A culturally adapted survivorship programme for Asian early stage breast cancer patients in Singapore: A randomized, controlled trial
| Autor: | Brandon Goh, Raymond Javan Chan, Suan Kai Oh, Terence Ng, Yee Pin Tan, Maung Shwe, Gilbert Fan, Raymond Ng, Alexandre Chan, Yan Xiang Gan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors medicine.medical_treatment Beck Anxiety Inventory Breast Neoplasms Experimental and Cognitive Psychology law.invention 03 medical and health sciences 0302 clinical medicine Breast cancer Asian People Cancer Survivors Patient Education as Topic Quality of life Randomized controlled trial law Surveys and Questionnaires Survivorship curve Psychoeducation medicine Humans 030212 general & internal medicine Singapore Rotterdam Symptom Checklist business.industry Middle Aged medicine.disease humanities Psychiatry and Mental health Distress Oncology 030220 oncology & carcinogenesis Quality of Life Physical therapy Female business |
| Zdroj: | Psycho-Oncology. 26:1654-1659 |
| ISSN: | 1057-9249 |
| DOI: | 10.1002/pon.4357 |
| Popis: | Background As cancer mortality rates improve in Singapore, there is an increasing need to improve the transition to posttreatment survivorship care. This study aimed to evaluate the effectiveness of a psychoeducation group (PEG) intervention program compared with usual care to reduce distress for physical symptom and psychological aspects in Asian breast cancer survivors who have completed adjuvant chemotherapy. Methods This was a randomized, controlled trial comprising 72 Asian early stage breast cancer survivors who were randomized into the PEG (n = 34) or the control (n = 38) arm. The participants in the PEG arm underwent a weekly multidisciplinary PEG program delivered in a group format over 3 weeks coupled with cultural adaptation. Both arms were assessed at baseline and 2 months after intervention using the Rotterdam Symptom Checklist, Beck Anxiety Inventory, and EORTC QLQ-C30. A satisfaction questionnaire was also conducted among those survivors who have participated in the PEG program. Effective sizes were calculated using Cohen d. Results The mean age ± SD of all participants was 53.0 ± 8.9 years, with the majority being Chinese (84.7%) and Malay (6.9%), and clinical characteristics were well balanced in both arms. Compared to the control arm, the PEG arm showed a significantly greater reduction in physical symptom distress (d = 0.76, P = .01) and fatigue (d = 0.49, P = .04). The 82.4% of the participants in the intervention group responded to the satisfaction questionnaire, and the majority (92.9%) agreed that the overall duration of the PEG intervention program was appropriate. Conclusions A culturally adapted PEG program was effective in reducing physical symptom distress in Asian breast cancer survivors. (ClinicalTrials.gov: NCT02600299) |
| Databáze: | OpenAIRE |
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