patient self-management programme for breast cancer

Siew Yim Loh, Tanya Packer, Karuthan Chinna, Kia Fatt Quek

Overview

patient self-management programme for breast cancer improves QOL

Summary

Therapeutic partnership in survivorship care

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Effectiveness of a patient self-management programme for breast cancer as a chronic illness: a non-randomised controlled clinical trial.

Authors:
Dr Karuthan Chinna, PhD
Dr Karuthan Chinna, PhD
University of Malaya
Associate Professor
Biostatistics
Kuala Lumpur | Malaysia
Dr Siew Yim Loh, PhD
Dr Siew Yim Loh, PhD
University of Malaya
Assoc Prof Dr.
Cancer survivorship, rehabilitation, Health behaviour, Occupational therapy, Occupational Science, Oncorehabilitation
Kuala Lumpur, WP | Malaysia

J Cancer Surviv 2013 Sep 22;7(3):331-42. Epub 2013 Mar 22.

Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Purpose: Patient self-management enables living with a chronic disease effectively. This study examines the effectiveness of a 4-week self-management programme to enable self-management of the numerous after-effects and with breast cancer as a chronic disease.

Methods: Upon ethical approval, 147 multiethnic survivors (stages I-III breast cancer) received either a 4-week self-management intervention (n = 68) or usual care (n = 78) on a controlled clinical trial in a medical centre. The facilitator-led group intervention provides self-management support and skills for managing the medical, emotional and role tasks. Survivors completed the pre- and post-intervention measures on quality of life, distress and participation inventory.

Results: Multiple analyses of covariance (adjusted for baseline measures) showed significant differences between groups [F(6, 129) = 2.26, p = 0.04 at post-test and F(6, 129) = 4.090, p < 0.001 at follow-up]. Post hoc analysis indicated significantly better outcome on all measures. At follow-up, the experimental group had a mean quality of life (QOL) score of 3.39 [CI = 1.37-5.42; p = 0.001] greater than the control.

Conclusions: There is preliminary evidence that the 4-week self-management intervention enhance the QOL of women with breast cancer, by enabling them to better self-manage the numerous medical, emotional and role tasks. Further randomised trials are warranted.

Implication For Cancer Survivors: Survivors receiving self-management programme report improved HRQL compared with those on usual care. Although time can attenuate the participation limitation and distress of survivors, self-management programmes could help to increase patients' self-efficacy for better self-management.

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Source
http://dx.doi.org/10.1007/s11764-013-0274-xDOI Listing
September 2013
115 Reads
7 Citations
3.303 Impact Factor

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