A Targeted Breast Cancer Education Intervention (BCEI) for Breast Cancer Survivors: An Interim Analysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/165334
Category:
Abstract
Type:
Presentation
Title:
A Targeted Breast Cancer Education Intervention (BCEI) for Breast Cancer Survivors: An Interim Analysis
Author(s):
Hassey-Dow, K.; Loerzel, V.; Zhang, Y.; McNees, P.
Author Details:
K. Hassey-Dow, University of Central Florida, Orlando, Florida, USA; V. Loerzel; Y. Zhang; P. McNees
Abstract:
Targeted psychoeducational interventions are known to maintain or improve quality of life during treatment for cancer. Purpose: This research study seeks to determine whether targeted psychoeducational interventions are effective in maintaining or improving quality of life in breast cancer survivors within the first year after treatment, a time considered high risk for poor quality of life. Theoretical/Scientific Framework: The intervention is based on a multidimensional quality of life framework targeting high incidence symptoms for psychoeducational intervention: physical (pain, lymphedema, fatigue, menopausal symptoms), psychological (anxiety, depression, fear of recurrence), social (sexuality) and spiritual (meaning in illness). Methods: This randomized clinical trial tests the impact of targeted psychoeducational interventions, collectively called the Breast Cancer Education Intervention (BCEI), among 250 breast cancer survivors. For the Intervention Group, the BCEI consists of three weekly psychoeducational intervention visits with an Advanced Practice Nurse (APN) followed by monthly follow-up for six months. The Wait Control (WC) Group receives usual care with monthly attention control and the BCEI delivered at the end of six months. This paper reports on the first 100 subjects with completed data. QOL assessment occurred at baseline, 3 months, and 6 months. Data Analysis: Generalized estimating equations (GEE) model based on Liang and Zeger (1986) was selected for longitudinal data analysis because this statistical model accounts for intra-subject correlations among repeated measurement of the same subject over time. Baseline demographics shows no significant differences between the two groups with exception that intervention subjects were married or living with partner (p<0.05). QOL scores were calculated at baseline, three months, and six months. Findings and Implications: Preliminary findings show that the BCEI was effective in improving QOL in the Intervention Group at three months compared with the WC Group. WC reported marked increase in fatigue, pain, and anxiety at three months. In addition, BCEI intervention effects on overall Physical QOL were retained from baseline to the end of six months. Findings suggest that breast cancer survivor’s benefit from targeted psychoeducational intervention rather than general symptom information within the first year after treatment. Implications for restructuring general symptom management to targeted interventions are indicated.
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
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.titleA Targeted Breast Cancer Education Intervention (BCEI) for Breast Cancer Survivors: An Interim Analysisen_GB
dc.contributor.authorHassey-Dow, K.en_US
dc.contributor.authorLoerzel, V.en_US
dc.contributor.authorZhang, Y.en_US
dc.contributor.authorMcNees, P.en_US
dc.author.detailsK. Hassey-Dow, University of Central Florida, Orlando, Florida, USA; V. Loerzel; Y. Zhang; P. McNeesen_US
dc.identifier.urihttp://hdl.handle.net/10755/165334-
dc.description.abstractTargeted psychoeducational interventions are known to maintain or improve quality of life during treatment for cancer. Purpose: This research study seeks to determine whether targeted psychoeducational interventions are effective in maintaining or improving quality of life in breast cancer survivors within the first year after treatment, a time considered high risk for poor quality of life. Theoretical/Scientific Framework: The intervention is based on a multidimensional quality of life framework targeting high incidence symptoms for psychoeducational intervention: physical (pain, lymphedema, fatigue, menopausal symptoms), psychological (anxiety, depression, fear of recurrence), social (sexuality) and spiritual (meaning in illness). Methods: This randomized clinical trial tests the impact of targeted psychoeducational interventions, collectively called the Breast Cancer Education Intervention (BCEI), among 250 breast cancer survivors. For the Intervention Group, the BCEI consists of three weekly psychoeducational intervention visits with an Advanced Practice Nurse (APN) followed by monthly follow-up for six months. The Wait Control (WC) Group receives usual care with monthly attention control and the BCEI delivered at the end of six months. This paper reports on the first 100 subjects with completed data. QOL assessment occurred at baseline, 3 months, and 6 months. Data Analysis: Generalized estimating equations (GEE) model based on Liang and Zeger (1986) was selected for longitudinal data analysis because this statistical model accounts for intra-subject correlations among repeated measurement of the same subject over time. Baseline demographics shows no significant differences between the two groups with exception that intervention subjects were married or living with partner (p&lt;0.05). QOL scores were calculated at baseline, three months, and six months. Findings and Implications: Preliminary findings show that the BCEI was effective in improving QOL in the Intervention Group at three months compared with the WC Group. WC reported marked increase in fatigue, pain, and anxiety at three months. In addition, BCEI intervention effects on overall Physical QOL were retained from baseline to the end of six months. Findings suggest that breast cancer survivor&rsquo;s benefit from targeted psychoeducational intervention rather than general symptom information within the first year after treatment. Implications for restructuring general symptom management to targeted interventions are indicated.en_GB
dc.date.available2011-10-27T12:16:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:16:40Z-
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.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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