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1/4 A lot of psycho-oncology services have moved online during the pandemic. What are the downside risks if online becomes our 'new normal'?
2/4 Face to face looks like it might be more effective in cancer on current evidence "...effects on depression were significantly larger for interventions that were delivered face-to-face (g=0.39) compared to those delivered via other methods (g=0.14)..." https://www.sciencedirect.com/science/article/pii/S0272735820300702
3/4 A large 'real world' trial of internet based stepped care iCAN-DO finds good effects on distress for self-management... but few participants who had higher level needs took up an invitation to engage in more intensive online i-CBT. https://doi-org.ntu.idm.oclc.org/10.1002/pon.5489
4/4 Moving online looks like it will have trade-offs. Easier to scale up and more accessible (for some). But... maybe not as effective, and engaging people with the highest levels of need could be difficult.
