2.50
Hdl Handle:
http://hdl.handle.net/10755/165305
Category:
Abstract
Type:
Presentation
Title:
CHALLENGES IN DELIVERING A MANUALIZED INTERVENTION IN THE HOME ENVIRONMENT
Author(s):
Shands, Mary; Hannahan, Anne; Wagler Ziner, Kim; Farmer, Terri
Author Details:
Mary Shands, RN, MN, University of Washington, School of Nursing, Seattle, Washington, USA; Anne Hannahan, RN, MA, LP; Kim Wagler Ziner, RN, MSN; Terri Farmer, PhD (C), RN
Abstract:
The purpose of the presentation is to describe the areas in which interventionists experienced challenges delivering the manualized intervention in the home environment to help mother's with breast cancer support their children. Psychosocial intervention research with families must address the dynamic processes that arise during interactions between the interventionists and the participants. Manualized interventions using fully scripted text can ensure that intervention content is delivered consistently and appropriately to research participants no matter what the setting or who is delivering the intervention. However, such interventions can be a challenge for professional nurses, because they have only a small amount of discretion in the delivery of the intervention. Interventionists in six U.S. states have been trained to deliver a five session manualized intervention targeted at assisting mothers with early stage breast cancer to support their school age children. Sessions focused on helping mothers to sharpen their skills in communicating with their children about the breast cancer; draw out the child's feelings and concerns; and decrease the child's stress related to the breast cancer. All sessions were delivered in the mother's home at a time convenient for her. To date, 162 families have been accrued, 82 have been randomized to the intervention arm, and 62 have completed all 5 intervention sessions. Interventionists engaged in this project have discussed the challenges of intervention delivery during trainings and conference calls and have identified specific strategies for addressing these challenges. Challenges were categorized as: logistical coordination of delivering the intervention in the families' homes; external influences in the home setting; delivering personalized intervention within the boundaries of protocol. Examplars of particular challenges within each area will be presented along with the actions taken to manage the challenges. Elucidation of the challenges encountered by the interventionists can facilitate the planning of future research and intervention delivery for families living with breast cancer as well as inform oncology nurses who seek to provide evidence based care.
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: National Cancer Institute, NIH.
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.titleCHALLENGES IN DELIVERING A MANUALIZED INTERVENTION IN THE HOME ENVIRONMENTen_GB
dc.contributor.authorShands, Maryen_US
dc.contributor.authorHannahan, Anneen_US
dc.contributor.authorWagler Ziner, Kimen_US
dc.contributor.authorFarmer, Terrien_US
dc.author.detailsMary Shands, RN, MN, University of Washington, School of Nursing, Seattle, Washington, USA; Anne Hannahan, RN, MA, LP; Kim Wagler Ziner, RN, MSN; Terri Farmer, PhD (C), RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165305-
dc.description.abstractThe purpose of the presentation is to describe the areas in which interventionists experienced challenges delivering the manualized intervention in the home environment to help mother's with breast cancer support their children. Psychosocial intervention research with families must address the dynamic processes that arise during interactions between the interventionists and the participants. Manualized interventions using fully scripted text can ensure that intervention content is delivered consistently and appropriately to research participants no matter what the setting or who is delivering the intervention. However, such interventions can be a challenge for professional nurses, because they have only a small amount of discretion in the delivery of the intervention. Interventionists in six U.S. states have been trained to deliver a five session manualized intervention targeted at assisting mothers with early stage breast cancer to support their school age children. Sessions focused on helping mothers to sharpen their skills in communicating with their children about the breast cancer; draw out the child's feelings and concerns; and decrease the child's stress related to the breast cancer. All sessions were delivered in the mother's home at a time convenient for her. To date, 162 families have been accrued, 82 have been randomized to the intervention arm, and 62 have completed all 5 intervention sessions. Interventionists engaged in this project have discussed the challenges of intervention delivery during trainings and conference calls and have identified specific strategies for addressing these challenges. Challenges were categorized as: logistical coordination of delivering the intervention in the families' homes; external influences in the home setting; delivering personalized intervention within the boundaries of protocol. Examplars of particular challenges within each area will be presented along with the actions taken to manage the challenges. Elucidation of the challenges encountered by the interventionists can facilitate the planning of future research and intervention delivery for families living with breast cancer as well as inform oncology nurses who seek to provide evidence based care.en_GB
dc.date.available2011-10-27T12:16:09Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:16:09Z-
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: National Cancer Institute, NIH.-
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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