Paper Title
Targeted Online Psychological Intervention for Enhancing Cancer Coping

Background: Being diagnosed with cancer causes considerable psychological distress; however, most patients lack psychological support during the critical period after diagnosis. Online interventions can help patients overcome many barriers to seeking in-person mental care and receive the support they require. The aim of this study is to evaluate the feasibility and efficacy of mobile-based interventions for newly diagnosed cancer patients according to the patients’ coping styles. Methods: Patients with cancer diagnosed within a year were recruited. Their mental distress levels were evaluated using the Hospital Anxiety and Depression Scale (HADS), and their cancer coping responses were evaluated using the Mini Mental Adjustment for Cancer(Mini-MAC).We conducted confirmatory factor analysis on the Mini-MAC and calculated the standards(mean Mini-MAC scores± 1 standard deviation)for each coping style. The treatment effect was assessed with analyses from using a repeated-measure ANOVA analysis of variance and a Paired ttest. Results: In total, 225 newly-diagnosed cancer patients were recruited. Of those, 135 (60%) completed the baseline assessments and approximately 30%–55% completed each weekly assessment. The majority of patient feedback (55.5%) reflected a positive attitude toward the intervention and indicated that the patients considered the intervention helpful. Conclusions: The results demonstrated the feasibility and acceptability of the targeted online psychological intervention. To further clarify and optimize its efficacy, a randomized controlled study is necessary. Keywords - Cancer coping, Mobile-therapy, Online-intervention, Psycho-oncology.