Effectiveness of an eHealth self-management support program for persistent pain after breast cancer treatment (EFFECTIVENESS)

The scientific goals of the project are:
- The primary scientific objective of the study is to determine the effectiveness of an eHealth selfmanagement support program for persistent pain after breast cancer treatment compared to:
1) usual care (i.e. superiority of the eHealth self-management support program) and
2) a comprehensive pain rehabilitation program delivered face-to-face in a physical therapy setting (i.e. non-inferiority of the eHealth selfmanagement support program)on pain-related disability
(measured with the Pain Disability Index).
- The secondary scientific objectives of this study entail to examine if the eHealth self-management support program has a relative benefit for other biopsychosocial factors, including:
*Other dimensions of pain
*Health-related quality of life
*Physical functioning, including physical activity levels *Psychosocial functioning, including self-efficacy, stress, anxiety, depression, coping style (key
secondary outcome) and fear of cancer recurrence
*Participation in society, including return to work
*Healthcare-related costs for the patient and society
- The tertiary scientific objectives of this study are *to identify moderators of treatment effect, including behavioural determinants (e.g. self-efficacy,
motivation, coping style), in order to identify breast cancer survivors who would benefit the most of the eHealth self-management support program and to allow more stratified and efficient pain
management care and more targeted allocation of budgets.
*to examine the implementation process, mechanisms of impact and contextual factors.