Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지

Qualitative Experiences of Breast Cancer Survivors on a Self-management Intervention: 2-year Post-intervention

Loh, Siew Yim;Ong, Lin;Ng, Lee-Luan;Chew, Shin-Lin;Lee, Shing-Yee;Boniface, Gail

  • Published : 20110600
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Abstract

Background: Increasing survivorship warrants evidence-based intervention to help women manage living effectively with breast cancer. Breast cancer survivors may have many medical and psychosocial issues in the posttreatment period. Qualitative research was carried out to assess survivors' overall experience and if intervention helps in survivorship care. This paper reports exploration of benefit-findings from participation in an earlier 4-week self management intervention. Methods: We used a grounded theory approach to analyze three focus groups conducted between May and August 2010 in Kuala Lumpur. We used random sampling to recruit the informants (n=21), all of whom had earlier participated in the 4 week self-management program held two years previously. Findings: The women reported positive experience and growth with the self management program. Self-efficacy appears as an important underlying theme for successful experiences. The lack of proactive plans to provide bereavement support to surviving women was a key negative experience. Conclusion: The intervention successfully brought women together to work in close partnership with health professionals on ways to self manage the medical, emotional and role task as they live indefinitely with breast cancer, a new chronic illness. The beneficial effect from the 4 week intervention was expressed by women even at 2 years after the program. Having successfully developed a tightly knitted group, a major oversight was the lack of professional support o n bereavement for grieving members when close friends passed away.

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References

  1. Arora NK (2003). Interacting with cancer patients: the significance of physicians' communication behavior. Social Science & Medicine, 57(5), 791-806. https://doi.org/10.1016/S0277-9536(02)00449-5
  2. Bandura A (1977). Self-efficacy: toward a unifying theory of behavior change. Psychological Review, 1977(84), 191-215.
  3. Bandura A (1997). Self-efficacy: the exercise of control. New York: Freeman.
  4. Bodenheimer T, Lorig K, Holman H,Grumbach K (2002). Patient Self-management of Chronic Disease in Primary Care JAMA 288, 2469-75 https://doi.org/10.1001/jama.288.19.2469
  5. Boutayeb A,Boutayeb S (2005). The burden of non communicable diseases in developing countries. International Journal for Equity in Health, 4(1), 2. https://doi.org/10.1186/1475-9276-4-2
  6. GA S (Ed.). (2010). Pink Ribbon Blues: How Breast Cancer Culture Undermines Women's Health. : USA: Oxford University Press.
  7. Hewitt M,Ganz PA (2006). From cancer patient to cancer survivor - Lost in transition: An american society of clinical oncology and institute of medicine symposium. Washington, D.C.: Institute of Medicine and National Research Council of the National Academies.
  8. Hoffman K, McCarthy E, Recklitis C,Ng A (2009). Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. . Arch. Intern. Med. , 169 (14 ), 1274-81 https://doi.org/10.1001/archinternmed.2009.179
  9. Kutner JS,Kilbourn KM (2009). Bereavement: Addressing Challenges Faced by Advanced Cancer Patients, Their Caregivers, and Their Physicians. Primary Care: Clinics in Office Practice, 36(4), 825-44. https://doi.org/10.1016/j.pop.2009.07.004
  10. Lev EL,Owen SV (2000). Counseling women with breast cancer using principles developed by Albert Bandura. Perspectives in Psychiatric Care, 36(4), 131-7.
  11. Loh SY, T Packer, CH Yip,WY Low (2007). Perceived Barriers to Self Management in Malaysian Women. Asia Pacific Journal of Public Health, 19(3).
  12. Loh SY, TL Packer, A Passmore, CH Yip,S Dhaliwah (2007). A Self management Clinical trial- Addressing Breast cancer as a chronic illness. Paper presented at the IPOS 2007 Conference, 15-21 September 2006, Imperial College, London.
  13. Loh SY, Yip CH,Packer T (2010). Self management pilot study on women with breast cancer: Lesson learnt. Asian Pacific Journal of Cancer Prevention, 11, 1-6.
  14. Lorig K (1996). Chronic Disease Self-Management: A Model for Tertiary Prevention. American Behavioral Scientist, 39(6), 676-83. https://doi.org/10.1177/0002764296039006005
  15. Martinez LS, Schwartz JS, Freres D, Fraze T,Hornik RC (2009). PatientaE"clinician information engagement increases treatment decision satisfaction among cancer patients through feeling of being informed. Patient education and counseling, 77(3), 384-90. https://doi.org/10.1016/j.pec.2009.09.008
  16. MRC (2000). A Framework for Development and Evaluation of RCTs for Complex Interventions to Improve Health Journal, 1-19. Retrieved from http://www.mrc.ac.uk/Utilities/Documentrecord/index.htm?d=MRC003372
  17. National Cancer Registry (2003). The Second Report of the National Cancer registry - Cancer incidence in Malaysia. Kuala Lumpur: National cancer Registry, Ministry of Health.
  18. Pope C, van Royen P,R B (2002). Qualitative methods in research on healthcare quality. Qual Saf Health Care 11, 148-52. https://doi.org/10.1136/qhc.11.2.148
  19. Recklitis C, Diller L, Li X, et al (2010). Suicide ideation in adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study J. Clin. Oncol. , 28 (4), 655-61. . https://doi.org/10.1200/JCO.2009.22.8635
  20. Rowland JH, Hewitt M,Ganz PA (2006). Cancer Survivorship: A New Challenge in Delivering Quality Cancer Care. Journal of Clinical Oncology, 24(32), 5101-4. https://doi.org/10.1200/JCO.2006.09.2700
  21. Step MM, Rose JH, Albert JM, Cheruvu VK,Siminoff LA (2009). Modeling patient-centered communication: Oncologist relational communication and patient communication involvement in breast cancer adjuvant therapy decision-making. Patient education and counseling, 77(3), 369-78. https://doi.org/10.1016/j.pec.2009.09.010
  22. Support. MC. (2010). Living with or beyond cancer Retrieved Feb 1, 2011, from http://www.macmillan.org.uk/GetInvolved/Campaigns/Survivorship/Livingwithorbeyondcancer.aspx.
  23. Venetis MK, Robinson JD, Turkiewicz KL,Allen M (2009). An evidence base for patient-centered cancer care: A metaanalysis of studies of observed communication between cancer specialists and their patients. Patient Educ Counsel, 77, 379-83. https://doi.org/10.1016/j.pec.2009.09.015
  24. Vogel BA, Leonhart R,Helmes AW (2009). Communication matters: The impact of communication and participation in decision making on breast cancer patients' depression and quality of life. Patient Educ Counsel, 77, 391-7. https://doi.org/10.1016/j.pec.2009.09.005
  25. Warsi A, Wang P, LaValley M, Avorn J, Solomon D (2004). Self-management Education Programs in Chronic Disease: A Systematic Review and Methodological Critique of the Literature. Arch Intern Med, 164, 1641-9. https://doi.org/10.1001/archinte.164.15.1641
  26. Yeh J, Nekhlyudov L, Goldie S, Mertens A, Diller L (2010). A model-based estimate of cumulative excess mortality in survivors of childhood cancer. Ann Intern Med, 152, 409-17. https://doi.org/10.7326/0003-4819-152-7-201004060-00005