Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study
Purpose The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients’ competence and reducing fear of recurrence. Methods The study is based on a multi-center, non-randomized con...
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| Veröffentlicht in: | Supportive care in cancer 2020-07, Vol.28 (7), p.3033-3040 |
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| creator | Weis, Joachim B. Gschwendtner, Kathrin Giesler, Jürgen M. Adams, Leonie Wirtz, Markus A. |
| description | Purpose
The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients’ competence and reducing fear of recurrence.
Methods
The study is based on a multi-center, non-randomized control group design with three measurement time points (T1 baseline, T2 end of the intervention, T3 6-week follow-up). Breast cancer patients were assessed with various standardized questionnaires including fear of progression, self-efficacy, depression, and quality of life.
Results
A total of 50 breast cancer patients participated (intervention group
n
= 27, control group
n
= 23). The results show a significant reduction in the fear of progression/recurrence (FoPR) (
p
= 0.003) and a significant increase in self-efficacy (SE) (
p
= 0.007) for the intervention group with a large (FoPR, Eta
2
= .178) and medium (SE, Eta
2
= .113) effect size, respectively. For all other outcome criteria such as depressive symptoms, social support, or quality of life, no significant changes over time or differences between both groups were found.
Conclusions
The psychoeducational program has been proven to be effective for breast cancer survivors, but further investigation based on a randomized trial is necessary.
Practice implications
To improve participation rate assessment of patient’s needs and close cooperation with rehabilitation centers, psychosocial counseling services, and medical oncologists are recommended. |
| doi_str_mv | 10.1007/s00520-019-05076-6 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2300181635</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A625182728</galeid><sourcerecordid>A625182728</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-c681811a128e0dde418b37fa37adcae05fe1f8fe0e35bfda84d189d9653ec9293</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoO4uOPqH_AgAS9espuPTiftbVlcFRb0oOeQSSpj1u5kTLoHxl9vZmf9RKQOBZXnfanUi9AzRs8ZpeqiUio5JZQNhEqqetI_QCvWCUGUEMNDtKJDx0gnpDxFj2u9pZQpJfkjdCqYVH2n2Ap9-VD37nMGvzg7x5zsiDclL1sc0wxlB-kwxCEXvC5g64ydTQ4KrkvZxV0u9RW2OOVEik0-T_EbeDwt4xyJg4MD3sYxz7jOi98_QSfBjhWe3vcz9On69cert-Tm_Zt3V5c3xHUdn4nrNdOMWcY1UO-hY3otVLBCWe8sUBmABR2AgpDr4K3uPNODH3opwA18EGfo5dF3W_LXBepsplgdjKNNkJdquGiX0KwXsqEv_kJv81LaFRrFh6HnQqjfqI0dwcQU8lysO5iay55LprniulHn_6BaeZiiywlCbPM_BPwocCXXWiCYbYmTLXvDqDkkbI4Jm5awuUvY9E30_H7jZT2B_yn5EWkDxBGo7SltoPz60n9svwOOhbGj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2299623375</pqid></control><display><type>article</type><title>Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Weis, Joachim B. ; Gschwendtner, Kathrin ; Giesler, Jürgen M. ; Adams, Leonie ; Wirtz, Markus A.</creator><creatorcontrib>Weis, Joachim B. ; Gschwendtner, Kathrin ; Giesler, Jürgen M. ; Adams, Leonie ; Wirtz, Markus A.</creatorcontrib><description>Purpose
The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients’ competence and reducing fear of recurrence.
Methods
The study is based on a multi-center, non-randomized control group design with three measurement time points (T1 baseline, T2 end of the intervention, T3 6-week follow-up). Breast cancer patients were assessed with various standardized questionnaires including fear of progression, self-efficacy, depression, and quality of life.
Results
A total of 50 breast cancer patients participated (intervention group
n
= 27, control group
n
= 23). The results show a significant reduction in the fear of progression/recurrence (FoPR) (
p
= 0.003) and a significant increase in self-efficacy (SE) (
p
= 0.007) for the intervention group with a large (FoPR, Eta
2
= .178) and medium (SE, Eta
2
= .113) effect size, respectively. For all other outcome criteria such as depressive symptoms, social support, or quality of life, no significant changes over time or differences between both groups were found.
Conclusions
The psychoeducational program has been proven to be effective for breast cancer survivors, but further investigation based on a randomized trial is necessary.
