Effects of Written Information and Counseling on Illness-Related Uncertainty in Women With Vulvar Neoplasia

Raphaelis, Silvia; Mayer, Hanna; Ott, Stefan; Hornung, René; Senn, Beate

doi:10.1188/18.onf.748-760

Cited by 10 publications

(19 citation statements)

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“…Here, the problem defined by the patient is considered specifically, and the patient is guided to find the most suitable solution [31]. Therefore, it can be assumed that a longer counselling time contributes to resolving disease-related uncertainties and developing effective problem-solving strategies [16] and supports to cope successfully with symptomrelated distress. This assumption is confirmed by a qualitative study, where women reported that they felt safe and secure because they were more confident after the APN actively took time to talk to them and discuss their concerns [32].…”

Section: Discussionmentioning

confidence: 99%

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The effect of written information and counselling by an advanced practice nurse on resilience in women with vulvar neoplasia during six months after surgical treatment and the influence of social support, recurrence, and age: A secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO-II

Kofler

Kobleder

Ott

et al. 2020

Preprint

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Background: Women with vulvar neoplasia often complain about physical and psychological distress after surgical treatment. Lack of information and support can influence resilience. Whether an information-related intervention through an advanced practice nurse supports resilience and which other factors affect resilience in women with vulvar neoplasia has never been investigated. Methods: The aims of this study were (a) to analyse whether counselling based on the WOMAN-PRO II program causes a significant improvement in the resilience scores of women with vulvar neoplasia compared to written information and (b) to identify the potential predictors of resilience. A randomized controlled trial was conducted in women with vulvar neoplasia (n = 49) six months after surgical treatment in four Swiss hospitals and one Austrian hospital. Analyses of resilience and its predictors were performed using a linear mixed model. Results: Thirty-six women (intervention I, n = 8; intervention II, n = 28) completed the randomized controlled trial. In total, 13 women (26.5%) dropped out of the trial. The resilience score did not differ significantly between the two interventions three and six months after randomisation (p = 0.759). Age (b = .04, p = 0.001), social support (b = .28, p = 0.009), counselling time (b = .03, p = 0.018) and local recurrence (b = −.56, p = 0.009) were identified as significant predictors of resilience in the linear mixed model analyses. Conclusion: The results indicate that the WOMAN-PRO II program as single intervention does not cause a significant change in the resilience scores of women with vulvar neoplasia six months after surgery. Predictors that promote or minimise resilience have been identified and should be considered when developing resilience programs for women with vulvar neoplasia. A repetition of the study with a larger sample size is recommended.

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Section: Discussionmentioning

confidence: 99%

“…With growing interest, it is important to understand how nurses can support women with vulvar neoplasia and help them adapt to adverse circumstances. So far, few intervention studies have examined the effect on resilience [14][15][16][17][18][19]. These studies have mainly been psychotherapeutically oriented [17].…”

Section: Introductionmentioning

confidence: 99%

The effect of written information and counselling by an advanced practice nurse on resilience in women with vulvar neoplasia during six months after surgical treatment and the influence of social support, recurrence, and age: A secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO-II

Kofler

Kobleder

Ott

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…The present study revealed that resilience was positively associated with longer counseling time. One possible explanation for the positive relationship between resilience and counseling time may be that a longer period of counseling contributes to resolve disease-related uncertainties and to develop effective problem-solving strategies [13]. Further, women report that they feel safe and secure that arose through confidence that the APN actively took time for talking to them and discussing their concerns.…”

Section: Insert Table 3 Discussionmentioning

confidence: 99%

“…While uncertainty and symptom-related distress vary with cancer type and treatment, they are especially pronounced in cancers associated with taboos and stigmatization [6,13]. Moreover, phenomenological studies have shown that women with vulvar neoplasia experienced a general lack of information about symptom management and strategies to manage handle their situation [5,7].…”

Section: Introductionmentioning

confidence: 99%

“…In this program, women with vulvar neoplasia are taught to use a symptom diary to help them recognize and assess symptoms at different levels; for example, wound-related symptoms, difficulties, feelings, thoughts, and behaviours. The assessment of symptoms and distress are discussed in a nurse-led consultation, focused on tailored information, motivational interviewing, selfmanagement, and behavioural change [6,13].…”

Section: Introductionmentioning

confidence: 99%

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The effect of written information and counseling by an APN on resilience in women with vulvar neoplasia during six months after surgical treatment and the influence of social support, recurrence, and age: A secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO-II

Kofler

Kobleder

Ott

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Woman with vulvar neoplasia complain after surgical treatment often about physical and psychological distress. Lack of information and support can influence resilience. Whether an information-related intervention through an advanced practice nurse support resilience and which other factors have an influence on resilience in women with vulvar neoplasia has never been investigated.Methods The aim of this study were (a) to analyse whether counseling based on the WOMAN-PRO-II program compared to written information creates a significant improvement in resilience scores of women with vulvar neoplasia and (b) to identify potential predictors for resilience. A randomized controlled trial was carried out in women with vulvar neoplasia (N = 49) six months after a surgical treatment in four Swiss hospitals and one Austrian hospital. Analyses of resilience and its predictors were performed using a linear mixed model.Results The resilience score did not differ significantly between the two intervention three and six months after randomisation (p=0.759). As significant predictors of resilience, age (b=.04, p=0.001), social support (b=.28, p=0.009), counseling time (b=.03, p=0.018), and local recurrence (b=-.56, p=0.009) could be identified in linear mixed models analyses.Conclusion To promote resilience in women with vulvar neoplasia, the WOMAN-PRO II Program should be further developed. Particularly, social support should be extended, e.g. in form of more frequent consultations. The interrelation between recurrence and resilience needs to be further investigated to provide specific counseling for women with recurrence.

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Decision coaching for people making healthcare decisions

Jull

Köpke

Smith

et al. 2021

Cochrane Database of Systematic Reviews

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BackgroundDecision coaching is non-directive support delivered by a healthcare provider to help patients prepare to actively participate in making a health decision. 'Healthcare providers' are considered to be all people who are engaged in actions whose primary intent is to protect and improve health (e.g. nurses, doctors, pharmacists, social workers, health support workers such as peer health workers).Little is known about the e ectiveness of decision coaching. ObjectivesTo determine the e ects of decision coaching (I) for people facing healthcare decisions for themselves or a family member (P) compared to (C) usual care or evidence-based intervention only, on outcomes (O) related to preparation for decision making, decisional needs and potential adverse e ects.

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Effects of Written Information and Counseling on Illness-Related Uncertainty in Women With Vulvar Neoplasia

Cited by 10 publications

References 0 publications

The effect of written information and counseling by an APN on resilience in women with vulvar neoplasia during six months after surgical treatment and the influence of social support, recurrence, and age: A secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO-II

Decision coaching for people making healthcare decisions

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