Abstract:
OBJECTIVE:We tested the feasibility and acceptability of a psycho-educational self-management intervention, Managing Cancer Care: A Personal Guide (MCC), to improve knowledge of care options (curative, palliative, and hospice care) among a range of breast cancer self-management skills. METHODS:We conducted a one-group, pre-post-test study among women with non-metastatic breast cancer (n = 105). We gave participants the printed, self-guided, seven-module intervention following enrollment. At baseline and 2 months, we measured knowledge of care options, desired and actual role in self-management, medical communication skills, experience and management of transitions, anxiety, depression, uncertainty, and self-efficacy. We conducted interviews to obtain module ratings and qualitative data on strengths and limitations of MCC. RESULTS:Knowledge of care options (δ = 0.40 (1.11), p = 0.0005) and desired role in self-management (δ = -0.28 (1.08), p = 0.0177) significantly improved. Less skilled medical communicators significantly improved their communication (δ = 3.47, standard deviation = 6.58, p = 0.0449). Multivariate modeling showed that changes in our primary outcomes of medical communication and management of transitions seemed to drive positive changes in our secondary outcomes of anxiety, depression, uncertainty, and self-efficacy. Participants highly rated MCC and reported the importance of understanding care options despite non-metastatic disease. CONCLUSIONS:MCC is a feasible and acceptable means of improving knowledge of care options and other aspects of breast cancer self-management. The combination of modules offered in MCC appears to have beneficial interactive effects. We are currently testing MCC more rigorously in a randomized controlled trial to explore mediating and moderating relationships. Copyright © 2015 John Wiley & Sons, Ltd.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Schulman-Green D,Jeon Sdoi
10.1002/pon.4013subject
Has Abstractpub_date
2017-02-01 00:00:00pages
173-181issue
2eissn
1057-9249issn
1099-1611journal_volume
26pub_type
杂志文章相关文献
PSYCHO-ONCOLOGY文献大全abstract:OBJECTIVE:What do we mean by a 'psychological intervention' in the context of cancer care? It is critical to know what treatments are included under this term, if data from diverse treatment trials are to be summarized in order to inform clinical practice. We, therefore, aimed to determine how the term 'psychological i...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1780
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Over the past decade, high dose chemotherapy with autologous bone marrow (HDC-ABMT) support has been used increasingly in the treatment of patients with breast cancer. In evaluating the results of HDC-ABMT in patients with breast cancer, an assessment of quality of life can add to the traditional endpoints (...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/(SICI)1099-1611(199903/04)8:2<167::AID-PON
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to examine how young adult cancer patients make sense of their experiences with cancer. METHODS:Semi-structured interviews were conducted with patients at an urban tertiary care center RESULTS:The sample for this study included 15 young adult cancer survivors. The ages of the ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3207
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:Patients with comorbid cancer and dementia have poorer outcomes than those without dementia. We observe oncology teams managing patients with dementia and memory loss and explore these patients' needs and experiences of outpatient cancer services. METHODS:A single site investigation of case study design to e...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4212
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Partners of cancer patients typically provide the majority of patients' emotional and physical care. Partners may be profoundly affected by the cancer and may experience ongoing supportive care needs across the survivorship continuum. Research has been restricted by a lack of psychometrically evaluated measu...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1138
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Breast cancer (BC) diagnosis and subsequent treatments present significant challenges and distress for both patients and their partners. This can lead to difficulties in marital relationships and, consequently, decreases in marital adjustment and psychosocial adaptation to BC for both partners. Our objective ...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.4432
更新日期:2017-12-01 00:00:00
abstract::We have recently reported the psychological outcome of a group Cognitive Behaviour Therapy (CBT) intervention with patients who had metastatic breast cancer. The data of 92 patients who were retained at the first follow-up assessment revealed short-term improvements on measures of mood and self-esteem amongst therapy ...
