efficacy of web-based self-management support intervention on health outcomes in patients with colorectal cancer

Conditions: Colorectal Neoplasms

Summary: the study aims to test the efficacy of a web-based interactive self-management support intervention on the primary outcome, quality of life, secondary outcomes, symptom distress, emotional distress, physical activity, and the mediation effects of self-efficacy, and supportive care needs in colorectal cancer patients.

colorectal cancer is the most commonly diagnosed cancer in taiwan. with proper treatments, most patients can be long-term survivors. however, patients often suffered long-term consequences of the disease and its treatment side effects. in addition, unhealthy lifestyles will further impact on patient's prognosis and quality of life. face-to-face or web-based self-management support interventions can help colorectal cancer patients to achieve a healthy lifestyle and better adjustment. however, they are costly and may not be assessable for a certain population. therefore, it is necessary to develop the most cost-effective interventions for patients with colorectal cancer. aim: the study aims is to test the efficacy of a web-based interactive self-management support intervention on the primary outcome, quality of life, and secondary outcomes, symptom distress, emotional distress, physical activity, nutrition intake, and the mediation effects of self-efficacy, social support, and supportive care needs in colorectal cancer patients. design: a multi-center randomized six-month follow-up parallel-group superiority design will be used to test the intervention efficacy. a convenient sample of 160 post-operative colorectal cancer patients (stage i-iii) will be recruited and randomized to the control or intervention group. outcome variables will be assessed on the baseline, 2nd, 4th, and 6th month in both groups. instruments: the study instruments include cancer behavior inventory-brief version, 34-item supportive care needs survey, m.d. anderson symptom inventory, the center for epidemiologic studies depression scale, international physical activity questionnaire, and fact-c. data analysis: descriptive analysis will be used to describe patients' demographics, disease variables, and outcome variables. the chi-square, t-test, and linear mixed model will be used to test the efficacy of the study interventions. significance: the study results will provide evidence for the efficacy of the web-based interactive self-management support intervention for enhancing a healthy lifestyle and quality of life in colorectal cancer patients.

Eligibility criteria:
inclusion criteria: * diagnosed with colorectal cancer (icd-10 code: c18-c20, c21.8) * received curative surgery with one month * cancer stage i-iii * age between 20 to 75 * have an access to the internet at home exclusion criteria: * diagnosed with severe psychological diseases or having a poor mental state preventing cooperate with research measures * not able to communicate verbally or with writing

Keywords: colorectal cancer web-based interactive self-management support health-related quality of life self-efficacy emotion distress supportive care needs symptom distress healthy life styles