Development and evaluation of a WeChat-based intervention program for prevention of breast cancer-related lymphedema

被引:1
作者
Luo, Xia [1 ]
He, Hong [2 ]
Chen, Jing [3 ]
Li, Mingfang [3 ]
Yan, Jun [3 ]
机构
[1] Chongqing Med Univ, Sch Nursing, 1 Med Coll Rd, Chongqing 400016, Peoples R China
[2] Sun Yat Sen Univ, Affiliated Hosp 1, 58 Zhongshan Second Rd, Guangzhou 510080, Guangdong Provi, Peoples R China
[3] Sun Yat Sen Univ, Sch Nursing, 74 Zhongshan Second Rd, Guangzhou 510080, Guangdong Provi, Peoples R China
基金
中国国家自然科学基金;
关键词
Breast cancer lymphedema; Perception; Prevention and control; Risk reduction behavior; Telemedicine; COMMON-SENSE MODEL; SELF-MANAGEMENT; ILLNESS PERCEPTION; WOMEN; RISK; ADHERENCE; BEHAVIORS;
D O I
10.1007/s00520-024-09078-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose Mobile health applications have been widely adopted among breast cancer survivors for disease management; however, their use specifically for the prevention of breast cancer-related lymphedema (BCRL) remains sparse. This study is aimed at developing a WeChat-based intervention program for the prevention of BCRL based on the common-sense model (CSM). Methods This study was designed based on intervention mapping. First, a longitudinal investigation was conducted to determine the predictive effect of illness perception on BCRL prevention behaviors among breast cancer survivors. An intervention program was then constructed based on the CSM and longitudinal results. Finally, a WeChat mini-program was developed, and 15 patients were recruited to test its usability and user satisfaction through usability tests based on typical tasks and the Post-Study System Usability Questionnaire (PSSUQ), respectively. Results The longitudinal study revealed that identity, personal control, illness coherence, and behavioral and physical factors in the causes dimension could positively predict prevention behaviors, whereas treatment control and uncontrollable factors exhibited negative predictive effects. This study then developed an individualized intervention program and a WeChat mini-program (named "Nantian e-Care") consisting of five modules: "resources," "questionnaires," "homepage," "consultation," and "personal center." Patients could read BCRL-related educational content, watch functional exercise videos, self-measure arm circumference, and consult questions. The five-task completion rates were 80.00 similar to 100.00%, the average completion time was 9.47 similar to 33.31 s, and the scores of PSSUQ were greater than 5 points (full score 7 points). Conclusions This study proposed a feasible intervention program for the prevention of BCRL and developed a customized WeChat mini-program with high usability and user satisfaction.
引用
收藏
页数:15
相关论文
共 50 条
  • [41] Integrating Symptoms Into the Diagnostic Criteria for Breast Cancer-Related Lymphedema: Applying Results From a Prospective Surveillance Program
    Brunelle, Cheryl L.
    Roberts, Sacha A.
    Horick, Nora K.
    Gillespie, Tessa C.
    Jacobs, Jamie M.
    Daniell, Kayla M.
    Naoum, George E.
    Taghian, Alphonse G.
    PHYSICAL THERAPY, 2020, 100 (12): : 2186 - 2197
  • [42] The effectiveness of lymphedema self-management in the prevention of breast cancer-related lymphedema and quality of life: A randomized controlled trial
    Temur, Kubra
    Kapucu, Sevgisun
    EUROPEAN JOURNAL OF ONCOLOGY NURSING, 2019, 40 : 22 - 35
  • [43] Reducing chronic breast cancer-related lymphedema utilizing a program of prospective surveillance with bioimpedance spectroscopy
    Whitworth, Pat W.
    Cooper, Andrea
    BREAST JOURNAL, 2018, 24 (01) : 62 - 65
  • [44] Optimizing Patient Positioning to Reduce Variation in the Measurement of Breast Cancer-Related Lymphedema
    DeSnyder, Sarah M.
    Kheirkhah, Parviz
    Travis, Marigold L.
    Lilly, Susan E.
    Bedrosian, Isabelle
    Buchholz, Thomas A.
    Schaverien, Mark V.
    Shaitelman, Simona F.
    LYMPHATIC RESEARCH AND BIOLOGY, 2019, 17 (04) : 440 - 446
  • [45] Breast cancer-related lymphedema and its treatment: how big is the financial impact?
    De Vrieze, Tessa
    Gebruers, Nick
    Nevelsteen, Ines
    Tjalma, Wiebren A. A.
    Thomis, Sarah
    De Groef, An
    Dams, Lore
    Haenen, Vincent
    Devoogdt, Nele
    SUPPORTIVE CARE IN CANCER, 2021, 29 (07) : 3801 - 3813
  • [46] Patient education for breast cancer-related lymphedema: a systematic review
    Perdomo, Marisa
    Davies, Claire
    Levenhagen, Kimberly
    Ryans, Kathryn
    Gilchrist, Laura
    JOURNAL OF CANCER SURVIVORSHIP, 2023, 17 (02) : 384 - 398
  • [47] The Importance of Awareness and Education in Patients with Breast Cancer-Related Lymphedema
    Borman, Pinar
    Yaman, Aysegul
    Yasrebi, Sina
    Ozdemir, Oya
    JOURNAL OF CANCER EDUCATION, 2017, 32 (03) : 629 - 633
  • [48] Breast Cancer-Related Lymphedema in Hispanic Women: A Phenomenological Study
    Acebedo, Juanita C.
    Haas, Barbara K.
    Hermanns, Melinda
    JOURNAL OF TRANSCULTURAL NURSING, 2021, 32 (01) : 41 - 49
  • [49] Segmental Bioimpedance Informs Diagnosis of Breast Cancer-Related Lymphedema
    Svensson, Brenda J.
    Dylke, Elizabeth S.
    Ward, Leigh C.
    Kilbreath, Sharon L.
    LYMPHATIC RESEARCH AND BIOLOGY, 2017, 15 (04) : 349 - 355
  • [50] Breast cancer-related lymphedema correlated with incidence of cellulitis and mortality
    Cheng, Ming-Huei
    Ho, Olivia A.
    Tsai, Tai-Jung
    Lin, Yi-Ling
    Kuo, Chang-Fu
    JOURNAL OF SURGICAL ONCOLOGY, 2022, 126 (07) : 1162 - 1168