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Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors.

Publication ,  Journal Article
Smith, SK; MacDermott, K; Amarasekara, S; Pan, W; Mayer, D; Hockenberry, M
Published in: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
May 2019

Chronic pain, depression, and fatigue are common effects resulting from the cancer experience; new interventions are needed. This study examined the effect of Reimagine, an online symptom self-management curriculum that teaches coping skills, on key outcomes.Adult breast cancer survivors with chronic pain were recruited from the Army of Women volunteer registry for this randomized controlled trial and randomized 1:1 to Reimagine or usual care conditions. Electronic surveys collected demographic, clinical, and outcome data at baseline and 18 weeks post-intervention.Participants (N = 89) were mean age 56.7 ± 8.7 years; 67% married; 58% employed; mean years since diagnosis 8.2 ± 6.6; and 89% were in remission or cured of their breast cancer. There was a significant difference in the change in depression scores for treatment (M = - 1.7, SD = 4.5) and usual care (M = 0.3, SD = 3.8) conditions; t(85) = - 2.3, p = .03. Difference in the change in fatigue scores was significant for treatment (M = 4.8, SD = 9.0) and usual care (M = 1.2, SD = 6.6) conditions; t(87) = 2.2, p = .03. Most Reimagine users (94%) would recommend the curriculum to others.These results suggest that Reimagine has an effect on depression and fatigue symptoms for breast cancer survivors. Online programs can be a feasible and effective alternative to in-person support. Additional research is recommended with larger and more diverse samples.

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Published In

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

DOI

EISSN

1433-7339

ISSN

0941-4355

Publication Date

May 2019

Volume

27

Issue

5

Start / End Page

1775 / 1781

Related Subject Headings

  • Surveys and Questionnaires
  • Self-Management
  • Quality of Life
  • Patient Education as Topic
  • Palliative Care
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Fatigue
 

Citation

APA
Chicago
ICMJE
MLA
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Smith, S. K., MacDermott, K., Amarasekara, S., Pan, W., Mayer, D., & Hockenberry, M. (2019). Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 27(5), 1775–1781. https://doi.org/10.1007/s00520-018-4431-7
Smith, S. K., K. MacDermott, S. Amarasekara, W. Pan, D. Mayer, and M. Hockenberry. “Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors.Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer 27, no. 5 (May 2019): 1775–81. https://doi.org/10.1007/s00520-018-4431-7.
Smith SK, MacDermott K, Amarasekara S, Pan W, Mayer D, Hockenberry M. Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2019 May;27(5):1775–81.
Smith, S. K., et al. “Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors.Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 27, no. 5, May 2019, pp. 1775–81. Epmc, doi:10.1007/s00520-018-4431-7.
Smith SK, MacDermott K, Amarasekara S, Pan W, Mayer D, Hockenberry M. Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2019 May;27(5):1775–1781.
Journal cover image

Published In

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

DOI

EISSN

1433-7339

ISSN

0941-4355

Publication Date

May 2019

Volume

27

Issue

5

Start / End Page

1775 / 1781

Related Subject Headings

  • Surveys and Questionnaires
  • Self-Management
  • Quality of Life
  • Patient Education as Topic
  • Palliative Care
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Fatigue