![]() Moderate or high levels of distress evaluated using DT were reported in 58% (23/39) of participants at consent and reduced to 13% (5/38) after 1 week of observation. The median time from orchidectomy to study consent was 14.8 (range 3-62) days. Results: Overall, 39 participants were enrolled in this study. Optional, semistructured interviews occurring after completion of quantitative assessments were thematically analyzed. ![]() Secondary end points of distress, anxiety, and depression were assessed at defined intervals during follow-up. The primary end point was change in distress between consent and day 8. Participants completed serial questionnaires across a 4- to 5-week period to evaluate levels of distress (measured by the National Comprehensive Cancer Network Distress Thermometer scored 0-10), anxiety, and depression (Hospital Anxiety and Depression Score –Anxiety and HADS-Depression each scored 0-21). Methods: Using a mixed methods design to evaluate the acceptability, feasibility, and impact of Nuts & Bolts on distress, we randomly assigned participants with recently diagnosed testicular cancer (1:1) access to Nuts & Bolts at the time of consent ( early) or alternatively, 1 week later (day 8 delayed). Objective: We evaluated a web-based intervention, Nuts & Bolts, designed to provide support and alleviate distress after diagnosis of testicular cancer. Existing support specifically focuses on long-term survivors of testicular cancer, leaving an unmet need for age-appropriate and sex-sensitized support for individuals with distress shortly after diagnosis. ![]() It has historically been difficult to engage people in care models to alleviate distress because of complex factors, including differential coping strategies and influences of social gender norms. Walter and Eliza Hall Institute of Medical ResearchĮmail: Distress is common immediately after diagnosis of testicular cancer. Online Journal of Public Health InformaticsġPersonalised Oncology, Walter and Eliza Hall Institute of Medical Research, Parkville, AustraliaĢMedical Oncology, Peter MacCallum Cancer Centre, Melbourne, AustraliaģSir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, AustraliaĤThe Institute of Cancer Research, London, United KingdomĥThe Royal Marsden NHS Foundation Trust, London, United KingdomĦIngham Institute for Applied Medical Research & University of New South Wales, Liverpool, AustraliaħDepartment of Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, AustraliaĨCancer Surgery, Peter MacCallum Cancer Centre, Melbourne, AustraliaĩUrology, St Vincent's Hospital Melbourne, Fitzroy, Australiaġ0Epworth Healthcare, East Melbourne, Australiaġ1Victorian Comprehensive Cancer Centre, Parkville, Australiaġ2Psychosocial Cancer Care and Palliative Care, St Vincent's Hospital Melbourne, Fitzroy, Australiaġ3Cancer Health Services Research Unit, Peter MacCallum Cancer Centre, Melbourne, Australiaġ4Medical Oncology, Eastern Health, Melbourne, Australiaġ5Medical Oncology, Monash Health, Melbourne, Australiaġ6ONTrac at Peter Mac, Victorian Adolescence and Young Adult Cancer Service, Melbourne, Australia.Asian/Pacific Island Nursing Journal 11 articles.JMIR Bioinformatics and Biotechnology 35 articles.JMIR Biomedical Engineering 69 articles.Journal of Participatory Medicine 80 articles.JMIR Perioperative Medicine 91 articles. ![]() JMIR Rehabilitation and Assistive Technologies 206 articles.JMIR Pediatrics and Parenting 287 articles.Interactive Journal of Medical Research 315 articles.JMIR Public Health and Surveillance 1176 articles.Journal of Medical Internet Research 7628 articles. ![]()
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