Kanker Nazorg Wijzer: supporting cancer survivors with psychosocial and lifestyle problems using an eHealth intervention

Abstract

Background: Many cancer survivors experience psychosocial and lifestyle problems after primary treatment. Since eHealth can provide easy accessible, personalized information for larger populations, we developed the ‘Kanker Nazorg Wijzer’ (KNW; Cancer Aftercare Guide), an online tailored intervention aimed at improving survivors’ lifestyle and psychosocial wellbeing. Methods: We used the Intervention Mapping protocol to systematically develop the KNW. We started with a needs assessment, consisting of focus group interviews (n = 33) and a survey study (n = 255). This provided input for the performance and change objectives, intervention methods and strategies, and program components. Findings: Eight modules were developed: work, fatigue, mood, relationships, exercise, nutrition, smoking and residual symptoms. The modules were founded on the theoretical principles of problem solving and cognitive behavioural therapy. Tailored feedback ensured that only the most relevant information was provided. Pilot-data showed positive evaluations of the modules. Discussion: Although Intervention Mapping is a time consuming process, it increases the chance of creating effective interventions. If effective, the KNW can serve as an easy accessible, first-step-in-stepped-care, online tool. Currently, an RCT is conducted.