A nurse-led psycho-education programme for Chinese carers of patients with colorectal cancer

Shum, NF; Lui, Tyl; Law, WL; Fong, Dyt

doi:10.7748/cnp.13.5.31.e1074

Cited by 17 publications

(30 citation statements)

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“…Length of individual contacts lasted between 15 min 57 to 2 h 50 . Many of the interventions were delivered via face‐to‐face contact in a hospital, often supplemented with telephone follow‐ups, 35,39,42,44,49,51,54,56,59 websites 38,48 and home visits 53 . Thirteen of the interventions were nurse‐led interventions 34–36,39,40,43,47,50,52–54,59 .…”

Section: Resultsmentioning

confidence: 99%

“…Many of the interventions were delivered via face‐to‐face contact in a hospital, often supplemented with telephone follow‐ups, 35,39,42,44,49,51,54,56,59 websites 38,48 and home visits 53 . Thirteen of the interventions were nurse‐led interventions 34–36,39,40,43,47,50,52–54,59 . Other interventions were facilitated by social workers, 34,37,44,46,50 psychologists, 15,34,56,58 oncology experts 38 and three studies were facilitated by trained researchers 55,57,60 .…”

Section: Resultsmentioning

confidence: 99%

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The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

et al. 2022

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Objective Cancer caregiving can result in increased psychosocial distress and poor health‐related quality of life (QOL). Psychoeducation has been shown to be effective in enhancing caregiving‐oriented outcomes. A systematic assessment of the overall effect of psychoeducational intervention (PEI) and identification of individual intervention characteristics that may contribute to the effectiveness of PEI is needed. Methods For this meta‐analysis, relevant articles were identified through electronic databases using key search terms and their medical subject heading such as “family caregiver,” “cancer,” and “psychoeducational intervention.” Results Twenty‐eight controlled trials with 3876 participants were included. PEIs had beneficial effect on depression (Standardized Mean Difference [SMD] −0.26; 95% CI = −0.50 to −0.01, p < 0.04), anxiety (SMD −0.41; 95% CI = −0.82 to 0.01, p < 0.05), caregiver burden (SMD −0.84; 95% CI = −1.22 to −0.46, p < 0.0001) and QOL (SMD 0.59, 95% CI 0.24–0.93; p < 0.0009) at the immediate post‐intervention period. At longer‐term follow‐up, the effectiveness of PEI was maintained on QOL (SMD 0.39, 95% CI = −0.00 to −0.77, p < 0.05), and anxiety (SMD −0.57; 95% CI = −1.09 to −0.06, p < 0.03). Moderation analysis showed that intervention characteristics such as studies conducted in high‐income countries, group intervention and studies that focused on specific and mixed cancers explain some of the high variations observed among the included studies. Conclusions PEI may benefit caregivers of cancer patients through the significant effects on caregiver burden, QOL, anxiety, and depression. The findings from the moderation analysis may be important for the design of future interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

et al. 2022

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“…Although some studies have tried to provide more supportive care for cancer survivors and improve the psychosocial effects of care in patients with colorectal cancer [4, 6], scholars have been comparatively less attentive to exploring the effectiveness of interventions addressing the short-term affective aspects of post-surgery discharge under the ERAS program. Some of these concepts have been partially examined in a study investigating post-discharge patients with colorectal cancer who had undergone surgery [1], a study of depression intervention [4], and a study that applied emotional training to caregivers of patients with colorectal cancer [14]. Nonetheless, there has been little comprehensive research examining the affective aspects and quality of life in patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Mobile Educational Program for Colorectal Cancer Patients Undergoing the Enhanced Recovery After Surgery

