An eHealth system supporting palliative care for patients with non-small cell lung cancer: a randomized trial.
Cancer
; 119(9): 1744-51, 2013 May 01.
Article
em En
| MEDLINE
| ID: mdl-23355273
ABSTRACT
BACKGROUND:
In this study, the authors examined the effectiveness of an online support system (Comprehensive Health Enhancement Support System [CHESS]) versus the Internet in relieving physical symptom distress in patients with non-small cell lung cancer (NSCLC).METHODS:
In total, 285 informal caregiver-patient dyads were assigned randomly to receive, for up to 25 months, standard care plus training on and access to either use of the Internet and a list of Internet sites about lung cancer (the Internet arm) or CHESS (the CHESS arm). Caregivers agreed to use CHESS or the Internet and to complete bimonthly surveys; for patients, these tasks were optional. The primary endpoint-patient symptom distress-was measured by caregiver reports using a modified Edmonton Symptom Assessment Scale.RESULTS:
Caregivers in the CHESS arm consistently reported lower patient physical symptom distress than caregivers in the Internet arm. Significant differences were observed at 4 months (P = .031; Cohen d = .42) and at 6 months (P = .004; d = .61). Similar but marginally significant effects were observed at 2 months (P = .051; d = .39) and at 8 months (P = .061; d = .43). Exploratory analyses indicated that survival curves did not differ significantly between the arms (log-rank P = .172), although a survival difference in an exploratory subgroup analysis suggested an avenue for further study.CONCLUSIONS:
The current results indicated that an online support system may reduce patient symptom distress. The effect on survival bears further investigation.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
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Carcinoma Pulmonar de Células não Pequenas
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Internet
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Neoplasias Pulmonares
Tipo de estudo:
Clinical_trials
/
Qualitative_research
Limite:
Adult
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Aged
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Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article