MELACARE Nurse-led follow-up after early-stage melanoma: protocol and feasibility.

Autor:	Hansen SM; Department of Plastic Surgery, Copenhagen University Hospital, Herlev and Gentofte, Herlev, Denmark. sara.moelgaard.hansen@regionh.dk., Johansen C; Department of Oncology, Cancer Survivorship and Late Effects Research Center (CASTLE), Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark., Obinah MPB; Department of Plastic Surgery, Copenhagen University Hospital, Herlev and Gentofte, Herlev, Denmark., Kasparian NA; Cincinnati Children's Hospital Medical Center and Department of Pediatrics, Heart and Mind Wellbeing Center, Heart Institute and Division of Behavioral Medicine and Clinical Psychology, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States., Genter P; Center for Mental Health, Copenhagen, Denmark., Bidstrup PE; Psychological Aspects of Cancer, Danish Cancer Institute, Copenhagen, Denmark; fInstitute of Psychology, University of Copenhagen, Copenhagen, Denmark., Hölmich LR; Department of Plastic Surgery, Copenhagen University Hospital, Herlev and Gentofte, Herlev, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Jazyk:	angličtina
Zdroj:	Acta oncologica (Stockholm, Sweden) [Acta Oncol] 2024 Nov 24; Vol. 63, pp. 909-914. Date of Electronic Publication: 2024 Nov 24.
DOI:	10.2340/1651-226X.2024.41037
Abstrakt:	Background and Purpose: We developed the Melacare nurse-led intervention, which combines education in skin self-examination as a resource-conscious approach to detecting recurrence and management of fear of cancer recurrence in patients treated for melanoma. This publication presents the Melacare study protocol and evaluates the feasibility and acceptability of Melacare prior to a larger randomised controlled trial. Material and Methods: Feasibility and acceptability of Melacare were evaluated in an intervention-only feasibility study, in which patients attended two nurse-led intervention sessions coupled with an educational booklet. Participants completed patient-reported outcome (PRO) questionnaires at baseline and before each session. After the intervention, participants completed a study-specific feedback questionnaire. Feasibility was evaluated in terms of recruitment, adherence, and attendance. Self-reported outcomes from the study-specific questionnaire on intervention effects were also collected. Results of the feasibility study: Fourteen patients (nine stage IA, five stage IB melanoma) participated. Attendance and recruitment rates were 100%, all participants completed the baseline and PRO questionnaires, and 100% read at least half of the educational booklet. In terms of intervention effects, all patients reported improved knowledge of performing skin self-examination and coping with the fear of cancer recurrence. Interpretation: Results indicate that the Melacare nurse-led intervention is highly feasible and acceptable for use with patients treated for early-stage melanoma. Prior to clinical trial commencement, minor refinements include changing the method of recruiting by telephone and offering.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu