A cancer diagnosis always causes psychological distress, which impairs quality of life and may also have a negative impact on treatment and disease progression.
Ideally cancer treatment is coupled with psychological support. However, currently only a minority of cancer patients receive professional psychological support, particularly during the difficult time immediately after diagnosis.
Actively reduce distress
In order to reach cancer patients early after diagnosis and offer a low-threshold tool to overcome distress, researchers from the University of Basel and University Hospital Basel developed the online stress management program STREAM.
During the 8-week online program, patients were provided with information, individual exercises on downloadable audio-files and specific strategies on managing life with cancer. Patients logged in using a secured personal account. Once a week, they participated in a written exchange with a psychologist via an integrated email platform.
First study in German-speaking countries
The study from Basel University is the first to show that newly diagnosed cancer patients significantly benefit from a web-based intervention and report better quality of life and less distress.
In total, 129 patients from Switzerland, Germany and Austria were allocated to either an intervention or a control group within 12 weeks of starting their cancer treatment. The control group only received access to the program after an eight-week waiting period, enabling a comparison between the two groups.
People who completed the STREAM program (mostly breast cancer patients) assessed their quality of life as significantly higher than the control group. Also, distress, measured on a scale from 0 to 10, was significantly lower in the online group than in the control group after the intervention.
“The results show that web-based self-help with regular email contact with a psychologist has the potential to efficiently support newly diagnosed cancer patients and thereby decisively improves cancer care,” says Professor Viviane Hess, Professor of Medical Oncology and Senior Oncologist in Basel.
Online interventions present new opportunities to support people affected by cancer who previously could not be reached. “Digital natives are reaching the age at which the risk for age-related diseases such as cancer increases. Approaches that integrate the internet into patient care will therefore continue to increase in importance,” says Hess.
The study was supported by the Swiss National Science Foundation and Cancer Research Switzerland, and was published in the Journal of Clinical Oncology.
Corinne Urech, Astrid Grossert, Judith Alder, Sandra Scherer, Barbara Handschin, Benjamin Kasenda, Borislava Borislavova, Sven Degen, Jennifer Erb, Alexandra Faessler, Laura Gattlen, Sarah Schibli, Celine Werndli, Jens Gaab, Thomas Berger, Thomas Zumbrunn, Viviane Hess
Web-based stress management for newly diagnosed cancer patients (STREAM): A randomized, wait-list controlled intervention study
Journal of Clinical Oncology (2018), doi: 10.1200/JCO.2017.74.8491
Prof. Dr. Viviane Hess, University of Basel / University Hospital Basel, phone: +41 61 328 74 25 E-Mail: firstname.lastname@example.org
Dr. Corinne Urech, University Hospital Basel, Gynaecological Social Medicine and Psychosomatics, phone: +41 61 265 92 04, E-Mail: email@example.com
Astrid Grossert, University Hospital Basel, Medical Oncology and Psychosomatics, phone: +41 61 328 72 15, E-Mail: firstname.lastname@example.org