A culturally-adapted Women’s Wellness after Cancer Program for Chinese women treated for gynecological cancer

INTERVENTION: The enrolled subjects were randomized in a 1:1 ratio into intervention group or control group after baseline data collection. Sealed envelopes were used to ensure allocation concealment. Group allocation was conducted by an independent statistician using computer‐generated random numbers prepared in advance. The WWACP (Women’s Wellness after Cancer Program) is an evidence‐based, multidisciplinary, whole‐of‐lifestyle intervention developed by Australian health researchers. The program provides informational and psychological support for female cancer survivors, by means of an eBook, a discussion board and virtual consultations over 12 weeks. The intervention group received the WWACPHK (Women’s Wellness after Cancer Program‐ Hong Kong), which was a culturally adapted version of WWACP. The eBook included topics on healthy diet, exercise, menopause‐related symptoms and management, sleep, sexuality, body image, pelvic floor exercises, stress management, chronic disease prevention and health screening; new information was posted on the website every day in the first three weeks, and then weekly for the following nine weeks. Participants’ click‐through rates were monitored and follow‐up telephone calls were conducted weekly for the first two weeks to reinforce adherence. Further phone calls or reminder emails were sent throughout the 12 weeks wherever needed. In addition, the participants were encouraged to post messages on the online discussion board at least once a week. The interactive discussion board was a semi‐structured, asynchronous, anonymous discussion forum led by a nurse moderator. The forum was only accessible to participants and the research team during the 12 weeks of the programme. The nurse moderator was respo CONDITION: Women treated for gynecological cancer ; Cancer ; Malignant neoplasms of female genital organs PRIMARY OUTCOME: Health‐related quality of life measured using the Traditional Chinese version of the Functional Assessment of Cancer Therapy‐General Version 4 at baseline, immediately post‐intervention, and 12 weeks SECONDARY OUTCOME: ; 1. Depression and anxiety measured using the Chinese version of the Hospital Anxiety and Depression Scale at baseline, immediately post‐intervention, and 12 weeks; 2. Self‐efficacy in adhering to a healthy diet measured using the Chinese version of Bandura’s Eating Habits Self‐Efficacy scale at baseline, immediately post‐intervention, and 12 weeks; 3. Self‐efficacy in adhering to an exercise routine measured using the Chinese version of Bandura’s Exercise Self‐Efficacy scale at baseline, immediately post‐intervention, and 12 weeks; INCLUSION CRITERIA: 1. Chinese women diagnosed with cervical, ovarian, uterine, vaginal, or vulva cancer as a primary cancer and have completed treatment 2. Aged =18 years 3. Able to comprehend Chinese and communicate in Cantonese 4. In possession of a tablet computer or smartphone