Kim

Park

Ryoo

2018

TONURSJ

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Background:The Enhanced Recovery After Surgery (ERAS) program hastens recovery from colorectal cancer by shortening the treatment period and enabling a return to normal activities. However, patients with colorectal cancer treated under the ERAS program have fewer opportunities to consult with medical staff and receive education regarding self-care and experience more affective stress and anxiety.Objective:This study aimed to develop and assess an educational program for patients with colorectal cancer treated under the ERAS program, considering affective aspects.Method:Patients with colorectal cancer (n = 118) who underwent open colon surgery under the ERAS program were assigned alternately in the order of admission on a 1:1 basis to a treatment group (n = 59) and conventional care group (n = 59). The treatment group received a two-week mobile-based intervention, whereas the control group received conventional care. Quality of life, self-efficacy, anxiety, and depression were compared between the two groups.Results:The mobile web-based educational program significantly reduced the negative impact of surgery on the quality of life in the treatment group, compared with the conventional care group, and triggered a noticeable decline in anxiety and depression and increase in self-efficacy.Conclusion:The developed mobile web-based educational program effectively enhanced self-efficacy, positively impacted the quality of life, and reduced anxiety and depression. The program could have a positive effect on the quality of life of patients with colorectal cancer treated under the ERAS program.

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“…Although psychosocial interventions have been developed to support caregivers (e.g. [ 12 – 14 ]), a meta-analysis of 29 randomised controlled trials comprising psychoeducation, skills training, or therapeutic counselling interventions found only small to moderate effects but significantly reduced caregiver burden and improved aspects of quality of life [ 15 ]. Since then there have been calls for other tailored interventions to be designed and tested, particularly for those caring for patients in the early stages of the cancer trajectory [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a telephone outcall program to reduce caregiver burden among caregivers of cancer patients [PROTECT]: a randomised controlled trial

et al. 2018

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BackgroundInformal caregivers provide extended support to people with cancer but they receive little support from the health care system to assist them in their caring role. The aim of this single-blind, multi-centre, randomised controlled trial was to test the efficacy of a telephone outcall program to reduce caregiver burden and unmet needs, and improve psychological well-being among cancer caregivers, as well as evaluating the potential impact on patient outcomes.MethodsCancer patient/caregiver dyads (N = 216) were randomised to a telephone outcall program (n = 108) or attention control group (n = 108). The primary outcome was self-reported caregiver burden. Secondary endpoints included depressive symptoms, unmet needs, self-esteem, self-empowerment, and health literacy. Data were collected at baseline and at both 1 and 6 months post-intervention. An intention to treat analysis was performed.ResultsThe intervention had no effect on the primary outcome (caregiver burden), but reduced the number of caregiver unmet needs (intervention group baseline, mean = 2.66, 95% confidence interval (CI) [1.91–3.54]; intervention group 1 month post intervention, mean = 0.85, 95%CI [0.42–1.44]; control group baseline, mean = 1.30 95%CI [0.80–1.94], control group 1 month post intervention, mean = 1.02 95%CI [0.52–1.69]; p = 0.023). For caregivers at risk for depression, the intervention had a significant effect on caregivers’ confidence in having sufficient information to manage their health (p = 0.040). No effects were found for patients’ depressive symptoms, unmet needs, self-empowerment, and other health literacy domains.ConclusionsWhile caregiver burden was not reduced, the outcall program was effective in reducing unmet needs in caregivers. Provision of cancer information and support via a telephone service may represent a feasible approach to reducing unmet needs among cancer caregiver populations.Trial registrationACTRN12613000731796; prospectively registered on 02/07/2013.Electronic supplementary materialThe online version of this article (10.1186/s12885-017-3961-6) contains supplementary material, which is available to authorized users.

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A nurse-led psycho-education programme for Chinese carers of patients with colorectal cancer

Cited by 17 publications

References 0 publications

The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

The effectiveness of psychoeducational interventions on caregiver‐oriented outcomes in caregivers of adult cancer patients: A systematic review and meta‐analysis

Effects of a Mobile Educational Program for Colorectal Cancer Patients Undergoing the Enhanced Recovery After Surgery

Efficacy of a telephone outcall program to reduce caregiver burden among caregivers of cancer patients [PROTECT]: a randomised controlled trial

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