2.50
Hdl Handle:
http://hdl.handle.net/10755/164661
Category:
Abstract
Type:
Presentation
Title:
OLDER BREAST CANCER SURVIVORS: AN INDIVIDUALIZED INTERVENTION
Author(s):
Heidrich, Susan; Egan, Judith; Hengudomsub, Pornpat; Brown, Roger; Ward, Sandra
Author Details:
Susan Heidrich, PhD, RN, University of Wisconsin, Madison, Wisconsin, USA; Judith Egan, RN, MS; Pornpat Hengudomsub, RN, MS; Roger Brown, PhD; Sandra Ward, PhD, RN, FAAN
Abstract:
Breast cancer is an age-related illness. Multiple symptoms--whether due to cancer, its treatment, other chronic conditions, and age-related changes in physical functioning--are the norm in older women with breast cancer. Yet, symptom intervention research has focused on single symptoms and has neglected age-related symptoms and comorbidities common in older breast cancer survivors. We are testing a theory–based intervention that directly addresses the multiple symptom experience of older breast cancer survivors. The primary aim of this research was to test the feasibility and short-term effects on symptom distress and quality of life of an individualized representational intervention for symptom management (IRIS) in older (>64 years) breast cancer survivors. The intervention is theoretically based in Donovan & Ward’s representational approach to patient education. IRIS is a counseling interview in which symptom representations are assessed, barriers based on misconceptions addressed, and symptom management strategies developed. Women (N = 41, mean age = 72, age range = 65 - 86), at least one year post diagnosis of breast cancer, were recruited from an oncology clinic and the community. Women reported an average of 3.5 comorbid conditions and 17 symptoms. Women were randomized to the intervention (IRIS, n = 21) or usual care (control, n = 20) groups and measured at baseline, post-test and six and ten weeks post intervention. Outcome variables were symptom distress (number, severity), quality of life (SF-36, depression, anxiety, purpose in life), and symptom management beliefs. All measures demonstrated adequate internal consistency and construct validity in this and previous studies. Compared to controls, women in the intervention group had significantly more decrease in symptom distress at eight and ten weeks post-intervention, initiated more symptom management strategies, and perceived these strategies as effective. There were no quality of life differences. Individualized representational interventions show promise in improving self care of symptoms in older breast cancer survivors. A larger, randomized controlled trial is needed to test efficacy and durability of the intervention. If efficacious, a representational approach to patient education could be adapted for use in practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
30th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Orlando, Florida, USA
Sponsors:
Funding Sources: NIH/NINR R55 NR07741.
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.titleOLDER BREAST CANCER SURVIVORS: AN INDIVIDUALIZED INTERVENTIONen_GB
dc.contributor.authorHeidrich, Susanen_US
dc.contributor.authorEgan, Judithen_US
dc.contributor.authorHengudomsub, Pornpaten_US
dc.contributor.authorBrown, Rogeren_US
dc.contributor.authorWard, Sandraen_US
dc.author.detailsSusan Heidrich, PhD, RN, University of Wisconsin, Madison, Wisconsin, USA; Judith Egan, RN, MS; Pornpat Hengudomsub, RN, MS; Roger Brown, PhD; Sandra Ward, PhD, RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/164661-
dc.description.abstractBreast cancer is an age-related illness. Multiple symptoms--whether due to cancer, its treatment, other chronic conditions, and age-related changes in physical functioning--are the norm in older women with breast cancer. Yet, symptom intervention research has focused on single symptoms and has neglected age-related symptoms and comorbidities common in older breast cancer survivors. We are testing a theory–based intervention that directly addresses the multiple symptom experience of older breast cancer survivors. The primary aim of this research was to test the feasibility and short-term effects on symptom distress and quality of life of an individualized representational intervention for symptom management (IRIS) in older (>64 years) breast cancer survivors. The intervention is theoretically based in Donovan & Ward’s representational approach to patient education. IRIS is a counseling interview in which symptom representations are assessed, barriers based on misconceptions addressed, and symptom management strategies developed. Women (N = 41, mean age = 72, age range = 65 - 86), at least one year post diagnosis of breast cancer, were recruited from an oncology clinic and the community. Women reported an average of 3.5 comorbid conditions and 17 symptoms. Women were randomized to the intervention (IRIS, n = 21) or usual care (control, n = 20) groups and measured at baseline, post-test and six and ten weeks post intervention. Outcome variables were symptom distress (number, severity), quality of life (SF-36, depression, anxiety, purpose in life), and symptom management beliefs. All measures demonstrated adequate internal consistency and construct validity in this and previous studies. Compared to controls, women in the intervention group had significantly more decrease in symptom distress at eight and ten weeks post-intervention, initiated more symptom management strategies, and perceived these strategies as effective. There were no quality of life differences. Individualized representational interventions show promise in improving self care of symptoms in older breast cancer survivors. A larger, randomized controlled trial is needed to test efficacy and durability of the intervention. If efficacious, a representational approach to patient education could be adapted for use in practice.en_GB
dc.date.available2011-10-27T12:04:44Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:04:44Z-
dc.conference.date2005en_US
dc.conference.name30th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.description.sponsorshipFunding Sources: NIH/NINR R55 NR07741.-
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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