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Journal of Cancer Education

, Volume 34, Issue 1, pp 41–49 | Cite as

Effects of a Web-based Health Education Program on Quality of Life and Symptom Distress of Initially Diagnosed Advanced Non-Small Cell Lung Cancer Patients: A Randomized Controlled Trial

  • Chi-Chin Huang
  • Han-Pin Kuo
  • Yueh-E Lin
  • Shu-Ching ChenEmail author
Article
  • 146 Downloads

Abstract

Advanced non-small cell lung cancer (NSCLC) patients treated with chemotherapy experience functional decline and decreased quality of life. The purpose of this study was to evaluate the effects of a web-based health education program on global quality of life, quality of life-related functional dimensions, and symptom distress of initially diagnosed advanced non-small cell lung cancer patients. This study used a randomized, pre- and post-repeated measures design. A total of 55 participants were randomly assigned to an experimental group (n = 27) and a control group (n = 28). The experimental group participated in a web-based health education program, and the control group received usual care. Patients were assessed at 4 time points: baseline assessment (T0), and then 1, 2, and 3 months (T1, T2, and T3) after participating in the web-based health education program or receiving usual care. Patients in the experimental group had significantly greater global quality of life and emotional function, and significantly less top ten significant symptom distresses compared to those in the control group. There were no differences between the groups and within groups with respect to physical function, role function, cognitive function, and social function. The web-based health education can improve global quality of life, emotional function, and top ten significant symptom distresses in patients receiving chemotherapy during the first 3 months after initial diagnosis of advanced NSCLC. Web-based health education can improve quality of life and lessen distress of initially diagnosed NSCLC patients treated with chemotherapy.

Keywords

Non-small cell lung cancer Web-based health education Symptom distress, quality of life 

Notes

Acknowledgements

This study was supported by grants by the Chang Gung Memorial Hospital (CMRPG3B0732) of Taiwan. The authors gratefully acknowledge the contribution of the patients who participated in the study. The authors also thank Dr. Richard Sandore for the assistance with the English editing.

Compliance with Ethical Standard

Conflicts of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© American Association for Cancer Education 2017

Authors and Affiliations

  • Chi-Chin Huang
    • 1
  • Han-Pin Kuo
    • 2
    • 3
  • Yueh-E Lin
    • 1
    • 4
  • Shu-Ching Chen
    • 1
    • 4
    • 5
    Email author
  1. 1.Department of NursingLinkou Chang Gung Memorial HospitalTaoyuanTaiwan
  2. 2.Department of Chest MedicineLinkou Chang Gung Memorial HospitalTaoyuanTaiwan
  3. 3.Department of Medicine, College of MedicineChang Gung UniversityTaoyuanTaiwan
  4. 4.Department of Nursing, College of NursingChang Gung University of Science and TechnologyTaoyuanTaiwan
  5. 5.Department of Radiation Oncology, Chang Gung Medical Foundation, Linkou Chang Gung Memorial Hospital, Proton and Radiation Therapy CenterTaoyuanTaiwan

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