eSense-Cancer Online Therapy for Sexual Health in Women with Gynecologic Cancer Comparing Cognitive Behavioral and Mindfulness-Based Treatments With or Without Navigator Support

What this Trial Is About

Sexual health is an important part of treatment and recovery for women with gynecologic cancers. This research evaluates how well an adapted online program called eSense-Cancer meets the sexual health needs of gynecologic cancer survivors. The study aims to test the effectiveness of this platform, which could improve access to care for survivors facing barriers such as geographic location, ethnicity, sexual orientation, socioeconomic status, or gender identity. Participants will be randomly assigned to one of four groups cognitive-behavioral therapy CBT with or without navigator support, and mindfulness-based therapy MBT with or without navigator support. Those in navigator groups will have an initial online meeting with a trained psychology student who will provide guidance throughout the 8 to 16-week program. Participants complete one module weekly or biweekly, with exercises and questionnaires to assess usability and satisfaction. During the study, participants will fill out questionnaires before starting, after a 4-week waiting period, and at the end of treatment to measure sexual distress and function. Researchers will also track engagement through website activity and homework completion. Navigator interactions will be monitored for adherence to study guidelines. Women must keep medications affecting sexual health stable and avoid internet research on sexual dysfunction during the trial. The study includes ongoing evaluation of acceptability, practicality, and preliminary clinical outcomes of the eSense-Cancer program.

eSense-Cancer: Adapting an Online Intervention for Sexual Health Concerns to Gynecologic Cancer