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DEFINITIONS
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Trial registered on ANZCTR
Registration number
ACTRN12613000001796
Ethics application status
Approved
Date submitted
12/12/2012
Date registered
2/01/2013
Date last updated
11/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Finding My Way: A randomised controlled trial of an online self-help coping program for reducing cancer distress.
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Scientific title
A randomised controlled trial comparing the efficacy of 'Finding My Way' with an information-control in reducing distress for patients with early stage cancer.
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Secondary ID [1]
279847
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Nil
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Universal Trial Number (UTN)
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Trial acronym
FMW
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer
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Psychological distress
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Condition category
Condition code
Cancer
285916
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0
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Any cancer
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Mental Health
285917
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0
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Depression
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Mental Health
288331
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
'Finding My Way' (FMW) is a 6-week multimedia internet application, where a new module is released to participants each week, with a reminder email to use the program. The frequency in which participants will access these modules will be at the participants' discretion. Modules cover a range of commonly experienced psychosocial issues. Each module of FMW is comprised of three main components: psycho-education, cognitive-behavioural worksheets / strategies, and survivor stories and quotes. An online journal-blog and a resource section is available throughout the duration of the program.
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Intervention code [1]
284169
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Behaviour
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Intervention code [2]
286195
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Treatment: Other
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Comparator / control treatment
An online information-only version of Finding My Way will be simultaneously developed to provide an appropriate attention control for the study. The control condition covers the same 6 module topics, but has no interactive features(i.e., no worksheets, activities, relaxation exercises, or journal-blog).
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Control group
Active
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Outcomes
Primary outcome [1]
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Negative affect: the total scale score of the Depression, Anxiety, Stress Scale.
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Assessment method [1]
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Timepoint [1]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Primary outcome [2]
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Traumatic stress: the total scale score of the Post-Traumatic Stress Scale - Self Report. This scale measures cancer-specific distress.
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Assessment method [2]
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Timepoint [2]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [1]
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Coping: Helplessness Hopelessness as measured by the mini-MAC
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Assessment method [1]
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Timepoint [1]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [2]
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Coping: Anxious Preoccupation as measured by the mini-MAC
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Assessment method [2]
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Timepoint [2]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [3]
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Coping: Cognitive Avoidance as measured by the mini-MAC
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Assessment method [3]
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Timepoint [3]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [4]
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Coping: Fatalism as measured by the mini-MAC
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Assessment method [4]
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Timepoint [4]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [5]
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Coping: Fighting Spirit as measured by the mini-MAC
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Assessment method [5]
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Timepoint [5]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [6]
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Health Related Quality of Life (QOL): Total QOL
as measured by the European Organisation for Research on the Treatment of Cancer (EORTC) Quality of Life Qustionaire Cancer-30 item scale (QLQ-C30).
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Assessment method [6]
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Timepoint [6]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [7]
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QOL: Role functioning, as measured by the EORTC QLQ-C30
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Assessment method [7]
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Timepoint [7]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [8]
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QOL: Physical functioning, as measured by the EORTC QLQ-C30
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Assessment method [8]
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Timepoint [8]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [9]
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QOL: Emotional functioning, as measured by the EORTC QLQ-C30
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Assessment method [9]
300226
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Timepoint [9]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [10]
300227
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QOL: Cognitive functioning, as measured by the EORTC QLQ-C30
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Assessment method [10]
300227
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Timepoint [10]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Secondary outcome [11]
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QOL: Social functioning, as measured by the EORTC QLQ-C30
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Assessment method [11]
300228
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Timepoint [11]
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Pre-treatment, post-treatment, then 3 and 6 months after treatment-completion
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Eligibility
Key inclusion criteria
1. Cancer being treated with curative intent (e.g., breast, prostate, colorectal, testicular, lymphomas, haematologic or gynaecologic malignancies)
2. Currently receiving active cancer treatment (surgery, chemotherapy, radiotherapy)
3. Age 18 years or over
4. Sufficient English language literacy
5. Access to the internet (home or work)
6. Provide an active email address and phone number
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Diagnosis of advanced cancer
(While advanced cancer patients will not be targeted for recruitment, this is a population that asks for interventions and may self-refer to the program. Therefore individuals who specifically request to participate will be enrolled, but not included in primary analyses. If a large enough sub-sample self-refers to the program, a sub-analysis will be conducted.)
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The allocation is concealed until interventions are assigned: This process will be automated within the website, therefore it is central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation with stratification: A computer sequence generation algorithm in blocks to either ‘intervention’ or ‘attention control’, and each condition is assigned in random order within the block. The stratification variable is 'gender' - to ensure balance across conditions within gender.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
n/a
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2013
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Actual
30/09/2013
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Date of last participant enrolment
Anticipated
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Actual
17/11/2015
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Date of last data collection
Anticipated
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Actual
26/06/2016
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Sample size
Target
188
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Accrual to date
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Final
191
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Recruitment in Australia
Recruitment state(s)
ACT,QLD,SA,WA,VIC
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Recruitment postcode(s) [1]
6092
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5042
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Recruitment postcode(s) [2]
6093
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3181
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Recruitment postcode(s) [3]
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3002
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Recruitment postcode(s) [4]
6095
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3050
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Recruitment postcode(s) [5]
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4001
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
School of Psychology
GPO Box 2100
Adelaide
SA, 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Adelaide Clinical Human Research Ethics Committee
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Ethics committee address [1]
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Petrina Kasperski, Executive Officer The Flats, G5 - Rooms 3 and 4 Flinders Drive Flinders Medical Centre Bedford Park SA 5042 email: research.ethics@health.sa.gov.au
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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09/11/2012
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Ethics approval number [1]
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1/10/0372
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Summary
Brief summary
The internet is increasingly utilised by people with cancer to obtain information and support. However, to date no randomised controlled study has evaluated the effectiveness of a structured online self-help therapeutic program. Therefore, the present study aims to examine how helpful 'Finding My Way' is, an interactive online 6-week self-help coping program, compared to receiving online information only, in improving distress, coping and quality of life after cancer diagnosis.
