Problem‐Solving Cancer Care Education for Patients and Caregivers

Bucher, Julia A.; Loscalzo, Matthew; Zabora, James; Houts, Peter S.; Hooker, Craig M.; BrintzenhofeSzoc, Karlynn

doi:10.1046/j.1523-5394.2001.009002066.x

Cited by 81 publications

(60 citation statements)

References 11 publications

(7 reference statements)

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“…CBIs using problem-solving skills have been shown to increase patient satisfaction with symptom control in women with recurrent and advanced breast cancer (Classen et al, 2001;Northouse et al, 2002). In addition, Bucher et al (2001) found that patients with advanced cancer in a nonrandomized clinical trial were able to improve their problem-solving ability after an educational session. Whether CBIs with a problem-solving approach affect symptom severity in patients with varying sites of cancer is unknown, however, as well as whether patients are able to maintain the skills after the intervention has ended.…”

Section: Cognitive Behavioral Interventionsmentioning

confidence: 99%

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

Sherwood¹,

Given²,

Given³

et al. 2005

Oncology Nursing Forum

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Purpose/Objectives: To evaluate the effectiveness of a cognitive behavioral intervention in decreasing symptom severity in patients with advanced cancer undergoing chemotherapy.Design: Prospective, randomized clinical trial based on cognitive behavioral theory. Setting: Six urban cancer centers in the midwestern United States.Sample: 124 patients 21 years of age or older were recruited and randomized to receive conventional care or conventional care and an intervention. Participants were newly diagnosed with stage III, stage IV, or recurrent cancer (solid tumor or non-Hodgkin lymphoma), undergoing chemotherapy, cognitively intact, and able to read and speak English.Methods: Data were gathered via telephone interviews at baseline and 10 and 20 weeks after randomization. Nurses with experience in oncology delivered a five-contact, eight-week intervention aimed at teaching patients problem-solving techniques to affect symptom severity.

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Section: Cognitive Behavioral Interventionsmentioning

confidence: 99%

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

Sherwood¹,

Given²,

Given³

et al. 2005

Oncology Nursing Forum

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“…atients with advanced cancer and their families experience significant distress in four domains: physical, 1,2 psychological, social, and spiritual. [3][4][5] These domains are often summarized by the term ''quality of life.''…”

mentioning

confidence: 99%

Effects of a Problem-Solving Intervention (COPE) on Quality of Life for Patients with Advanced Cancer on Clinical Trials and their Caregivers: Simultaneous Care Educational Intervention (SCEI): Linking Palliation and Clinical Trials

Meyers

Carducci

Loscalzo

et al. 2011

Journal of Palliative Medicine

108

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Context: Patients on investigational clinical trials and their caregivers experience poor quality of life (QOL), which declines as the disease progresses. Objective: To examine the effect of a standardized cognitive-behavioral problem-solving educational intervention on the QOL of patients enrolled on investigational clinical trials and their caregivers. Design: Prospective, multi-institution, randomized trial. QOL was measured repeatedly over 6 months. Participants: Patients were simultaneously enrolled onto phase 1, 2, or 3 Institutional Review Board (IRB)-approved cancer clinical trials. Intervention: Intervention arm dyads participated in three conjoint educational sessions during the first month, learning the COPE problem solving model. Nonintervention arm dyads received usual care. Outcome Measures: Global QOL was measured by the City of Hope Quality of Life Instruments for Patients or Caregivers; problem solving skills were measured by the Social Problem Solving Inventory-Revised. Results: The results are reported using the CONSORT statement. The analytic data set included 476 dyads including 1596 patient data points and 1576 care giver data points. Patient QOL showed no significant difference in the rate of change between the intervention and usual care arms ( p ¼ 0.70). Caregiver QOL scores in the intervention arm declined, but at less than half the rate in the control arm ( p ¼ 0.02). Conclusions: The COPE intervention enabled the average caregiver to come much closer to stable QOL over the 6-month follow-up. Future studies should enroll subjects much earlier in the cancer illness trajectory, a common patient/caregiver theme. The maximum effect was seen in caregivers who completed the 6-month follow-up, suggesting that the impact may increase over time.

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“…Las investigaciones basadas en de la terapia de solución de problemas dirigidas a cuidadores de pacientes con cáncer han reportado que tras la intervención se registran mayores niveles de conocimiento de los recursos de la comunidad y confianza en las habilidades para proporcionar cuidados a su familiar (27) un incremento en las habilidades para solucionar problemas y el tipo de estrategias empleadas, así como, el grado de bienestar emocional de los cuidadores, reducción de la tensión emocional, mayor confianza para resolver problemas, un aumento de estrategias de solución consideradas positivas tales como buscar apoyo del equipo médico (28) . Otras investigaciones han reportado que los participantes presentaron una reducción en los niveles de ansiedad, así como, un incremento de las habilidades para solucionar problemas y en la calidad de vida de los cuidadores (29) pero no de los pacientes (30) .…”

Section: Introductionunclassified

Efectos de la solución de problemas sobre los comportamientos de autocuidado de cuidadores de pacientes oncológicos en fase paliativa: un estudio piloto

et al. 2014

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ResumenCuidar de un familiar con cáncer avanzado trae consigo una serie de problemas familiares, laborales, económicos, y sociales que impactan negativamente sobre la calidad de vida y la salud física y psicológica de los cuidadores primarios. El objetivo de la presente investigación fue evaluar la eficacia de una intervención basada en la terapia de solución de problemas sobre la adquisición de habilidades de autocuidado, la calidad de vida, y la sintomatología ansiosa y depresiva en cuidadores primarios de pacientes que reciben cuidados paliativos. Se utilizó un diseño de N=1 de medidas repetidas, con evaluación pre y post-test con los inventarios de ansiedad y depresión de Beck, el inventario de calidad de vida WHOQol Bref y un cuestionario de conductas de autocuidado diseñado ex profeso para esta investigación. Se identificaron mejorías clínicamente significativas en las medidas de sintomatología ansiosa y depresiva, un incremento en la calidad de vida y la identificación de la Terapia de Solución de Problemas como una herramienta útil para afrontar las problemáticas derivadas de las actividades de cuidado. La principal limitante para el desarrollo de la intervención fue que el AbstractCaring for a relative with terminal cancer brings a series of problems in the family, work, financial and social arenas. These problems, in turn, cause a negative impact on the Quality of Life (QOL) of the patients' primary caregivers, including their physical and psychological health. The purpose of the present study was to examine the effects of an intervention based on Problem Solving Therapy on QOL, anxious and depressive symptoms and on the acquisition of self-care skills by terminal cancer patients' primary caregivers. A repeated measures N=1 design was used on pre and post intervention measurements on Beck's anxiety and depression inventories, the WHOQOL-Bref and a questionnaire on self-care expressly designed for the study. Results revealed clinically significant improvements on anxious and depressive symptoms and improvement on the participants' QOL. Problem Solving Therapy resulted a viable and effective approach to cope with the problems posed by caring for a terminal patient and improving self-care skills. A possible drawback of the procedures includes a lengthy intervention

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Problem‐Solving Cancer Care Education for Patients and Caregivers

Cited by 81 publications

References 11 publications

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

A Cognitive Behavioral Intervention for Symptom Management in Patients With Advanced Cancer

Effects of a Problem-Solving Intervention (COPE) on Quality of Life for Patients with Advanced Cancer on Clinical Trials and their Caregivers: Simultaneous Care Educational Intervention (SCEI): Linking Palliation and Clinical Trials

Efectos de la solución de problemas sobre los comportamientos de autocuidado de cuidadores de pacientes oncológicos en fase paliativa: un estudio piloto

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