Evaluation of a web-based educational program for women diagnosed with breast cancer: why is the intervention effect absent?
To provide accurate and tailored information to women diagnosed with breast cancer a web-based educational program was developed and tested in a randomized controlled trial for impact on health self-efficacy, healthcare participation, and anxiety and depression levels. Multilevel modelling with an intention-to-treat analysis revealed no treatment effect on the above-mentioned outcomes. Reasons for the non-identified effect are discussed and raise methodological questions concerning e-health supportive interventions for further research.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Filipa
F
Ventura
Richard
R
Sawatzky
Joakim
J
Öhlén
Per
P
Karlsson
Ingalill
I
Koinberg
D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D003194:Computer-Assisted Instruction / Q000706:statistics & numerical data*; D004521:Educational Measurement; D005260:Female; D057220:Health Literacy / Q000706:statistics & numerical data; D006801:Humans; D008495:Medical Oncology / Q000193:education*; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000523:psychology / Q000706:statistics & numerical data*; D020377:Self Efficacy; D016037:Single-Blind Method; D061108:Social Media / Q000706:statistics & numerical data*; D013548:Sweden; D017216:Telemedicine / Q000706:statistics & numerical data; D016387:Women's Health