Integrating Palliative Care Into Self-management of Breast Cancer: A Pilot Randomized Controlled Trial.
Cancer Nurs
; 46(3): E169-E180, 2023.
Article
em En
| MEDLINE
| ID: mdl-35353749
ABSTRACT
BACKGROUND:
Breast cancer patients may not be well-informed about palliative care, hindering its integration into cancer self-management.OBJECTIVE:
The aim of this study was to test Managing Cancer Care A Personal Guide (MCC-PT), an intervention to improve palliative care literacy and cancer self-management.METHODS:
This was a single-blind pilot randomized controlled trial to evaluate the feasibility/acceptability and intervention effects of MCC-PT on palliative care literacy, self-management behaviors/emotions, and moderation by demographic/clinical characteristics. We enrolled 71 stages I to IV breast cancer patients aged at least 21 years, with >6-month prognosis at an academic cancer center. Patients were randomized to MCC-PT (n = 32) versus symptom management education as attention-control (n = 39). At baseline, 1 month, and 3 months, participants completed the Knowledge of Care Options Test (primary outcome), Control Preferences Scale, Goals of Care Form, Medical Communication Competence Scale, Measurement of Transitions in Cancer Scale, Chronic Disease Self-efficacy Scale, Hospital Anxiety and Depression Scale, and the Mishel Uncertainty in Illness Scale.RESULTS:
Mean participant age was 51.5 years (range, 28-74 years); 53.5% were racial/ethnic minority patients, and 40.8% had stage III/IV cancer. After adjusting for race/ethnicity, MCC-PT users improved their palliative care literacy with a large effect size (partial η2 = 0.13). Patients at late stage of disease showed increased self-management (partial η2 = 0.05) and reduced anxiety (partial η2 = 0.05) and depression (partial η2 = 0.07) with medium effect sizes.CONCLUSIONS:
Managing Cancer Care A Personal Guide is feasible and appears most effective in late-stage cancer. Research is needed to elucidate relationships among cancer stage, race/ethnicity, and self-management outcomes. IMPLICATIONS FOR PRACTICE Integration of palliative care into cancer care can assist in creation of appropriate self-management plans and improve emotional outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
/
Autogestão
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Cancer Nurs
Ano de publicação:
2023
Tipo de documento:
Article