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Trial website
www.findingmyway.org.au
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Trial related presentations / publications
TRIAL-RELATED PUBLICATIONS 1. Beatty, L., Koczwara, B., & Wade, T. (2011). ‘Cancer Coping Online’: A pilot trial of a self-guided CBT internet intervention for cancer-related distress. Electronic Journal of Applied Psychology, 7, 17-25. 2. Beatty, L., Kemp, E., Wade, T., & Koczwara, B. (2015). Finding My Way: protocol of a randomised controlled trial evaluating an internet self-help program for cancer-related distress. BMC Cancer, 15, 328. DOI: 10.1186/s12885-015-1322-x. 3. Beatty, L., Koczwara, B., & Wade, T. (2016). Evaluating the efficacy of a self-guided web-based CBT intervention for reducing cancer-distress: A pilot randomised controlled trial. Journal of Supportive Care in Cancer, 24, 1043-1051. DOI: 10.1007/s00520-015-2867-6. 4. Beatty, L., Kemp, E., Binnion, C., Turner, J., Milne, D., Butow, P., Lambert, S., Yates, P., Yip, D., & Koczwara, B. (in submission, Oct 2016). Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake. Journal of Supportive Care in Cancer. 5. Beatty, L., Binnion, C., Kemp, E., & Koczwara, B., (in submission, Oct 2016). A qualitative exploration of barriers and facilitators to adherence to an online self-help intervention for cancer-related distress. Journal of Supportive Care in Cancer. PRESENTATIONS 1. Beatty, L., Koczwara, B., & Wade, T. (2012, November). iCanCope: the internet Cancer Coping guide – a preliminary evaluation of an online self-directed intervention for reducing distress in early stage cancer patients. International Psycho-Oncology Society (IPOS) 14th World Congress. November 13-15, Brisbane, Australia. 2. Binnion C., Beatty L., Kemp E., & Koczwara B. (2015, February). 'Finding My Way: An interim analysis of predictors of adherence to an internet self-help program for cancer-related distress. Flinders Centre for Innovation in Cancer 2015 Survivorship Conference, Adelaide, Australia. 3. Beatty L., Kemp E., Wade T., Katris P., Wootten A., Yip D., Lambert S., Turner J., Yates P., Butow P., & Koczwara B. (2014, November). Finding My Way: preliminary findings from a RCT evaluating an internet self-help program for cancer-related distress. Clinical Oncology Society of Australia, 41st Annual Scientific Meeting, Melbourne, Australia 4. Beatty, L. (2016). Symposium Chair and presenter. Symposium: Online psychological interventions for cancer-related distress. Presentation: who uses, and how do they benefit from, online psychotherapuetic interventions for cancer-related distress? An outcomes analysis of Finding My Way. International Congress of Behavioral Medicine. December 7-10, Melbourne, Australia. 5. INVITED SPEAKER: Beatty L. (2016). Finding My Way: A Web-Based Psychosocial Intervention For Cancer Related Distress - An Outcomes Analysis Of A Multicentre RCT. Clinical Oncology Society of Australia’s 43rd Annual Scientific Meeting. November 15-17, Gold Coast, Australia. 6. INVITED SPEAKER: Beatty L. (2016). Online self-directed psychosocial interventions for cancer-related distress. Multinational Assocation for Supportive Care in Cancer Annual Scientific Meeting. June 23-25, Adelaide, Australia.
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Public notes
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Contacts
Principal investigator
Name
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Dr Lisa Beatty
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Address
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School of Psychology,
Flinders University
GPO Box 2100
Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61882012506
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Fax
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+61882013877
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Email
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[email protected]
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Contact person for public queries
Name
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Lisa Beatty
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Address
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School of Psychology,
Flinders University
GPO Box 2100
Adelaide, SA, 5001
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Country
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Australia
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Phone
16963
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+61882012506
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Fax
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+61882013877
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lisa Beatty
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Address
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School of Psychology,
Flinders University
GPO Box 2100
Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61882012506
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Fax
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+61882013877
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Finding My Way: results of a multicentre RCT evaluating a web-based self-guided psychosocial intervention for newly diagnosed cancer survivors.
2019
https://dx.doi.org/10.1007/s00520-018-4526-1
Embase
Moderators of intervention efficacy for Finding My Way: A web-based psychosocial intervention for cancer-related distress.
2021
https://dx.doi.org/10.1007/s00520-021-06291-w
N.B. These documents automatically identified may not have been verified by the study sponsor.
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