2.50
Hdl Handle:
http://hdl.handle.net/10755/162118
Category:
Abstract
Type:
Presentation
Title:
Breast Cancer Survivors' Practice of Lymphedema Risk Reduction Behaviors
Author(s):
Fu, Mei R.; Beal, Judy A.; Haber, Judith
Author Details:
Mei R. Fu, PhD, RN, CNS, New York University, New York, New York, USA, email: mf67@nyu.edu; Judy A. Beal, DNSc, RN, Simmons College; Judith Haber
Abstract:
Purpose: To develop and pilot test an instrument assessing breast cancer survivors' practice of lymphedema risk reduction behaviors, "Reducing the Risk of Lymphedema: Behavior Scale, (RRLEBS)." Theoretical Framework: Annually, at least 157,000 breast cancer survivors will be affected by lymphedema, limb swelling. Lymphedema is one of the most distressful sequela from cancer treatment. Besides the definite risk from treatment, survivors are also open to other contributing factors, such as weight gain, infection, injury/trauma, insect bites, over use of the affected limb, heavy lifting, and traveling by airplane. The American Cancer Society, National Cancer Institute, and National Lymphedema Network have each published guidelines that encourage survivors to practice certain behaviors to reduce risk from such contributing factors. However, lack of instrument assessing survivors' practice of the behaviors has hindered our progress in identifying and developing effective behavioral strategies. The lifetime risk makes it extremely important to develop an instrument assessing survivors' practice of the behaviors. Methods (Design, Sample, Setting, Measures, Analysis): A two-phase study was conducted. In Phase I, ten experts from five disciplines and six patient experts determined, reviewed and revised the RRLEBS for clarity, simplicity of format, and complete coverage of the domain. In Phase II, a cross-sectional and contrasted-group pilot testing was conducted to estimate reliability and validity of the instrument. The RRLEBS was administered to a convenient sample of 20 breast cancer survivors with or without lymphedema from a metropolitan cancer center and community-base breast cancer support groups. Results: RRLEBS consists of 28 items assessing the presence of contributing factors and implementation of eighteen behaviors. Content validity indexes for each item range from 0.99-1.00. Reliability was supported by acceptable a Cronbach's alpha for internal consistency and construct validity by significant difference between the groups. Conclusions and Implications: The initial testing of RRLEBS demonstrates acceptable reliability and validity. Future study with larger sample is needed to establish further reliability and validity.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBreast Cancer Survivors' Practice of Lymphedema Risk Reduction Behaviorsen_GB
dc.contributor.authorFu, Mei R.en_US
dc.contributor.authorBeal, Judy A.en_US
dc.contributor.authorHaber, Judithen_US
dc.author.detailsMei R. Fu, PhD, RN, CNS, New York University, New York, New York, USA, email: mf67@nyu.edu; Judy A. Beal, DNSc, RN, Simmons College; Judith Haberen_US
dc.identifier.urihttp://hdl.handle.net/10755/162118-
dc.description.abstractPurpose: To develop and pilot test an instrument assessing breast cancer survivors' practice of lymphedema risk reduction behaviors, "Reducing the Risk of Lymphedema: Behavior Scale, (RRLEBS)." Theoretical Framework: Annually, at least 157,000 breast cancer survivors will be affected by lymphedema, limb swelling. Lymphedema is one of the most distressful sequela from cancer treatment. Besides the definite risk from treatment, survivors are also open to other contributing factors, such as weight gain, infection, injury/trauma, insect bites, over use of the affected limb, heavy lifting, and traveling by airplane. The American Cancer Society, National Cancer Institute, and National Lymphedema Network have each published guidelines that encourage survivors to practice certain behaviors to reduce risk from such contributing factors. However, lack of instrument assessing survivors' practice of the behaviors has hindered our progress in identifying and developing effective behavioral strategies. The lifetime risk makes it extremely important to develop an instrument assessing survivors' practice of the behaviors. Methods (Design, Sample, Setting, Measures, Analysis): A two-phase study was conducted. In Phase I, ten experts from five disciplines and six patient experts determined, reviewed and revised the RRLEBS for clarity, simplicity of format, and complete coverage of the domain. In Phase II, a cross-sectional and contrasted-group pilot testing was conducted to estimate reliability and validity of the instrument. The RRLEBS was administered to a convenient sample of 20 breast cancer survivors with or without lymphedema from a metropolitan cancer center and community-base breast cancer support groups. Results: RRLEBS consists of 28 items assessing the presence of contributing factors and implementation of eighteen behaviors. Content validity indexes for each item range from 0.99-1.00. Reliability was supported by acceptable a Cronbach's alpha for internal consistency and construct validity by significant difference between the groups. Conclusions and Implications: The initial testing of RRLEBS demonstrates acceptable reliability and validity. Future study with larger sample is needed to establish further reliability and validity.en_GB
dc.date.available2011-10-27T11:01:10Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:01:10Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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