title: The impact of an empowering Internet-based Breast Cancer Patient Pathway program on breast cancer patients' clinical outcomes: a randomised controlled trial.
abstract: OBJECTIVE
  To evaluate the effect of the Breast Cancer Patient Pathway program on breast cancer patient's empowerment process.
  
  
  BACKGROUND
  The results of earlier studies indicate that the use of tailored Internet-based patient education programs increased patient's knowledge level; however, other outcome measures differed.
  
  
  METHODS
  This randomised control trial studied the effect of the Internet-based patient educational program on breast cancer patients' empowerment. In this study, we measured the quality of life, anxiety and managing with treatment-related side effects as the outcomes of breast cancer patients' empowering process.
  
  
  METHODS
  Breast cancer patients who were Internet users in one Finnish university hospital during 2008-2010 were randomised to the control group (n=43) and the intervention group (n=47). Baseline data were collected first in the hospital and the following data seven times during the treatment process, the last time one year after breast cancer diagnosis.
  
  
  RESULTS
  There were no statistically significant differences in the quality of life, anxiety or side effects of treatment between the groups. The amount of treatment-related side effects was connected to both physical and psychological well-being.
  
  
  CONCLUSIONS
  In this study, the Breast Cancer Patient Pathway program did not decrease anxiety level or treatment-related side effects among breast cancer patients or improve subscales of quality of life when compared with controls.
  
  
  CONCLUSIONS
  There is a need to relieve the side effects caused by patients' care with the help of patient education. Internet-based patient education programs need more focus when developing new patient education methods.
authors.affiliation: Department of Nursing Science, Turku Social and Health Services, Turku City Hospital, University of Turku, Turku, Finland. anne.ryhanen@turku.fi
authors.forename: Anne M
authors.initials: AM
authors.lastname: Ryhänen
authors.forename: Sirkku
authors.initials: S
authors.lastname: Rankinen
authors.forename: Mervi
authors.initials: M
authors.lastname: Siekkinen
authors.forename: Maiju
authors.initials: M
authors.lastname: Saarinen
authors.forename: Heikki
authors.initials: H
authors.lastname: Korvenranta
authors.forename: Helena
authors.initials: H
authors.lastname: Leino-Kilpi
mesh_terms: D001943:Breast Neoplasms / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D005260:Female; D005387:Finland; D006801:Humans; D020407:Internet; D010353:Patient Education as Topic / Q000379:methods*; D011209:Power, Psychological; D011788:Quality of Life; D016896:Treatment Outcome