Uptake of an online psychological therapy program (iCanADAPT-Early) when implemented within a clinical pathway in routine cancer care

Key points Providing access to an online psychological therapy program in cancer care did not result in significant uptake and engagement by patients, or referrals by cancer care professionals Despite many opportunities for referral by cancer care professionals, only 2% resulted in a referral to the program. None of these referrals were taken up Twenty five patients self-referred, however only seven (28%) matched the recommended criteria for the program of mild to moderate psychological distress Patient engagement in the program was low, with 11/25 (44%) patients completing at least one lesson Cancer care professionals reported numerous barriers to use including patient barriers such as fatigue, and personal barriers such as forgetting to refer