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Preparing breast cancer patients for survivorship (PREP) - a pilot study of a patient-centred supportive group visit intervention
journal contribution
posted on 2023-06-08, 23:11 authored by Joanne Thompson, Rob Coleman, Brigitte Colwell, Jenny Freeman, Diana Greenfield, Karen Holmes, Nigel Mathers, Malcolm ReedMalcolm ReedPurpose: The process of breast cancer follow-up has psychosocial benefits for patients, notably reassurance, although attending hospital appointments can increase anxiety. Discharge from hospital follow-up can also invoke anxiety as many patients seek reassurance from continued specialist follow-up. Inevitably, due to increased survival and associated resource issues, opportunities for follow-up and support will be reduced. We delivered and evaluated an intervention which supported the transition from cancer patient to cancer survivor, for breast cancer patients being discharged to primary care. Methods: We delivered and evaluated a pilot of a patient-centred group intervention 'Preparing Patients for Discharge', aimed at reducing distress. Between January and September 2008, 172 participants were recruited and 74 (43) expressed an interest in participating in the intervention; 32 of 74 took part, and participated in its evaluation using a semi-structured evaluation questionnaire, standardized measures Hospital Anxiety and Depression Scale (HADS) and Clinical Outcomes for Routine Evaluation (CORE) and independent qualitative interviews. Results: The qualitative analysis of questionnaire data indicated key factors were 1) shared experience, 2) support and reassurance, and 3) positive views about cancer and being discharged. The interview data revealed that the intervention enabled participants to: share experiences, focus on emotional needs, and have open discussions about recurrence, while increasing confidence in being discharged and using alternative support services. However, no significant differences were found in pre-post-interventions scores of HADS and CORE. Conclusions: Providing a structured group intervention approach for breast cancer patients offers an early opportunity to support cancer survivors and facilitate and encourage self-management. © 2013 Elsevier Ltd.
History
Publication status
- Published
Journal
European Journal of Oncology NursingISSN
1462-3889Publisher
ElsevierExternal DOI
Issue
1Volume
18Page range
10-16Department affiliated with
- BSMS Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2015-11-12Usage metrics
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