A pre-post evaluation of a digital intervention to improve psychosocial outcomes of caregivers of people living with cancer in Vietnam.
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Date
2024
Authors
Santin, O.
Thi Ho, H.
Bui, C.L.
Thi Nguyen, H.
Ta, H.Q.
Tran, N.T.
Hoang, M.V.
Dang, T.H.Q.
Pham, T.M.
Pham, H.N.
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Journal article
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Journal of Psychosocial Oncology, 2024; 42(6):875-887
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Olinda Santin, Hien Thi Ho, Chi Linh Bui, Huong Thi Nguyen, Hung Quang Ta, Ngan Thu Tran, Minh Van Hoang, Thinh Huy Quoc Dang, Thanh Minh Pham, Hiep Nhu Pham, Hoa Thi Chau, Hoai Thi Khanh Nguyen, Kha Van Vo, Thuy Thanh Pham, Lan Hoang Thanh Dao, Dung Xuan Ho, Penelope Schofield
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Abstract
Objectives: To evaluate a co-designed intervention using digital resources “Vietnam Cancer Caring Coping” (V-CCC ) on the health literacy, depression, and quality of life of caregivers supporting a cancer patient in oncology hospitals in Vietnam. Methods: A pre-post quantitative evaluation with adult cancer caregivers across regional Oncology hospitals in Vietnam (Ho Chi Minh City, Da Nang, Can Tho, and Hue). Participants completed baseline and follow-up measures of health literacy (HLS-SF12) depression (PHQ-9) and Health-related Quality of Life (5Q-5D-5L). Participants accessed and reviewed V-CCC for a 2-week period. Results: Two hundred and thirty-four caregivers completed pre and post-tests. Most participants were female (n = 143, 61%), married (n = 165, 70%), aged 18–44 (n = 155, 66%), lived rurally (n = 157, 67%). All health literacy scores of participants in post-intervention were significantly higher than that in pre-intervention across all domain’s healthcare, disease prevention, and health promotion as well as the total score (p < 0.001). A significant reduction in the proportion of caregivers reporting PHQ-9 moderately severe/severe depression post-intervention was demonstrated (10.2 vs. 6.1%, respectively (p ≤ 0.001). No significant differences were observed pre and post-intervention across four 5Q-5D-5L health dimensions: mobility, self-care, usual activities, and pain/discomfort. Regarding anxiety/depression as measured by 5Q-5D-5L the proportion of participants who reported having moderate, severe, and extreme problems in pre- and post-intervention was statistically significant (32 vs. 24%), respectively (p = 0.0028). Conclusion: Co-designed digital resources can reduce health literacy inequities and improve psychological outcomes for cancer caregivers.
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© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC . This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.