Cancer: Thriving and Surviving Internet Program Online Program

About

  • This internet program for cancer survivors was developed and evaluated in a one-year randomized trial in partnerhsip with the University of Hawai'i
  • The program was modeled after the Internet Chronic Disease Self-Management Program
  • Groups of about 25 people who have survived cancer participate together.
  • Workshops are facilitated by two trained facilitators, one or both of whom are peer cancer survivors.
  • Each workshop is 6 weeks with new lessons each week. 
  • Participants are asked to log on at their convenience 2-3 times each week for a total of about 2 hours/week. 
  • There are no requirements that participants log in at the same time. 
  • Sessions are highly participative through internal messaging and online discussion boards, where mutual support and success builds the participants' confidence in their ability to manage their health and maintain active and fulfilling lives.
  • The process of both the online and community-based workshops are based on the experience of the investigators and others with self-efficacy, the confidence one has that he or she can master a new skill or affect one's own health. 
  • The content of the workshop was the result of focus groups with people with chronic health problems, in which the participants discussed which content areas were the most important to them.
  • The companion book for the workshop is Living a Healthy Life With Chronic Conditions, 4th Edition.

Subjects

  • Healthy eating
  • Creating a physical activity program
  • Managing stress
  • Working with health care providers
  • Better communication with family, friends, co-workers and providers
  • Managing emotions and relationships
  • Managing fatigue, and effects of treatment

More Information

Frequently Asked Questions

How was the Program developed?

This internet program for cancer survivors was developed and evaluated in a one-year randomized trial in partnership with the University of Hawai'i. The program was modeled after the Internet Chronic Disease Self-Management Program. The study concluded in 2012.

The process of the online workshop is based on the experience of the investigators and others with self-efficacy, the confidence one has that he or she can master a new skill or affect one's own health. The content of the workshop was the result of focus groups with cancer survivors, in which the participants discussed which content areas were the most important to them.

How was the online program evaluated?

Three-hundred fifty-two cancer survivors who had completed treatment within the last five years completed baseline questionnaires and where randomized to receive the program or serve as a usual-care control group. Participants actively engaged in the program, with over 1000 posts per workshop and a mean of over 1200 visits to various pages of the program per participant.

What were the results?

People who took the program more than 2 years after cancer treatment, compared to those who did not, showed significant changes in insomnia, exercise, fatigue, visits to physicians, communication with physicians, and depression.

Is the program being offered?

Canary Health has licensed the Cancer: Thriving and Surviving Online Program program. See the Canary Health website for more information. If you are a participant and would like to take part in a workshop, please email cancer@selfmanage.org.

Outcome Data Reported in:

Bantum EO, Albright CL, White KK, Berenberg JL, Layi G, Ritter PL, Laurent D, Plant K, Lorig K. Surviving and thriving with cancer using a web-based health behavior change intervention: Randomized controlled trial. J Med Internet Res 2014 Feb;16(2):e54. View article

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