Group medical consultations (GMCs) and tablet-based online support group sessions in the follow-up of breast cancer: A multicenter randomized controlled trial

• Published in: Breast (Edinburgh) Vol. 40; pp. 181 - 188
• Main Authors: Visser, Annemiek, Prins, Judith B., Jansen, Lisette, Radema, Sandra A., Schlooz, Margrethe S., van Dalen, Thijs, van Laarhoven, Hanneke W.M.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-08-2018
• Subjects: Adult; Aftercare - methods; Aged; Breast cancer follow-up; Breast Neoplasms - psychology; Breast Neoplasms - therapy; eHealth; Female; Group medical consultation; Humans; Middle Aged; Netherlands; Oncology; Patient Satisfaction; Peer Group; Psychotherapy, Group - methods; Referral and Consultation; Self-Help Groups; Tablet; Telemedicine - methods; Treatment Outcome; Video consultation; Oncology; Video consultation; Breast cancer follow-up; Tablet; Group medical consultation; eHealth
• ISSN: 0960-9776; 1532-3080
• DOI: 10.1016/j.breast.2018.05.012

Group medical consultations (GMCs) provide individual medical visits in the presence of ≤7 peer-patients. In the follow-up of breast cancer, we evaluated the efficacy of a new type of blended care My-GMC, a GMC combined with a tablet-based online app, consisting of three online support group sessions (SGS) and additional information.
This randomized controlled trial compared the effect of My-GMC (n = 59) with one individual medical visit (n = 50) (care as usual). Between-group differences on the outcomes distress and empowerment were analyzed 1 week, 3 and 6 months after the visit.
No between-group differences were found for the primary outcomes distress and empowerment. More themes were discussed in GMCs compared to individual visits. Significantly more patients experienced peer-support in GMCs (78%) than via the online app (29%). Satisfaction with the online app was low.
My-GMC did not result in improvements in distress or empowerment, which might partly be explained by low baseline distress levels. This paper provides valuable information concerning factors on organizational level as well as individual level influencing the evaluation of a blended care intervention.
My-GMC provided an innovative alternative, combining professional and peer-support in face-to-face and online SGS, resulting in additional information provision and peer-support. Further improvement of the apps is needed to improve user satisfaction.
NTR3771.
•The blended care intervention My-GMC did improve information provision for breast cancer survivors.•My-GMC did not result in changes in distress or empowerment.•Peer-support was more often reported in face-to-face GMCs than in My-GMC.•Satisfaction with the online application was low, partly due to technical issues.•Further improvement of the applications is needed to improve user satisfaction.