. 2021 Jun;15(3):403-409.

doi: 10.1007/s11764-021-01019-5. Epub 2021 Mar 15.

Development and usability testing of a web-based psychosocial intervention for women living with metastatic breast cancer: Finding My Way-Advanced

Lisa Beatty¹, Bogda Koczwara^{2

3}, Phyllis Butow⁴, Jane Turner⁵, Afaf Girgis⁶, Penelope Schofield⁷, Nicholas J Hulbert-Williams⁸, Billingsley Kaambwa², Emma Kemp²

Affiliations

¹ Flinders University, Adelaide, South Australia, Australia. lisa.beatty@flinders.edu.au.
² Flinders University, Adelaide, South Australia, Australia.
³ Medical Oncology, Flinders Medical Centre, Adelaide, SA, Australia.
⁴ Sydney University, Sydney, Australia.
⁵ University of Queensland, Brisbane, Australia.
⁶ University of New South Wales & Ingham Institute for Applied Medical Research, Sydney, Australia.
⁷ Swinburne University of Technology, Melbourne, Australia.
⁸ University of Chester, Chester, UK.

PMID: 33723741
DOI: 10.1007/s11764-021-01019-5

Development and usability testing of a web-based psychosocial intervention for women living with metastatic breast cancer: Finding My Way-Advanced

Lisa Beatty et al. J Cancer Surviv. 2021 Jun.

. 2021 Jun;15(3):403-409.

doi: 10.1007/s11764-021-01019-5. Epub 2021 Mar 15.

Authors

Lisa Beatty¹, Bogda Koczwara^{2

3}, Phyllis Butow⁴, Jane Turner⁵, Afaf Girgis⁶, Penelope Schofield⁷, Nicholas J Hulbert-Williams⁸, Billingsley Kaambwa², Emma Kemp²

Affiliations

¹ Flinders University, Adelaide, South Australia, Australia. lisa.beatty@flinders.edu.au.
² Flinders University, Adelaide, South Australia, Australia.
³ Medical Oncology, Flinders Medical Centre, Adelaide, SA, Australia.
⁴ Sydney University, Sydney, Australia.
⁵ University of Queensland, Brisbane, Australia.
⁶ University of New South Wales & Ingham Institute for Applied Medical Research, Sydney, Australia.
⁷ Swinburne University of Technology, Melbourne, Australia.
⁸ University of Chester, Chester, UK.

PMID: 33723741
DOI: 10.1007/s11764-021-01019-5

Abstract

Purpose: Women living with metastatic breast cancer (MBC) face significant distress and unmet needs, yet few resources have been developed for this population. The current study aimed to develop and evaluate the usability of Finding My Way-Advanced (FMW-A), a web-based self-guided psychosocial program for women with MBC.

Methods: FMW-A was co-designed through (a) adapting an efficacious online program for people with curatively treated cancer and (b) receiving iterative rounds of input and feedback from a multidisciplinary co-design team including consumers, clinicians, and academics. A think-aloud protocol was then implemented to test the usability of the resulting 6-module prototype, with women living with MBC accessing up to three modules with an interviewer sitting along-side. Participants were recruited until saturation of themes occurred. Data were analysed thematically.

Results: Participants (n=8) were, on average, 65.3 years old, mostly partnered (n=5), retired (n=6), post-secondary school educated (n=6), and with non-dependent children (n=7). Feedback fell into 6 themes. Positive feedback about FMW-A summarised the supportive and informative nature of the program, supplemented by comments about broadly relatable content. However, one size clearly did not fit all: within themes, diverging experiences emerged regarding navigability, worksheets, and layout. Participants noted that having/making time for the intervention would be important to program engagement.

Conclusions: Usability testing indicated participants found content helpful and relatable, and identified significant pragmatic improvements to be made prior to further testing.

Implications for cancer survivors: The development of FMW-A represents an important step in providing acceptable resources to support women living with MBC.

Keywords: Digital health; Metastatic breast cancer; Psychosocial intervention.

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Development and usability testing of a web-based psychosocial intervention for women living with metastatic breast cancer: Finding My Way-Advanced

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Development and usability testing of a web-based psychosocial intervention for women living with metastatic breast cancer: Finding My Way-Advanced

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