The Hot Flush Behavior Scale

Hunter, Myra; Ayers, Beverley; Smith, Melanie

doi:10.1097/gme.0b013e318219d791

Cited by 29 publications

(14 citation statements)

References 25 publications

(41 reference statements)

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“…These are assessed with the Behavior Short Form HFNS Beliefs and Behavior Scale, a 16 item scale that includes items from the Hot Flush Beliefs Scale [80] and the Hot Flush Behavior Scale [81], (Hunter, personal communication).…”

Section: Methodsmentioning

confidence: 99%

Design of a randomized controlled trial of Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors

et al. 2016

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BackgroundMenopausal symptoms are common and may be particularly severe in younger women who undergo treatment-induced menopause. Medications to reduce menopausal symptoms are either contra-indicated or have bothersome side effects. Previous studies have demonstrated that face-to-face cognitive behavioral therapy (CBT) is effective in alleviating menopausal symptoms in women with breast cancer. However, compliance with face-to-face CBT programs can be problematic. A promising approach is to use the Internet to make this form of CBT more accessible and feasible for patients. This study is evaluating the efficacy and cost-effectiveness of an Internet-based CBT program, with or without therapist guidance, in alleviating or reducing the severity of menopausal symptoms.Methods/designIn a multicenter, randomized controlled trial we are evaluating the efficacy of two Internet-based CBT programs in alleviating or reducing the impact of menopausal symptoms, and particularly hot flushes and night sweats, in breast cancer survivors who have experienced a treatment-induced menopause. Secondary outcomes include sexual functioning, sleep quality, hot flush frequency, psychological distress, health-related quality of life and cost-effectiveness. We will recruit 248 women who will be randomized to either a therapist guided or a self-management version of the 6-week Internet-based CBT program, or to a usual care, waiting list control group. Self-administered questionnaires are completed at baseline (T0), and at 10 weeks (T1) and 24 weeks (T2) post-randomization.DiscussionInternet-based CBT is a potentially useful treatment for reducing menopausal symptoms in breast cancer survivors. This study will provide evidence on the efficacy and cost-effectiveness of such an Internet-based CBT program, with or without therapist support. If demonstrated to be efficacious and cost-effective, the availability of such structured supportive intervention programs will be a welcome addition to standard medical treatment offered to cancer patients with treatment-induced menopause.Trial registrationThe study is retrospectively registered at ClinicalTrials.gov on January 26th 2016 (NCT02672189).

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Section: Methodsmentioning

confidence: 99%

Design of a randomized controlled trial of Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors

et al. 2016

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“…Social attitudes may in turn influence an individual woman's views about menopause, as well as her appraisal of VMS (Rendall, Simmons, & Hunter, 2008). We have found that negative beliefs and appraisals of VMS and behavioural avoidance (e.g., avoiding social situations) were significantly associated with more problematic VMS (Hunter, Ayers, & Smith, 2011;Rendall et al, 2008;Reynolds, 2000). The three main types of negative beliefs and appraisals of VMS are:…”

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confidence: 95%

Is cognitive behaviour therapy an effective option for women who have troublesome menopausal symptoms?

Hunter

Chilcot

2021

British J Health Psychol

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Hot flushes and night sweats, or vasomotor symptoms (VMS), are the main physical symptoms attributable to the menopause, affecting approximately 80% of women, and the main reason that women seek treatment (Guthrie, Dennerstein, Taffe, & Donnelly, 2003). Temperature regulation is affected by reducing levels of oestrogen and is associated with changes in central nervous system neurotransmitters, causing heat, sweating, redness and sometimes shivering, with varied duration and severity (Archer et al., 2011). An estimated 25-30% of women report problematic VMS (i.e., flushes that impact on daily life). Interestingly, it is the extent to which the VMS are perceived as problematic, rather than their frequency, that is associated with quality of life (QOL) and help-seeking behaviours Hunter, Nuttall, & Fenlon, 2019), which consequently is the main outcome that we seek to change.There are bi-directional relationships between VMS and mood, and both can lead to sleep problems and reduced QOL (Maki et al., 2019). Having persistent and/or troublesome VMS and sleep problems can make women feel stressed and irritable, which in turn can exacerbate menopausal symptoms. An estimated 9-10% of women report an increase in psychological symptoms, including depressed mood and/or anxiety, during the menopause transition (

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“…The Short Form Hot Flush Beliefs and Behaviours Scale (HFBBS) is a 16-item scale that includes items about beliefs and behaviours about hot flushes [ 19 ]. Subscales include: (i) beliefs about HF in social context (e.g.…”

Section: Methodsmentioning

confidence: 99%

MENOS4 trial: a multicentre randomised controlled trial (RCT) of a breast care nurse delivered cognitive behavioural therapy (CBT) intervention to reduce the impact of hot flushes in women with breast cancer: Study Protocol

et al. 2018

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BackgroundWomen who have been treated for breast cancer may identify vasomotor symptoms, such as hot flushes and night sweats (HFNS), as a serious problem. HFNS are unpleasant to experience and can have a significant impact on daily life, potentially leading to reduced adherence to life saving adjuvant hormonal therapy. It is known that Cognitive Behavioural Therapy (CBT) is effective for the alleviation of hot flushes in both well women and women who have had breast cancer. Most women with breast cancer will see a breast care nurse and there is evidence that nurses can be trained to deliver psychological treatments to a satisfactory level, whilst also maintaining treatment fidelity. The research team will assess whether breast care nurses can effectively deliver a CBT intervention to alleviate hot flushes in women with breast cancer.MethodsThis study is a multi-centre phase III individually randomised controlled trial of group CBT versus usual care to reduce the impact of hot flushes in women with breast cancer. 120–160 women with primary breast cancer experiencing seven or more problematic HFNS a week will be randomised to receive either treatment as usual (TAU) or participation in the group CBT intervention plus TAU (CBT Group).A process evaluation using May’s Normalisation Process Theory will be conducted, as well as practical and organisational issues relating to the implementation of the intervention. Fidelity of implementation of the intervention will be conducted by expert assessment. The cost effectiveness of the intervention will also be assessed.DiscussionThere is a need for studies that enable effective interventions to be implemented in practice. There is good evidence that CBT is helpful for women with breast cancer who experience HFNS, yet it is not widely available. It is not yet known whether the intervention can be effectively delivered by breast care nurses or implemented in practice. This study will provide information on both whether the intervention can effectively help women with hot flushes and whether and how it can be translated into routine clinical practice.Trial registrationISRCTN 12824632. Registered 25–01-2017.Electronic supplementary materialThe online version of this article (10.1186/s12905-018-0550-z) contains supplementary material, which is available to authorized users.

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The Hot Flush Behavior Scale

Abstract: Preliminary analysis of the HFBehS reveals it to be a psychometrically sound instrument. The HFBehS is grounded in women's experiences and can be used as a measure of behavioral reactions to HF/NS as well as enabling more rigorous evaluation of psychological interventions.

Cited by 29 publications

References 25 publications

Design of a randomized controlled trial of Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors

Design of a randomized controlled trial of Internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors

Is cognitive behaviour therapy an effective option for women who have troublesome menopausal symptoms?

MENOS4 trial: a multicentre randomised controlled trial (RCT) of a breast care nurse delivered cognitive behavioural therapy (CBT) intervention to reduce the impact of hot flushes in women with breast cancer: Study Protocol

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