TY - JOUR
T1 - Combined Face-to-Face and Online Cognitive-Behavioral Therapy for High Distress of Colorectal Cancer Survivors
T2 - A Case Study
AU - Döking, Sarah
AU - Koulil, Saskia Spillekom van
AU - Thewes, Belinda
AU - Braamse, Annemarie M.J.
AU - Custers, José A.E.
AU - Prins, Judith B.
N1 - Funding Information: This work was funded by the Dutch Cancer Society (Delflandlaan 17, 1062 EA Amsterdam, The Netherlands) (grant number KUN 2014–7155). Publisher Copyright: © 2018
PY - 2021/2
Y1 - 2021/2
N2 - This case study evaluates the COloRectal canceR distrEss reduCTion (CORRECT) intervention, a blended cognitive-behavioral therapy (bCBT) combining face-to-face (F2F) therapy with an interactive self-management website to reduce high distress in colorectal cancer survivors (CRCS). A cognitive-behavior therapist treated a 74-year-old male CRCS with bCBT for 4 months. At baseline, postintervention, and 7- and 14-months follow-up he filled in questionnaires assessing psychological distress (primary outcome Brief Symptom Inventory–18 [BSI-18]), anxiety, fatigue, fear of cancer recurrence, cancer-specific distress, self-efficacy, and quality of life. Reliable Change Indexes were used to analyze effects over time. Therapeutic alliance and intervention evaluation were assessed postintervention. An independent clinical psychologist performed a semi-structured interview 10 months from baseline. A detailed description shows the course of bCBT. Quantitative analyses showed improved postintervention psychological distress. Most secondary outcomes improved. Anxiety and cancer-specific distress remained improved during follow-ups. Therapeutic alliance and patient satisfaction were high. This study showed how a combined F2F and online intervention was successful in reducing distress of a cancer survivor. The treatment protocol appeared feasible and will be tested in a randomized controlled trial.
AB - This case study evaluates the COloRectal canceR distrEss reduCTion (CORRECT) intervention, a blended cognitive-behavioral therapy (bCBT) combining face-to-face (F2F) therapy with an interactive self-management website to reduce high distress in colorectal cancer survivors (CRCS). A cognitive-behavior therapist treated a 74-year-old male CRCS with bCBT for 4 months. At baseline, postintervention, and 7- and 14-months follow-up he filled in questionnaires assessing psychological distress (primary outcome Brief Symptom Inventory–18 [BSI-18]), anxiety, fatigue, fear of cancer recurrence, cancer-specific distress, self-efficacy, and quality of life. Reliable Change Indexes were used to analyze effects over time. Therapeutic alliance and intervention evaluation were assessed postintervention. An independent clinical psychologist performed a semi-structured interview 10 months from baseline. A detailed description shows the course of bCBT. Quantitative analyses showed improved postintervention psychological distress. Most secondary outcomes improved. Anxiety and cancer-specific distress remained improved during follow-ups. Therapeutic alliance and patient satisfaction were high. This study showed how a combined F2F and online intervention was successful in reducing distress of a cancer survivor. The treatment protocol appeared feasible and will be tested in a randomized controlled trial.
KW - case study
KW - cognitive-behavior therapy
KW - colorectal cancer survivors
KW - eHealth
KW - psychological distress
UR - http://www.scopus.com/inward/record.url?scp=85091857799&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.cbpra.2020.06.008
DO - https://doi.org/10.1016/j.cbpra.2020.06.008
M3 - Review article
SN - 1077-7229
VL - 28
SP - 107
EP - 123
JO - COGNITIVE AND BEHAVIORAL PRACTICE
JF - COGNITIVE AND BEHAVIORAL PRACTICE
IS - 1
ER -