The Role of Optimal Healing Environments in Patients Undergoing Cancer Treatment: Clinical Research Protocol Guidelines

Block, Keith I.; Block, Penny B.; Gyllenhaal, Charlotte

doi:10.1089/acm.2004.10.s-157

Cited by 12 publications

(12 citation statements)

References 56 publications

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“…[16][17][18] Internationally, there is increasing evaluation of the shortterm outcomes of the models of supportive and integrative oncology. [19][20][21][22][23][24][25][26][27] Few of these evaluations, however, extend to understand the outcomes and experiences of clients and patients over an extended period, such as 1 year or more, or the longer-term implications once they have stopped using these services. It is also of note that the design of a service evaluation is different to that of a traditional controlled study.…”

Section: Introductionmentioning

confidence: 99%

Using a Whole Person Approach to Support People With Cancer

et al. 2016

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Introduction. Improved models of care are needed to meet all the support needs of people with cancer, which encompass psychological, emotional, physical, spiritual, sexual, occupational, social and existential needs. The aim of this article is to (a) evaluate short- and long-term impacts of using a whole person approach to support people with cancer on the Living Well with the Impact of Cancer Course (LWC) and (b) use these data to inform strategic decisions about future service provision at Penny Brohn UK. Methods. Longitudinal mixed-methods service evaluation (n = 135). Data collected included health-related quality of life (HRQoL) (FACIT-SpEx); Concerns (types and severity–MYCaW); lifestyle behavior (bespoke questionnaire), and participants’ experiences over 12 months postcourse. Results. Statistically and clinically significant improvements from baseline to 12 months in severity of MYCaW Concerns (n = 64; P < .000) and mean total HRQoL (n = 66; P < .000). The majority of MYCaW concerns were “psychological and emotional” and about participants’ well-being. Spiritual, emotional, and functional well-being contributed most to HRQoL improvements at 12 months. Barriers to maintaining healthy lifestyle changes included lack of support from family and friends, time constraints, and returning to work. Three to 6 months postcourse was identified as the time when more support was most likely to be needed. Conclusions. Using a whole person approach for the LWC enabled the needs of participants to be met, and statistically and clinically significant improvements in HRQoL and MYCaW Concerns were reported. Qualitative data analysis explored how experiencing whole person support enabled participants to make and sustain healthy lifestyle changes associated with improved survivorship. Barriers experienced to making health behavior change were also identified. These data then informed wider and more person-centered clinical provision to increase the maintenance of positive long-term behavior changes. Comparison of whole person approaches to cancer treatment and support and standard care are now urgently needed.

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Section: Introductionmentioning

confidence: 99%

Using a Whole Person Approach to Support People With Cancer

et al. 2016

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“…Employers and practitioners must work with key stakeholders to discuss how they will redefine practice parameters based on the preferred model of integration and establish inter-professional boundaries within regulatory parameters. When developing their practice model, team members must give careful thought to the benefits of coordinating conventional medicine and CAM throughout the healing process versus merging the two, which puts CAM traditions at risk ( Meenan and Vuckovic, 2003 ; Block et al 2004 ).…”

Section: Discussionmentioning

confidence: 99%

A Model for Implementing Integrative Practice in Health Care Agencies

Patterson

Arthur

2008

Integr Med�Insights

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Over the last few years, there has been increased awareness and use of complementary/alternative therapies (CAM) in many countries without the health care infrastructure to support it. The National Centre for Complementary and Alternative Medicine referred to the combining of mainstream medical therapies and CAM as integrative medicine. The creation of integrative health care teams will definitely result in redefining roles, but more importantly in a change in how services are delivered. The purpose of this paper is to describe a model of the necessary health care agency resources to support an integrative practice model. A logic model is used to depict the findings of a review of current evidence. Logic models are designed to show relationships between the goals of a program or initiative, the resources to achieve desired outputs and the activities that lead to outcomes. The four major resource categories necessary for implementing integrative care are within the domains of a) professional and research development, b) health human resource planning, c) regulation and legislation and d) practice and management in clinical areas. It was concluded that the system outcomes from activities within these resource categories should lead to freedom of choice in health care; a culturally sensitive health care system and a broader spectrum of services for achieving public health goals.

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“…In order to plan the activities of TPE, all health professionals should revise their medical, pedagogical and psychological notions (Block et al . 2004; Schofield & Butow 2004).…”

Section: Educational Approaches In Oncologymentioning

confidence: 99%

Therapeutic patient education in oncology: pedagogical notions for women's health and prevention

et al. 2007

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Therapeutic patient education in oncology: pedagogical notions for women's health and preventionTherapeutic patient education has been defined by the World Health Organization as a comprehensive approach to support patients and their families to better understanding of their diseases. In oncology, the contribution of therapeutic education may enable the patients to have adequate information of the illness, to actively participate in the management of the disease, to understand how to live with the illness, to learn how to face the critical moments of the clinical course, and to live in harmony with all health professionals. In addition, there may be several advantages for health professionals: a reduction in emotional labour, increased professional satisfaction, and a reduction in the potential tensions and conflicts with patients and their relatives. We suggest that therapeutic patient education in oncology may be useful for both patients and health professionals and probably lead to a reduction in the costs of healthcare delivery.

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The Role of Optimal Healing Environments in Patients Undergoing Cancer Treatment: Clinical Research Protocol Guidelines

Cited by 12 publications

References 56 publications

Using a Whole Person Approach to Support People With Cancer

Using a Whole Person Approach to Support People With Cancer

A Model for Implementing Integrative Practice in Health Care Agencies

Therapeutic patient education in oncology: pedagogical notions for women's health and prevention

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