Iris Kanera

4 85 Use and appreciation of the Kanker Nazorg Wijzer comprises all these elements, except for in-person contact. However, the MRA provides automated personalized guidance through the KNW modules. Given the large scope and the varied target group of the KNW portal, it is important to assess how the intervention was used, appreciated, whether the content was sufficiently tailored to be perceived as personal relevant, andwhat possible factors, including personal relevance, might predict the module use and its appreciation. In addition, the MRA might be a meaningful intervention component and therefore, the association between the MRA and the KNWmodule use also needs to be evaluated. The main objective of the present study is threefold: 1) to describe the use of the KNW modules and to identify predictors of a higher number of modules used, 2) to investigate the adherence to the provided MRA, and 3) to describe the appreciation of the KNW and its predictors. Additionally, to explore how well the tailoring worked and whether the perceived personal relevance might be different among subgroups, we explored possible predictors of personal relevance. METHODS This process evaluation was conducted as part of a two-armed randomized controlled trial (RCT) that evaluates the effects of the KNW portal. For the purpose of the present report, all respondents of the intervention condition were included in the analyses. The details of the trial design, sample size calculation, participant eligibility, recruitment procedures, and the intervention have been published elsewhere (Kanera et al., 2016b; Willems et al., 2015, 2017a). Ethical approval for this trial (Dutch Trial Register NTR3375) was obtained from the Medical Research Ethics Committee, METC Z (NL41445.096.12, 12-T-115). All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments of comparable ethical standards. Informed consent was obtained from all individual participants included in the study. Specific interventionelements:ModuleReferral Adviceandmoduleprinciples A comprehensive description of the intervention, including the eight KNW modules, the underlying theoretical frameworks, and technical features are published in detail elsewhere (Kanera et al., 2016b; Willems et al., 2015). This section describes the details of the MRA that was based on personal scores from the baseline questionnaire and that can refer to the seven self-management modules of the KNW (Figure 4.2). The classification criteria for “green”, “orange”, and “red” MRA are summarized in Table 4.1 (van den Brink, 2005; de Hollander, Zwart, de Vries, & Wendel-Vos, 2012; Hodgkinson et al., 2007b; Mesters et al., 2015; Mudde et al., 2006; van Sonderen, 2012; Vercoulen et al., 1994; Watson & Homewood,