Iris Kanera

92 Chapter 4 Table 4.3 Provided MRA and subsequent module use Red Orange Green Module MRA Followed module, % MRA Followed module, % MRA Followed module, % % yes no % yes no % yes no Fatigue 34.6 58.8 41.3 19.1 38.6 61.4 46.3 16.8 83.2 Return to work 3.9 55.6 44.4 18.2 52.4 47.6 77.9 14.4 85.6 Mood 1.7 25 75 28.6 30.3 69.7 69.7 17.4 82.6 Relation ships 11.7 25.9 74.1 19.1 27.3 72.7 69.3 11.8 88.1 Physical activity 5.2 25 75 35.9 37.4 62.7 58.9 12.5 87.5 Diet 53.3 50.4 49.6 42.9 68.7 31.3 3.9 44.4 55.6 Smoking 11.7 48.2 51.9 3.1 42.9 57.1 85.3 3.6 96.5 Note: Red: urgent advice to use module; Orange: advice to use module; Green: using module not necessary (but possible) Adherence to the provided Module Referral Advice The relations between the color of the MRA (respectively red, orange, green) and module use are shown in Table 4.4. In general, the likelihood that participants actually used a relevant module was higher when the MRA was red or orange compared to green. When comparing module use after receiving a red MRA versus an orange MRA for the modules Return to work, Mood, Relationships, PA, Smoking, the differences were small, meaning that both colors led to comparable module participation. Participants used module Fatigue (χ 2 = 4.599, p = .032, OR = 2.262) more often when a red MRA was provided compared to an orange MRA. Module Diet (χ 2 = 7.553, p = .006, OR = .463) was used more often when an orange MRA was provided compared to a red MRA. Appreciation From the 231 participants who had access to the KNW intervention, 182 responded to the questions concerning appreciation after six months. The overall appreciation of the KNW was high ( M = 7.5, SD = 1.2; Table 4.5). In general, the overall KNW was rated more positively among module users compared to non-module users. Ratings of the separate modules ranged from 6.4 (satisfactory) for module Residual Symptoms to 8 ( good ) for module Smoking. Personal relevance ranged from 2.9 to 3.5 ( a little bit relevant to relevant ). The ratings for comprehensibility, usefulness, and recommendation to other cancer survivors were all positive and very uniform (displayed in Table 4.5).