MIXED METHOD EVALUATION OF A LIVING WITH HOPE PROGRAM FOR OLDER TERMINALLY ILL CANCER PATIENTS

2.50
Hdl Handle:
http://hdl.handle.net/10755/165382
Category:
Abstract
Type:
Presentation
Title:
MIXED METHOD EVALUATION OF A LIVING WITH HOPE PROGRAM FOR OLDER TERMINALLY ILL CANCER PATIENTS
Author(s):
Duggleby, Wendy; Degner, Lesley; Williams, Allison; Wright, Karen; Cooper, Dan; Popkin, David; Holtslander, Lorraine
Author Details:
Wendy Duggleby, DSN, RN, AOCN, Associate Professor, University of Saskatchewan, Saskatoon, Saskatchewan, Canada, email: wendy.duggleby@usask.ca; Lesley Degner, Allison Williams, Karen Wright, Dan Cooper, David Popkin, and Lorraine Holtslander
Abstract:
Topic: Terminally ill cancer patients endure and cope with their psychosocial pain by maintaining hope. The research team developed a theory-driven intervention, the Living with Hope Program (LWHP), to foster hope and increase quality of life for older terminally ill cancer patients living at home. Purpose: The overall purpose of the proposed study is to evaluate the effectiveness of the LWHP in increasing hope and quality of life for older adult community-living terminally ill cancer patients. Psychosocial research of community living older adults is an ONS research priority. Framework: Duggleby and Wright's (2005) theory of "Transforming Hope" was used to develop the intervention and was the framework for this study. Methods: Using a mixed method concurrent nested experimental design 60 terminally ill cancer patients over the age of 60 years were randomly assigned to a treatment and control group. Baseline hope [Herth Hope Index (HHI)] and quality of life scores [McGill Quality of Life Questionnaire, (MQOL)] were collected at the first visit in the patients' homes by a trained research assistant. Those in the treatment group received the LWHP that includes viewing an international award winning video on hope and choosing one of three hope exercises to work on over a one-week period. The control group received standard care. Data was collected one week later from both groups using the HHI and MQOL. Qualitative data using open-ended hope questions were collected from the treatment group. Data Analysis; Qualitative data was analyzed using thematic analysis. To determine differences between groups, linear regression modeling was used with baseline HHI and MQOL as covariates. Findings: Subjects receiving the Living with Hope Program had statistically significant higher hope (df=3, F=30.087, p=.000) and quality of life scores at visit two (df=3, F=9.022, p=.000) than those in the control group. Qualitative data confirmed this finding with the majority (61.5%) of subjects in the treatment group reporting the LWHP increased their hope. This preliminary evaluation of the effectiveness of the LWHP suggests that it may increase hope and quality of life for older terminally ill cancer patients at home.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, USA
Sponsors:
Funding Sources: Saskatchewan Health Research Foundation Establishment Grant.
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.titleMIXED METHOD EVALUATION OF A LIVING WITH HOPE PROGRAM FOR OLDER TERMINALLY ILL CANCER PATIENTSen_GB
dc.contributor.authorDuggleby, Wendyen_US
dc.contributor.authorDegner, Lesleyen_US
dc.contributor.authorWilliams, Allisonen_US
dc.contributor.authorWright, Karenen_US
dc.contributor.authorCooper, Danen_US
dc.contributor.authorPopkin, Daviden_US
dc.contributor.authorHoltslander, Lorraineen_US
dc.author.detailsWendy Duggleby, DSN, RN, AOCN, Associate Professor, University of Saskatchewan, Saskatoon, Saskatchewan, Canada, email: wendy.duggleby@usask.ca; Lesley Degner, Allison Williams, Karen Wright, Dan Cooper, David Popkin, and Lorraine Holtslanderen_US
dc.identifier.urihttp://hdl.handle.net/10755/165382-
dc.description.abstractTopic: Terminally ill cancer patients endure and cope with their psychosocial pain by maintaining hope. The research team developed a theory-driven intervention, the Living with Hope Program (LWHP), to foster hope and increase quality of life for older terminally ill cancer patients living at home. Purpose: The overall purpose of the proposed study is to evaluate the effectiveness of the LWHP in increasing hope and quality of life for older adult community-living terminally ill cancer patients. Psychosocial research of community living older adults is an ONS research priority. Framework: Duggleby and Wright's (2005) theory of "Transforming Hope" was used to develop the intervention and was the framework for this study. Methods: Using a mixed method concurrent nested experimental design 60 terminally ill cancer patients over the age of 60 years were randomly assigned to a treatment and control group. Baseline hope [Herth Hope Index (HHI)] and quality of life scores [McGill Quality of Life Questionnaire, (MQOL)] were collected at the first visit in the patients' homes by a trained research assistant. Those in the treatment group received the LWHP that includes viewing an international award winning video on hope and choosing one of three hope exercises to work on over a one-week period. The control group received standard care. Data was collected one week later from both groups using the HHI and MQOL. Qualitative data using open-ended hope questions were collected from the treatment group. Data Analysis; Qualitative data was analyzed using thematic analysis. To determine differences between groups, linear regression modeling was used with baseline HHI and MQOL as covariates. Findings: Subjects receiving the Living with Hope Program had statistically significant higher hope (df=3, F=30.087, p=.000) and quality of life scores at visit two (df=3, F=9.022, p=.000) than those in the control group. Qualitative data confirmed this finding with the majority (61.5%) of subjects in the treatment group reporting the LWHP increased their hope. This preliminary evaluation of the effectiveness of the LWHP suggests that it may increase hope and quality of life for older terminally ill cancer patients at home.en_GB
dc.date.available2011-10-27T12:17:32Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:17:32Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, USAen_US
dc.description.sponsorshipFunding Sources: Saskatchewan Health Research Foundation Establishment Grant.-
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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