journal_title:Psycho-oncology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/(sici)1099-1611(199911/12)8:6<474::aid-pon
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:Prognostic awareness relates to patients' capacity to understand their prognosis and the likely illness trajectory. Based on the current evidence, accurate PA is associated with decrease in uncertainty, depresivity, and anxiety and with increase in quality of life. However, other studies found also negative ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5385
更新日期:2020-06-01 00:00:00
abstract::Most patients are diagnosed with advanced lung cancer despite the presence of many and intense symptoms at diagnosis. This qualitative study aims to explore how people with inoperable lung cancer frame and conceptualize the onset of their sickness, to obtain knowledge which might facilitate earlier health care contact...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1080
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To investigate the frequency of changes in work situation due to cancer and to analyze the association of physically demanding work, social support from supervisors, colleagues or occupational health services, and disease-related factors, with changing employers due to cancer. METHODS:Working-aged patients w...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1797
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To investigate the association between prophylactic bilateral oophorectomy and use of antidepressants in women with a family history of cancer. METHODS:Nationwide population-based cohort study using Danish National Registries including women oophorectomized due to a family history of cancer (n = 2,002) and a...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5290
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:Persons with colon cancer experience considerable psychological stress due to physical and social changes brought on by illness, increasing their risk of depressive disorder (DD). We examine the prevalence of DD and depressive symptoms and determine baseline demographic, social, psychological, and physical he...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3706
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Prevalence of emotional, behavioral, and psychiatric outcomes in child and adolescent survivors of childhood acute lymphoblastic leukemia treated on a chemotherapy-only protocol were not well defined. METHODS:Self- and parent-reported emotional and behavioral symptoms were assessed for 161 survivors of chil...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4699
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To investigate the association between antidepressant prescription and breast cancer. METHODS:The National Health Research Institute in Taiwan provided a database of 1 000 000 random subjects for this study. We identified 14 737 new antidepressant female users who were more than 15 years old during 1999-2005...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3929
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:The study aimed to explore oncologist's grief symptoms over patient death and to identify why and which losses are particularly challenging when patients die. METHODS:The grounded theory method was used to collect and analyze the data. Twenty-two oncologists were interviewed between March 2013 and June 2014 ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4118
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Hematopoietic stem cell transplantation is a demanding cancer treatment associated with enduring physical and psychological complications. Survivors' well-being may be further compromised by exposure to chronic stressors common to this population, including difficulties arising from costly medical care, chan...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3091
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:It is well documented that stress is associated with negative health outcomes in cancer patients. The purpose of this study was to assess the effects of a novel mindfulness intervention called mindfulness-based art therapy (MBAT) versus standard educational support, on indices of stress and quality of life in...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.3320
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:A proportion of young women diagnosed with breast cancer are childless. Fertility can be impaired by treatment, and women may have to wait for a number of years before pregnancy is advised. The aim of this qualitative study was to investigate in detail the fertility-related experiences of young childless wome...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3365
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Patients with advanced cancer may benefit from end of life (EOL) planning, but there is evidence that their willingness and desire to engage in advance care planning (ACP) varies. The reasons for this remain poorly understood. Previous reviews on ACP most commonly report outcome measures related to medical i...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.3926
更新日期:2016-04-01 00:00:00
abstract:AIMS:The aim of this study was to provide guidance to improve the completeness and clarity of meta-ethnography reporting. BACKGROUND:Evidence-based policy and practice require robust evidence syntheses which can further understanding of people's experiences and associated social processes. Meta-ethnography is a rigoro...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4915
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:Reviews on the psychosocial aspects of genetic testing for hereditary diseases typically focus on outcomes for carriers and non-carriers of genetic mutations. However, the majority of unaffected individuals from high-risk families do not undergo predictive testing. The aim of this review was to examine studie...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.3235
更新日期:2013-09-01 00:00:00
abstract::The present study was designed to explore the extent to which advanced cancer pain is explicable in terms of both physical pain intensity and affect. Most notably, it expanded on previous findings by more clearly elucidating the relationship between several discrete emotional states and the total experience of cancer ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.551
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:A diagnosis of head and neck cancer (HNC) is a profound event for patients and family members who play a crucial role in their care. Eating and drinking difficulties affect patients' quality of life (QOL), but the impact on the carers' QOL has not been explored. This preliminary mixed method study reports on...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3226
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:The education of trainee physicians in hematology-oncology is challenged by inherent stressors of hematology-oncology. Clinical work load, death and dying, and the known phenomenon of empathy decline during clinical education affect trainees. Time spent with patients or direct patient care time (DPCT) is infl...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5089
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To evaluate Telephone-Delivered Cognitive Behavioural Therapy (T-CBT) compared to CBT face to face treatment as usual (TAU-CBT), in cancer patients with high psychological needs, in terms of mental health and coping. METHOD:A prospective randomised equivalence trial with Patient Reported Outcome (PRO's), mea...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.4338
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:Parents often feel ill-equipped to prepare their dependent children (<18 years old) for the death of a parent, necessitating support from professionals. The aim of this study is to explore health and social care professionals' (HSCPs) experiences and perceptions of providing supportive care to parents regardi...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5581
更新日期:2020-10-22 00:00:00
abstract:OBJECTIVE:With increasing evidence from controlled trials on benefits of early palliative care, there is a need for studies examining implementation in real-world settings. The INTEGRATE Project was a 3-year real-world project that promoted early identification and support of patients with cancer who may benefit from p...
journal_title:Psycho-oncology
pub_type: 杂志文章,多中心研究
doi:10.1002/pon.5076
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:Religious beliefs have received relatively little attention in research on coping with cancer. In this study, the relationship of religious beliefs and perceived social support with adjustment to cancer was studied in a coping model that included self-efficacy for coping as a mediator. Of particular interest wa...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1442
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:The ability to identify men at genetically high-risk of prostate cancer (PrCa) would enable screening to be targeted at those most in need. This study explored the psychological impact (in terms of general and PrCa-specific worry and risk perceptions) on men with a family history of PrCa, undergoing prostate...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3814
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:In spite of efforts to guarantee patients are adequately informed about their risk of fertility loss and offered treatment for fertility preservation (FP), previous studies have reported that this topic is not routinely discussed with patients, especially with younger patient populations. A mixed method syste...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.4092
更新日期:2017-01-01 00:00:00