittaro,et al.  Evaluation of a mobile mindfulness app distributed through on-line stores: A 4-week study , 2016, Int. J. Hum. Comput. Stud..

[12]  Giuseppe Riva,et al.  Patient Engagement: The Key to Redesign the Exchange Between the Demand and Supply for Healthcare in the Era of Active Ageing. , 2014, Studies in health technology and informatics.

[13]  D. Meichenbaum.  Stress inoculation training , 1985 .

[14]  Giuseppe Riva,et al.  How to make health information technology effective: the challenge of patient engagement. , 2013, Archives of physical medicine and rehabilitation.

[15]  Per Carlbring,et al.  Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomised controlled trial , 2014, BMJ Open.

[16]  Diana Harcourt,et al.  Anticipating an altered appearance: women undergoing chemotherapy treatment for breast cancer. , 2007, European journal of oncology nursing : the official journal of European Oncology Nursing Society.

[17]  Fred D. Davis.  Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[18]  M. Schlesewsky,et al.  Two routes to actorhood: lexicalized potency to act and identification of the actor role , 2015, Front. Psychol..

[19]  Andrea Gaggioli,et al.  Toward a validation of cyber-interventions for stress disorders based on stress inoculation training: a systematic review , 2013, Virtual Reality.

[20]  Joshua Fogel,et al.  Use of the Internet by Women with Breast Cancer , 2002, Journal of medical Internet research.

[21]  Maria Browall,et al.  Postmenopausal Women With Breast Cancer: Their Experiences of the Chemotherapy Treatment Period , 2006, Cancer nursing.

[22]  Ahmedin Jemal,et al.  Breast cancer statistics, 2011 , 2011, CA: a cancer journal for clinicians.

[23]  Annette L Stanton,et al.  Project connect online: user and visitor experiences of an Internet‐based intervention for women with breast cancer , 2015, Psycho-oncology.

[24]  E Lindop,et al.  Experiences of women with a diagnosis of breast cancer: a clinical pathway approach. , 2001, European journal of oncology nursing : the official journal of European Oncology Nursing Society.

[25]  Andrea Bonanomi,et al.  Measuring patient engagement: development and psychometric properties of the Patient Health Engagement (PHE) Scale , 2015, Front. Psychol..

[26]  I. Petrakis,et al.  Breast cancer in the elderly. , 2010, Archives of gerontology and geriatrics.

[27]  G. Eysenbach.  What is e-health? , 2001, Journal of Medical Internet Research.

[28]  Alessandra Grassi,et al.  Self-help stress management training through mobile phones: an experience with oncology nurses. , 2013, Psychological services.

[29]  Mitch Golant,et al.  CE Test: Managing Cancer Side Effects to Improve Quality of Life: A Cancer Psychoeducation Program , 2003, Cancer nursing.

[30]  Laura Biganzoli,et al.  Management of elderly patients with breast cancer: updated recommendations of the International Society of Geriatric Oncology (SIOG) and European Society of Breast Cancer Specialists (EUSOMA). , 2012, The Lancet. Oncology.

[31]  Giuseppe Riva,et al.  Does a Meditation Protocol Supported by a Mobile Application Help People Reduce Stress? Suggestions from a Controlled Pragmatic Trial , 2015, Cyberpsychology Behav. Soc. Netw..