Birgitta Johansson's projects in caring sciences in oncology

Internet based screening and stepped care for adult cancer patients with anxiety or depression symptoms

Anna Hauffman, Marina Forslund, Birgitta Johansson, Madeleine Olsson, Susanne Sjöberg, Peter Nygren

The research programme U-CARE is an interdisciplinary project in the field of psychosocial care in connection with somatic disease. We are heading the subproject within adult oncology care, which aims to evaluate the effects of internet based stepped care on anxiety, depression and health related quality of life in cancer patients compared to standard care.

We also investigate if internet based stepped care is cost-effective and if methods for screening and assessment of anxiety and depression provide clinically meaningful results when administered via Internet.

Effects of an Internet based patient education on patient satisfaction and image quality in 18F-FDG-PET/CT examinations

Camilla Andersson (Surgical Sciences, UU), Birgitta Johansson

18F-FDG-PET/CT is a standard examination used for diagnostics and therapy control in cancer diseases. High image quality from an 18F-FDG-PET/CT examination requires that the patient is well prepared before coming to the examination and that the patient stay still during the examination. Poorly prepared patient can result in that the examination has to be redone. 

In this project we analyse the effects of an internet-based patient education about the 18F-FDG-PET/CT examination. We are interested in the effects of the education on patients’ satisfaction with the care during the examination and the on the image quality, compared to standard care.

Gastrointestinal symptoms after radiotherapy of prostate cancer

Marina Forslund, Birgitta Johansson, Peter Nygren, Anna Pettersson

This project aims to determine the long-term effects of a dietary intervention on gastrointestinal symptoms after radiotherapy for prostate cancer. Patients were randomized to an intervention group that were advised to reduce insoluble dietary fibre and lactose intake, or to a standard care group advised to continue their usual diet.

The main question concern whether patients who receive advise to reduce insoluble dietary fibre and lactose intake report less gastrointestinal symptoms and an improved health-related quality compared to patients who continue their usual diet.

Evaluation of toxicity and care during proton therapy

Birgitta Johansson

The Skandion Clinic in Uppsala is the first clinic for advanced radiation therapy with scanned proton therapy in the Nordic countries. Conventional radiotherapy has several known toxicities but for proton therapy the scientific knowledge regarding patient reported toxicity in short and long-term perspectives is scarce. In addition, the patients’ experiences of the care during proton therapy have not been investigated.

The main aim of this prospective, longitudinal study is to investigate patient reported toxicity, health related quality of life related to proton therapy in short and long term compared to patients who receive conventional radiotherapy.

The effects of physical exercise during cancer therapy

Birgitta Johansson, Peter Nygren

In the project Phys-Can we are evaluating the efficacy and cost-effectiveness of individually tailored high and low intensity physical training. It is a multi-centre randomized controlled trial including newly diagnosed breast, colorectal and prostate cancer patients during adjuvant therapy in the university hospitals in Uppsala, Lund and Linköping. The main aim is to evaluate the effects of high or low-moderate intensity exercise in combination with behavioural medicine strategies (BM) or without BM on cancer related fatigue.