The Feasibility of a Co‐Designed Online Healthy Living Intervention for Cancer Survivors: Valuable Content, But Limited Engagement.

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Title: The Feasibility of a Co‐Designed Online Healthy Living Intervention for Cancer Survivors: Valuable Content, But Limited Engagement.
Authors: Leske, Morgan (AUTHOR), Koczwara, Bogda (AUTHOR), Blunt, Jason (AUTHOR), Short, Camille E. (AUTHOR), Daly, Anthony (AUTHOR), Morris, Julia N. (AUTHOR), Degner, Jon (AUTHOR), Beatty, Lisa (AUTHOR)
Source: Psycho-Oncology. May2026, Vol. 35 Issue 5, p1-6. 6p.
Subjects: Cancer survivors, Participatory design, Mental health services, Digital technology, Digital health, Feasibility studies, Self-help techniques
Abstract: Introduction: Healthy Living after Cancer (HLaC) was an evidence‐based, telephone‐delivered lifestyle program for survivors. HLaC Online was co‐designed with cancer survivors, healthcare professionals, and cancer support representatives to enhance sustainability and reach through a self‐directed digital format, while incorporating both physical health and mental health content. This study examined HLaC Online's feasibility. Methods: Eleven Australian post‐treatment cancer survivors participated in a 12‐week, single‐arm pilot with mixed‐methods evaluation. Feasibility indicators included uptake, usage, attrition, usability, satisfaction, and indicators of preliminary efficacy. Results: Of 318 website visitors, 11 enrolled, with nearly half never logging in. Module usage was limited (M = 3.3 of 9 modules) and only 5 completed follow‐up. Perceived usability of HLaC Online was varied (rated F− B+). Qualitative feedback highlighted the relevance of psychosocial modules, but engagement was hindered by technology barriers, cancer‐related symptoms, and lack of guidance. Participants suggested human support for orientation, accountability, and motivation. Conclusions: While HLaC Online was valued for its co‐designed mental health focus, feasibility was limited without guidance. Findings raise questions about which survivors can benefit from self‐directed digital programs versus those requiring human support. Future work should explore referral pathways, scalable human support models, and tailoring by need. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Introduction: Healthy Living after Cancer (HLaC) was an evidence‐based, telephone‐delivered lifestyle program for survivors. HLaC Online was co‐designed with cancer survivors, healthcare professionals, and cancer support representatives to enhance sustainability and reach through a self‐directed digital format, while incorporating both physical health and mental health content. This study examined HLaC Online's feasibility. Methods: Eleven Australian post‐treatment cancer survivors participated in a 12‐week, single‐arm pilot with mixed‐methods evaluation. Feasibility indicators included uptake, usage, attrition, usability, satisfaction, and indicators of preliminary efficacy. Results: Of 318 website visitors, 11 enrolled, with nearly half never logging in. Module usage was limited (M = 3.3 of 9 modules) and only 5 completed follow‐up. Perceived usability of HLaC Online was varied (rated F− B+). Qualitative feedback highlighted the relevance of psychosocial modules, but engagement was hindered by technology barriers, cancer‐related symptoms, and lack of guidance. Participants suggested human support for orientation, accountability, and motivation. Conclusions: While HLaC Online was valued for its co‐designed mental health focus, feasibility was limited without guidance. Findings raise questions about which survivors can benefit from self‐directed digital programs versus those requiring human support. Future work should explore referral pathways, scalable human support models, and tailoring by need. [ABSTRACT FROM AUTHOR]
ISSN:10579249
DOI:10.1002/pon.70486