Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jul 27;11(7):e36658.
doi: 10.2196/36658.

Assessing an Internet-Delivered, Emotion-Focused Intervention Compared With a Healthy Lifestyle Active Control Intervention in Improving Mental Health in Cancer Survivors: Protocol for a Randomized Controlled Trial

Affiliations

Assessing an Internet-Delivered, Emotion-Focused Intervention Compared With a Healthy Lifestyle Active Control Intervention in Improving Mental Health in Cancer Survivors: Protocol for a Randomized Controlled Trial

Isabelle S Smith et al. JMIR Res Protoc. .

Abstract

Background: Cancer survivors are vulnerable to experiencing symptoms of anxiety and depression and may benefit from accessible interventions focused on improving emotion regulation. CanCope Mind (CM) was developed as an internet-delivered intervention adapted from the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders to improve emotion regulation and support the mental health of cancer survivors.

Objective: This protocol aims to provide an outline of the CanCope Study, a trial comparing the efficacy of a Unified Protocol-adapted internet-delivered intervention (CM) designed for cancer survivors compared with an active control condition-an internet-delivered healthy lifestyle intervention, CanCope Lifestyle (CL). The primary aim is to assess and compare the efficacy of both interventions in improving emotion regulation, anxiety and depressive symptoms, and quality of life. The secondary aims involve assessing the mechanisms of the CM intervention.

Methods: This trial is a 2-arm randomized controlled trial that allocates cancer survivors to either CM or CL. Both interventions comprise 4 web-based modules and are expected to take participants at least 8 weeks to complete. Participants' mental and physical health will be assessed via self-reported surveys at baseline (T0), between each module (T1, T2, and T3), immediately after the intervention (T4), and at 3-month follow-up (T5). The study aims to recruit 110 participants who have completed T4.

Results: The CanCope study began recruitment in September 2020. A total of 224 participants have been randomized to the CM (n=110, 49.1%) and CL (n=114, 50.9%) groups.

Conclusions: This is one of the first trials to develop and investigate the efficacy of a web-based intervention for cancer survivors that specifically targets emotion regulation.

Trial registration: Australian Clinical Trials ACTRN12620000943943; https://tinyurl.com/b3z9cjsp.

International registered report identifier (irrid): DERR1-10.2196/36658.

Keywords: Unified Protocol; anxiety symptoms; cancer survivor; depressive symptoms; eHealth; emotion regulation; internet-delivered intervention; mobile phone; psycho-oncology; quality of life; randomized controlled trial; transdiagnostic.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Procedure and participant flow diagram. T0: baseline; T1: post-module 1; T2: post-module 2; T3: post-module 3; T4: post-intervention and post-module 4; T5: 3-month follow-up assessment.

References

    1. Carreira H, Williams R, Müller M, Harewood R, Stanway S, Bhaskaran K. Associations between breast cancer survivorship and adverse mental health outcomes: a systematic review. J Natl Cancer Inst. 2018 Dec 01;110(12):1311–27. doi: 10.1093/jnci/djy177. http://europepmc.org/abstract/MED/30403799 5164282 - DOI - PMC - PubMed
    1. Linden W, Vodermaier A, Mackenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012 Dec 10;141(2-3):343–51. doi: 10.1016/j.jad.2012.03.025.S0165-0327(12)00221-2 - DOI - PubMed
    1. van Stam MA, van der Poel HG, Bosch JL, Tillier CN, Horenblas S, Mols F, Aaronson NK. Prevalence and correlates of mental health problems in prostate cancer survivors: a case-control study comparing survivors with general population peers. Urol Oncol. 2017 Aug;35(8):531.e1–7. doi: 10.1016/j.urolonc.2017.03.028.S1078-1439(17)30158-8 - DOI - PubMed
    1. Lu D, Andersson TM, Fall K, Hultman CM, Czene K, Valdimarsdóttir U, Fang F. Clinical diagnosis of mental disorders immediately before and after cancer diagnosis: a nationwide matched cohort study in Sweden. JAMA Oncol. 2016 Sep 01;2(9):1188–96. doi: 10.1001/jamaoncol.2016.0483.2517400 - DOI - PubMed
    1. Gross JJ. Emotion regulation: past, present, future. Cogn Emotion. 1999 Sep;13(5):551–73. doi: 10.1080/026999399379186. - DOI

LinkOut - more resources