Telephone Counseling with Women with Breast Cancer and Partners: Telephone Counseling and Exercise for QOL in Women with Breast Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/157965
Type:
Presentation
Title:
Telephone Counseling with Women with Breast Cancer and Partners: Telephone Counseling and Exercise for QOL in Women with Breast Cancer
Abstract:
Telephone Counseling with Women with Breast Cancer and Partners: Telephone Counseling and Exercise for QOL in Women with Breast Cancer
Conference Sponsor:Western Institute of Nursing
Conference Year:2005
Author:Meek, Paula, PhD, RN, FAAN
P.I. Institution Name:University of New Mexico, College of Nursing MSC09 5350
Title:Professor
Contact Address:1 University of New Mexico, Albuquerque, NM, 87131-0001, USA
Contact Telephone:505-272-0852
Co-Authors:Terry Badger, Chris Segrin, Donna McArthur, Ana Maria Lopez, Elizabeth Bonham, Amelia Sieger
Purpose: The purpose of this paper is to discuss the differences in depression, positive and negative affect, stress, symptom distress, symptom management, fatigue and relationship satisfaction for women with breast cancer assigned to either 1) a 6-week telephone interpersonal counseling intervention (TIP-C), 2) a 6-week exercise intervention (SEP), or 3) a 6 week attentional usual care control intervention (UC). Rationale: Over 200,000 women will be diagnosed with breast cancer this year, and a significant number will experience distressing psychological and physical symptoms that will impact their recovery and QOL. Evidence suggests that psychosocial interventions can improve women's abilities to manage symptoms and QOL, however only a small fraction use such interventions. It is critical that new methods of delivery of psychosocial interventions be examined. Method: This study used a repeated measures experimental design, with women matched by stage and treatment. Measurement occurred at baseline (T1), at the end of the 6 week intervention (T2) and one month after T2. The sample consists of 87 middle-aged women and their partners. Most were married, college educated and employed. The majority was stage II and receiving adjuvant therapy. Results: Individual regression analysis was used to capture the rate and direction of change for each subject in a single variable, the slope. The slopes were used to examine differences between groups. The preliminary findings for 8 matched trios (n=24) are presented here, but analysis of a larger sample will be presented at the conference. Based on these initial findings, depression decreased more in the TIP-C group than either SEP or UC; the effect size was medium. Positive affect increased, and negative affect and stress decreased significantly in the TIP-C group, with a medium effect size. Physical fatigue decreased in the TIP-C with the SEP group remaining stable. Mental fatigue decreased in the SEP group, but not the TIP-C group. Implications: These findings provide support that both the counseling and exercise interventions were effective in symptom management and improving QOL. In particular these interventions are a cost effective and efficacious means of managing the negative affective symptoms and fatigue that afflict people with breast cancer.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTelephone Counseling with Women with Breast Cancer and Partners: Telephone Counseling and Exercise for QOL in Women with Breast Canceren_GB
dc.identifier.urihttp://hdl.handle.net/10755/157965-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Telephone Counseling with Women with Breast Cancer and Partners: Telephone Counseling and Exercise for QOL in Women with Breast Cancer</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Meek, Paula, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Mexico, College of Nursing MSC09 5350</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1 University of New Mexico, Albuquerque, NM, 87131-0001, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">505-272-0852</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pmeek@salud.unm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Terry Badger, Chris Segrin, Donna McArthur, Ana Maria Lopez, Elizabeth Bonham, Amelia Sieger</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this paper is to discuss the differences in depression, positive and negative affect, stress, symptom distress, symptom management, fatigue and relationship satisfaction for women with breast cancer assigned to either 1) a 6-week telephone interpersonal counseling intervention (TIP-C), 2) a 6-week exercise intervention (SEP), or 3) a 6 week attentional usual care control intervention (UC). Rationale: Over 200,000 women will be diagnosed with breast cancer this year, and a significant number will experience distressing psychological and physical symptoms that will impact their recovery and QOL. Evidence suggests that psychosocial interventions can improve women's abilities to manage symptoms and QOL, however only a small fraction use such interventions. It is critical that new methods of delivery of psychosocial interventions be examined. Method: This study used a repeated measures experimental design, with women matched by stage and treatment. Measurement occurred at baseline (T1), at the end of the 6 week intervention (T2) and one month after T2. The sample consists of 87 middle-aged women and their partners. Most were married, college educated and employed. The majority was stage II and receiving adjuvant therapy. Results: Individual regression analysis was used to capture the rate and direction of change for each subject in a single variable, the slope. The slopes were used to examine differences between groups. The preliminary findings for 8 matched trios (n=24) are presented here, but analysis of a larger sample will be presented at the conference. Based on these initial findings, depression decreased more in the TIP-C group than either SEP or UC; the effect size was medium. Positive affect increased, and negative affect and stress decreased significantly in the TIP-C group, with a medium effect size. Physical fatigue decreased in the TIP-C with the SEP group remaining stable. Mental fatigue decreased in the SEP group, but not the TIP-C group. Implications: These findings provide support that both the counseling and exercise interventions were effective in symptom management and improving QOL. In particular these interventions are a cost effective and efficacious means of managing the negative affective symptoms and fatigue that afflict people with breast cancer.</td></tr></table>en_GB
dc.date.available2011-10-26T20:22:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:22:36Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.