Long-Term Effect of the Self-Management, Comprehensive Coping Strategy Program on Quality of Life in Patients with Advanced Breast Cancer Treated with High Dose Chemotherapy

2.50
Hdl Handle:
http://hdl.handle.net/10755/243493
Category:
Full-text
Type:
Presentation
Title:
Long-Term Effect of the Self-Management, Comprehensive Coping Strategy Program on Quality of Life in Patients with Advanced Breast Cancer Treated with High Dose Chemotherapy
Author(s):
Gaston-Johansson, Fannie
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Gaston-Johansson, Fannie, PhD, RN, FAAN, fannie@son.jhmi.edu;
Abstract:
Purpose: Due to treatment advances, women with breast cancer have improved survival rates.  Longer survival has created a need for coping interventions to assist stress reduction and long term symptoms and improve quality of life (QOL). Prior coping research has been conducted during treatment with one to two coping strategies rather than a comprehensive coping self-management approach. The purpose of this study was to determine differences between QOL in a Comprehensive Coping Strategy Program (CCSP) treated and control group of breast cancer patients one year after treatment. The significance is that the CCSP is expected to reduce stress and improves QOL.

Methods: This was a prospective, randomized, experimental study guided by Stress, Appraisal and Coping Theory. Breast cancer patients (n = 73; CCSP 38, control 35) scheduled for chemotherapy treatment were randomized to CCSP treatment or control group. The CCSP intervention (education, cognitive restructuring, coping skills enhancement, and relaxation/ imagery) was administered 2 weeks before admission and reinforced over 5 time points. Variables included QOL, psychological distress, coping strategies, and CCSP benefits. Data were collected at baseline and one year follow-up. Analyses examined descriptive statistics, correlations, hierarchical regression and used analysis of covariance.

Results: The CCSP group had significant improvement in overall QOL (p<.01), health and functioning (p<.05), socioeconomic (p<.05), and psychological/ spiritual well-being (p<.01) compared to control group. Patients used the CCSP to manage psychological (51%) and sleep problems (60%).

Conclusions: CCSP improved QOL for patients at one year follow-up. CCSP has potential as a self-management program for breast cancer survivors. The study represents one of the few controlled trials of a comprehensive breast cancer intervention to empower survivors when coping with symptoms and stress. Potential areas for research include customizing CCSP for caregivers affected by high levels of stress and health disparities populations, their co-morbidities, and disabilities.

 

Keywords:
Comprehensive Coping Strategy; Self-Management; Breast Cancer
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleLong-Term Effect of the Self-Management, Comprehensive Coping Strategy Program on Quality of Life in Patients with Advanced Breast Cancer Treated with High Dose Chemotherapyen
dc.contributor.authorGaston-Johansson, Fannieen
dc.contributor.departmentNu Betaen
dc.author.detailsGaston-Johansson, Fannie, PhD, RN, FAAN, fannie@son.jhmi.edu;en
dc.identifier.urihttp://hdl.handle.net/10755/243493-
dc.description.abstract<b>Purpose: </b> Due to treatment advances, women with breast cancer have improved survival rates.&nbsp; Longer survival has created a need for coping interventions to assist stress reduction and long term symptoms and improve quality of life (QOL). Prior coping research has been conducted during treatment with one to two coping strategies rather than a comprehensive coping self-management approach. The purpose of this study was to determine differences between QOL in a Comprehensive Coping Strategy Program (CCSP) treated and control group of breast cancer patients one year after treatment. The significance is that the CCSP is expected to reduce stress and improves QOL. <p><b>Methods: </b> This was a prospective, randomized, experimental study guided by Stress, Appraisal and Coping Theory. Breast cancer patients (n = 73; CCSP 38, control 35) scheduled for chemotherapy treatment were randomized to CCSP treatment or control group. The CCSP intervention (education, cognitive restructuring, coping skills enhancement, and relaxation/ imagery) was administered 2 weeks before admission and reinforced over 5 time points. Variables included QOL, psychological distress, coping strategies, and CCSP benefits. Data were collected at baseline and one year follow-up. Analyses examined descriptive statistics, correlations, hierarchical regression and used analysis of covariance. <p><b>Results: </b> The CCSP group had significant improvement in overall QOL (p&lt;.01), health and functioning (p&lt;.05), socioeconomic (p&lt;.05), and psychological/ spiritual well-being (p&lt;.01) compared to control group. Patients used the CCSP to manage psychological (51%) and sleep problems (60%). <p><b>Conclusions: </b> CCSP improved QOL for patients at one year follow-up. CCSP has potential as a self-management program for breast cancer survivors. The study represents one of the few controlled trials of a comprehensive breast cancer intervention to empower survivors when coping with symptoms and stress. Potential areas for research include customizing CCSP for caregivers affected by high levels of stress and health disparities populations, their co-morbidities, and disabilities. <p>&nbsp;en
dc.subjectComprehensive Coping Strategyen
dc.subjectSelf-Managementen
dc.subjectBreast Canceren
dc.date.available2012-09-12T09:23:02Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:23:02Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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