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dc.contributor.authorMihuta, Mary E
dc.contributor.authorGreen, Heather J
dc.date.accessioned2019-05-29T12:31:34Z
dc.date.available2019-05-29T12:31:34Z
dc.date.issued2018
dc.identifier.issn0941-4355
dc.identifier.doi10.1007/s00520-017-3855-9
dc.identifier.urihttp://hdl.handle.net/10072/369038
dc.description.abstractPurpose: Low engagement and high attrition are common challenges in web-based interventions. Typical measures of engagement reported in the literature are not meaningful for describing participant activity within the intervention and can be misleading. This research aimed to develop a more meaningful method of measuring engagement in an online cognitive rehabilitation program whilst monitoring treatment fidelity. Methods: A pilot study and randomised controlled trial (RCT) were conducted. Data from 60 participants were analysed from three intervention groups: pilot cancer group, pilot non-cancer group and RCT cancer group. Groups completed the 4-week eReCog program comprised of four online modules. Engagement scores were calculated based on activities completed in each module. Attrition, interaction with the program facilitator and correlations with outcome measures were analysed. Results: Overall engagement in the intervention was high. The non-cancer group participated significantly less than the cancer groups (p = < 0.001), whereby the percentage of activity items completed was 92, 87 and 78% in the pilot cancer, RCT cancer and pilot non-cancer groups, respectively. Attrition was higher in the pilot non-cancer group (24%) compared to the pilot cancer group (8%) and the RCT cancer group (16%). Total engagement was correlated with fewer prospective memory problems on instrumental activities of daily living (p = 0.018). Conclusions: Measuring completed activities in online interventions appears a more meaningful measure of engagement than other conventional methods described in the literature and has the potential to increase treatment fidelity in web-based research.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherSpringer
dc.publisher.placeGermany
dc.relation.ispartofpagefrom499
dc.relation.ispartofpageto506
dc.relation.ispartofissue2
dc.relation.ispartofjournalSupportive Care in Cancer
dc.relation.ispartofvolume26
dc.subject.fieldofresearchOncology and Carcinogenesis not elsewhere classified
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode111299
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titleThe implementation of web-based cognitive rehabilitation in adult cancer survivors: examining participant engagement, attrition and treatment fidelity
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Applied Psychology
gro.hasfulltextNo Full Text
gro.griffith.authorGreen, Heather J.
gro.griffith.authorMihuta, Mary E.


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