Evidence map›Paper›PMID 34401388›Full record

ArticleInternet interventions2021

Reasons for not reaching or using web-based self-management applications, and the use and evaluation of Oncokompas among cancer survivors, in the context of a randomised controlled trial.

A van der Hout, C F van Uden-Kraan, K Holtmaat, F Jansen, B I Lissenberg-Witte, G A P Nieuwenhuijzen, J A Hardillo, R J Baatenburg de Jong, N L Tiren-Verbeet, D W Sommeijer and 19 more

Open access · goldAbstract read
In one paragraph

Article in Internet interventions, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Patient-reported outcome measurement implementation in cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 15 institutions in 1 country.

A van der HoutDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
C F van Uden-KraanDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
K HoltmaatDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
F JansenCancer Center Amsterdam (CCA), Amsterdam UMC, Amsterdam, the Netherlands.
B I Lissenberg-WitteAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Data Science, Amsterdam, the Netherlands.
G A P NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, the Netherlands.
J A HardilloDepartment of Otolaryngology and Head and Neck Surgery, Erasmus MC Cancer Centre, Erasmus Medical Center, Rotterdam, the Netherlands.
R J Baatenburg de JongDepartment of Otolaryngology and Head and Neck Surgery, Erasmus MC Cancer Centre, Erasmus Medical Center, Rotterdam, the Netherlands.
N L Tiren-VerbeetDepartment of Hematology, Erasmus Medical Center, Rotterdam, the Netherlands.
D W SommeijerDepartment of Internal Medicine, Flevoziekenhuis, Almere, the Netherlands.
K de HeerDepartment of Internal Medicine, Flevoziekenhuis, Almere, the Netherlands.
C G SchaarDepartment of Internal Medicine, Gelre ziekenhuis, Apeldoorn, the Netherlands.
R J E SedeeDepartment of Otolaryngology, Head and Neck Surgery, Haaglanden MC, The Hague, the Netherlands.
K BosschaDepartment of Surgery, Jeroen Bosch Ziekenhuis, Den Bosch, the Netherlands.
M W M van den BrekelDepartment of Head and Neck Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.
J F PetersenDepartment of Head and Neck Surgery, Netherlands Cancer Institute, Amsterdam, the Netherlands.
M WestermanDepartment of Hematology, Northwest Clinics, Alkmaar, the Netherlands.
J HoningsDepartment of Otorhinolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
R P TakesDepartment of Otorhinolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
I HoutenbosDepartment of Hematology, Spaarne Gasthuis, Hoofddorp, the Netherlands.
W T van den BroekDepartment of Surgery, St. Anna Hospital, Geldrop, the Netherlands.
R de BreeDepartment of Head and Neck Surgical Oncology, Utrecht University Medical Center, Utrecht, the Netherlands.
P JansenDepartment of Surgery, Elisabeth-TweeSteden Hospital, Tilburg, the Netherlands.
S E J EerensteinCancer Center Amsterdam (CCA), Amsterdam UMC, Amsterdam, the Netherlands.
C R LeemansAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Otolaryngology - Head and Neck Surgery, Amsterdam, the Netherlands.
J M ZijlstraCancer Center Amsterdam (CCA), Amsterdam UMC, Amsterdam, the Netherlands.
P CuijpersDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
L V van de Poll-FranseDepartment of Research, Netherlands Comprehensive Cancer Organisation, Eindhoven, the Netherlands.
I M Verdonck-de LeeuwDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, the Netherlands.
Vrije Universiteit Amsterdam · NLAmsterdam University Medical Centers · NLCancer Center AmsterdamRadboud University Nijmegen · NLErasmus MC Cancer Institute · NLThe Netherlands Cancer Institute · NLErasmus MC · NLFlevoziekenhuis · NLGelre Hospitals · NLGGD Haaglanden · NLJeroen Bosch Ziekenhuis · NLRadboud University Medical Center · NLSpaarne Ziekenhuis · NLSt. Anna Ziekenhuis · NLTilburg University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe web-based self-management application Oncokompas was developed to support cancer survivors to monitor health-related quality of life and symptoms (Measure) and to provide tailored information (Learn) and supportive care options (Act). In a previously reported randomised controlled trial (RCT), 68% of 655 recruited survivors were eligible, and of those 45% participated in the RCT. Among participants of the RCT that were randomised to the intervention group, 52% used Oncokompas as intended. The aim of this study was to explore reasons for not participating in the RCT, and reasons for not using Oncokompas among non-users, and the use and evaluation of Oncokompas among users.

methodsReasons for not participating were assessed with a study-specific questionnaire among 243 survivors who declined participation. Usage was investigated among 320 participants randomised to the intervention group of the RCT via system data and a study-specific questionnaire that was assessed during the 1 week follow-up (T1) assessment.

resultsMain reasons for not participating were not interested in participation in scientific research (40%) and not interested in scientific research and Oncokompas (28%). Main reasons for not being interested in Oncokompas were wanting to leave the period of being ill behind (29%), no symptom burden (23%), or lacking internet skills (18%). Out of the 320 participants in the intervention group 167 (52%) used Oncokompas as intended. Among 72 non-users, main reasons for not using Oncokompas were no symptom burden (32%) or lack of time (26%). Among 248 survivors that activated their account, satisfaction and user-friendliness were rated with a 7 (scale 0-10). Within 3 (IQR 1-4) sessions, users selected 32 (IQR 6-37) topics. Main reasons for not using healthcare options in Act were that the information in Learn was already sufficient (44%) or no supportive care needs (32%). DISCUSSION: Main reasons for not reaching or using Oncokompas were no symptom burden, no supportive care needs, or lack of time. Users selected many cancer-generic and tumour-specific topics to address, indicating added value of the wide range of available topics.

Indexed as

Cancer survivorshipeHealthHealth-related quality of lifeSelf-managementWeb-based intervention

Identifiers

PMID34401388
PMCPMC8350584
OpenAlexW3186736675

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.