Promotion of self-management for post treatment cancer survivors: evaluation of a risk-adapted visit

Rosenberg, Carol A.; Flanagan, Carol; Brockstein, Bruce; Obel, Jennifer; Dragon, Leon H.; Merkel, Douglas E.; Wade, Elaine; Law, Teresa Murray; Khandekar, Janardan D.; Hensing, Thomas A.

doi:10.1007/s11764-015-0467-6

Cited by 16 publications

(36 citation statements)

References 44 publications

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“…Self-management can empower cancer survivors to report and manage potential late and long-term effects of treatment, understand when to seek support, and make lifestyle changes to promote healthy living after treatment (Foster and Fenlon, 2011). The CCM model addresses survivors’ goals/preferences and fosters confidence in their ability to perform care activities (Rosenberg et al, 2015). It coaches survivors on key self-management skills such as problem-solving, decision-making, taking action or goal-setting, communication with providers, regular assessment of progress, and resource utilization (Klabunde et al, 2017).…”

Section: Methodsmentioning

confidence: 99%

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Reb

Ruel

Fakih

et al. 2017

European Journal of Oncology Nursing

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Purpose This study evaluates the feasibility and acceptability of a Self-Management Survivorship Care Planning (SM-SCP) intervention in colorectal and lung cancer survivors. Methods This is a single-group, pre- and post-mixed methods study of an advance practice nurse-driven survivorship care intervention that integrates a survivorship care plan with self-management skills coaching. Colorectal and lung cancer survivors with stage I–III disease were enrolled at 3–6 months after completing treatments, and the intervention was administered in one in-person or telephone session. Survivor outcome measures included depression, anxiety, self-efficacy, QOL, and satisfaction. Paired t-tests were used for exploratory evaluations of pre- to post-intervention score changes. Content analysis was conducted to analyze the qualitative data to describe survivors’ experience with the intervention. Results Thirty participants (15 colorectal, 15 lung) enrolled and completed the study (73% retention). It took an average of 40 minutes to complete the TS/CP and 34.2 minutes to deliver the intervention. Exploratory analysis revealed significant differences from baseline to post-intervention in depression, anxiety, self-efficacy, physical functioning, role limitations-physical, pain, general health, health transition, physical health summary, and total QOL. Three qualitative themes emerged: 1) Feeling empowered about having a plan; 2) Struggling with psychosocial concerns; and 3) Suggestions for intervention content and delivery. Conclusions The SM-SCP intervention was feasible and acceptable for colorectal and lung cancer survivors after treatment completion. Survivorship care interventions have potential to fulfill the unmet needs of colorectal and lung cancer survivors. Their effectiveness might be greater by integrating conceptually-based models of care, such as self-management skills building.

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Section: Methodsmentioning

confidence: 99%

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Reb

Ruel

Fakih

et al. 2017

European Journal of Oncology Nursing

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“…Current studies have shown that self‐management support is significant in stoma care (Hong & Wang, ), because it can enhance self‐efficacy (Zhang et al, ) and guide future self‐management behaviour (Rosenberg et al, ). Most studies focused on the content of health education or self‐care ability for a certain symptom (e.g., defecation management of patients with a stoma or the effects on self‐management education).…”

Section: Introductionmentioning

confidence: 99%

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Shen

Wang

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To determine the effect of a transtheoretical model (TTM)‐based intervention on patients with an ostomy and provide patient‐centred, accessible assistance and dynamic education to improve patient self‐management. Background Proper self‐management may promote the rehabilitation of patients with an ostomy. TTM‐based interventions have resulted in positive health behavioural changes. Design Randomised controlled trial performed according to the CONSORT guidelines. Subject and setting The sample comprised 55 men and 37 women (24–77 years old, mean ± SD = 52.8 ± 11.13 years). The study settings included three tertiary hospitals in Changsha, Hunan, China. Methods The 92 patients, recruited from August 2012 to March 2013, were randomised into a control group and an intervention group. Randomisation was done by using a block randomisation list with a block size of 4. Self‐management behaviours were assessed at the baseline, 2 days before discharge and after 1, 3 and 6 months of follow‐up. The chi‐squared test, independent sample t test and repeated measures analysis of variance were used to analyse the data. Results Patients in the intervention group were more likely to be at the action and maintenance stages compared with those in the control group. We also observed significant improvements in the self‐management ability in the process of change, the decisional balance and self‐efficacy in the intervention group compared with those in the control group after four intervention sessions and up to 6 months of follow‐up. No serious intervention‐related adverse events were observed. Conclusions The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy. Relevance to clinical practice The TTM‐based intervention had positive effects on self‐management behaviours of patients with an ostomy and may provide a reference for health providers to develop behaviour promotion programmes to improve the self‐management of patients with an ostomy.

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“…Current studies with colorectal cancer patients have shown that self-management support can enhance self-efficacy22 and can help with ostomies adapt to their stoma23 and to guide future self-care behavior 24. On the other hand, lower self-efficacy was significantly associated with poorer trajectories for QoL, health status, and well-being after adjusting for disease characteristics, stoma, anxiety, and social support 25…”

Section: Introductionmentioning

confidence: 99%

Complexity of care and strategies of self-management in patients with colorectal cancer

Ose¹,

Winkler²,

Berger³

et al. 2017

PPA

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PurposeGiven the inherent complexity of cancer care, in which personal, social, and clinical aspects accumulate and interact over time, self-management support need to become more comprehensive. This study has the following two aims: 1) to analyze and describe the complexity of individual patient situations and 2) to analyze and describe already established self-management strategies of patients to handle this complexity.MethodsA qualitative study was conducted. Ten focus groups were performed collecting perspectives of the following three user groups: patients with colorectal cancer (n=12) and representatives from support groups (n=2), physicians (n=17), and other health care professionals (HCPs; n=16). Data were analyzed using qualitative content analysis.ResultsThe results showed that cancer patients are struggling with the complexity of their individual situations characterized by the 1) “complexity of disease”, 2) “complexity of care”, and 3) “complexity of treatment-related data”. To deal with these multifaceted situations, patients have established several individual strategies. These strategies are “proactive demanding” (eg, to get support and guidance or a meaningful dialog with the doctor), “proactive behavior” (eg, preparation of visits), and “proactive data management” (eg, in terms of merging treatment-related data and to disseminate these to their health care providers).ConclusionPatients with colorectal cancer have to handle a high complexity of individual situations within treatment and care of their disease. Private and social challenges have a culminating effect. This complexity increases as patients experience a longer duration of treatment and follow-up as patients have to handle a significantly higher amount of data over time. Self-management support should focus more on the individual complexity in a patient’s life. This includes assisting patients with strategies that have already been established by themselves (like preparation of visits).

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Promotion of self-management for post treatment cancer survivors: evaluation of a risk-adapted visit

Abstract: Combined provision and discussion of SCPs help survivors construct a useful understanding of their cancer experience and may promote long-term self-management.

Cited by 16 publications

References 44 publications

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Effects of transtheoretical model‐based intervention on the self‐management of patients with an ostomy: A randomised controlled trial

Complexity of care and strategies of self-management in patients with colorectal cancer

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