A nurse-led intervention for fear of cancer progression in advanced cancer: A pilot feasibility study.

Autor: Reb AM; Beckman Research Institute of the City of Hope, Division of Nursing Research and Education, Department of Population Sciences, Duarte, CA, USA. Electronic address: areb@coh.org., Borneman T; Beckman Research Institute of the City of Hope, Division of Nursing Research and Education, Department of Population Sciences, Duarte, CA, USA., Economou D; Beckman Research Institute of the City of Hope, Division of Nursing Research and Education, Department of Population Sciences, Duarte, CA, USA., Cangin MA; City of Hope, Department of Supportive Care Medicine, Duarte, CA, USA., Cope DG; Florida Cancer Specialists & Research Institute, Fort Myers, FL, USA., Ma H; City of Hope, Division of Biomarkers of Early Detection and Prevention, Department of Population Sciences, Duarte, CA, USA., Ruel N; City of Hope, Department of Computational and Quantitative Medicine, Duarte, CA, USA., Sharpe L; University of Sydney, School of Psychology, Sydney, Australia., Patel SK; City of Hope, Divisions of Outcomes and Psychology, Departments of Population Sciences and Supportive Medicine, Duarte, CA, USA., Cristea M; City of Hope National Cancer Center, Department of Medical Oncology & Therapeutics Research, Duarte, CA, USA., Koczywas M; City of Hope National Cancer Center, Department of Medical Oncology & Therapeutics Research, Duarte, CA, USA., Ferrell B; Beckman Research Institute of the City of Hope, Division of Nursing Research and Education, Department of Population Sciences, Duarte, CA, USA.
Jazyk: angličtina
Zdroj: European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2020 Dec; Vol. 49, pp. 101855. Date of Electronic Publication: 2020 Oct 07.
DOI: 10.1016/j.ejon.2020.101855
Abstrakt: Purpose: To assess the feasibility, acceptability, and preliminary effects of a nurse-led intervention for managing fear of cancer progression in advanced cancer patients.
Methods: A single group mixed methods study was conducted in patients with stage III or IV gynecologic or lung cancer (n = 31) with dysfunctional levels of fear of progression or distress. The intervention consisted of seven videoconferencing sessions with skills practice. Feasibility measures included enrollment rate, attendance, attrition, and home practice adherence. Acceptability was based on exit interview responses. Content analysis was used to analyze the qualitative data. Participants completed quantitative questionnaires assessing fear of progression and secondary outcomes at baseline, eight, and 12 weeks. Linear mixed model analysis was used to assess changes in outcome measures.
Results: The average enrollment rate was seven participants/month over 4.5 months. Participants attended a mean of 5.3 of seven sessions. Attrition rate was 30%. The analysis showed improvements over time in fear of progression and exploratory outcomes. Participants reported feeling calmer and more focused. The skills practice helped to manage anxiety and fears. Themes included: Struggling with fears, Refocusing the fears, and Realizing/reaffirming what is important in life. The most beneficial components included the values clarification exercise, detached mindfulness and worry postponement practices.
Conclusion: The intervention was acceptable; most feasibility criteria were met. Preliminary data suggest that the intervention reduced fear of progression and improved secondary outcomes. The intervention required a significant time commitment by participants, which may have contributed to increased attrition. To decrease burden, we will shorten the intervention.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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