Practice implications
To improve participation rate assessment of patient’s needs and close cooperation with rehabilitation centers, psychosocial counseling services, and medical oncologists are recommended.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-05076-6</identifier><identifier>PMID: 31576471</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anxiety ; Breast cancer ; Cancer ; Cancer survivors ; Clinical trials ; Depression, Mental ; Disease management ; Health counseling ; Health psychology ; Medicine ; Medicine & Public Health ; Nursing ; Nursing Research ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Patient education ; Psychotherapy ; Quality of life ; Rehabilitation Medicine ; Social aspects ; Survivor</subject><ispartof>Supportive care in cancer, 2020-07, Vol.28 (7), p.3033-3040</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-c681811a128e0dde418b37fa37adcae05fe1f8fe0e35bfda84d189d9653ec9293</citedby><cites>FETCH-LOGICAL-c442t-c681811a128e0dde418b37fa37adcae05fe1f8fe0e35bfda84d189d9653ec9293</cites><orcidid>0000-0002-8646-6607</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-019-05076-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-019-05076-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31576471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weis, Joachim B.</creatorcontrib><creatorcontrib>Gschwendtner, Kathrin</creatorcontrib><creatorcontrib>Giesler, Jürgen M.</creatorcontrib><creatorcontrib>Adams, Leonie</creatorcontrib><creatorcontrib>Wirtz, Markus A.</creatorcontrib><title>Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients’ competence and reducing fear of recurrence.
Methods
The study is based on a multi-center, non-randomized control group design with three measurement time points (T1 baseline, T2 end of the intervention, T3 6-week follow-up). Breast cancer patients were assessed with various standardized questionnaires including fear of progression, self-efficacy, depression, and quality of life.
Results
A total of 50 breast cancer patients participated (intervention group
n
= 27, control group
n
= 23). The results show a significant reduction in the fear of progression/recurrence (FoPR) (
p
= 0.003) and a significant increase in self-efficacy (SE) (
p
= 0.007) for the intervention group with a large (FoPR, Eta
2
= .178) and medium (SE, Eta
2
= .113) effect size, respectively. For all other outcome criteria such as depressive symptoms, social support, or quality of life, no significant changes over time or differences between both groups were found.
Conclusions
The psychoeducational program has been proven to be effective for breast cancer survivors, but further investigation based on a randomized trial is necessary.
Practice implications
To improve participation rate assessment of patient’s needs and close cooperation with rehabilitation centers, psychosocial counseling services, and medical oncologists are recommended.</description><subject>Anxiety</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer survivors</subject><subject>Clinical trials</subject><subject>Depression, Mental</subject><subject>Disease management</subject><subject>Health counseling</subject><subject>Health psychology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Patient education</subject><subject>Psychotherapy</subject><subject>Quality of life</subject><subject>Rehabilitation Medicine</subject><subject>Social aspects</subject><subject>Survivor</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kU2LFDEQhoO4uOPqH_AgAS9espuPTiftbVlcFRb0oOeQSSpj1u5kTLoHxl9vZmf9RKQOBZXnfanUi9AzRs8ZpeqiUio5JZQNhEqqetI_QCvWCUGUEMNDtKJDx0gnpDxFj2u9pZQpJfkjdCqYVH2n2Ap9-VD37nMGvzg7x5zsiDclL1sc0wxlB-kwxCEXvC5g64ydTQ4KrkvZxV0u9RW2OOVEik0-T_EbeDwt4xyJg4MD3sYxz7jOi98_QSfBjhWe3vcz9On69cert-Tm_Zt3V5c3xHUdn4nrNdOMWcY1UO-hY3otVLBCWe8sUBmABR2AgpDr4K3uPNODH3opwA18EGfo5dF3W_LXBepsplgdjKNNkJdquGiX0KwXsqEv_kJv81LaFRrFh6HnQqjfqI0dwcQU8lysO5iay55LprniulHn_6BaeZiiywlCbPM_BPwocCXXWiCYbYmTLXvDqDkkbI4Jm5awuUvY9E30_H7jZT2B_yn5EWkDxBGo7SltoPz60n9svwOOhbGj</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Weis, Joachim B.</creator><creator>Gschwendtner, Kathrin</creator><creator>Giesler, Jürgen M.</creator><creator>Adams, Leonie</creator><creator>Wirtz, Markus A.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8646-6607</orcidid></search><sort><creationdate>20200701</creationdate><title>Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study</title><author>Weis, Joachim B. ; Gschwendtner, Kathrin ; Giesler, Jürgen M. ; Adams, Leonie ; Wirtz, Markus A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-c681811a128e0dde418b37fa37adcae05fe1f8fe0e35bfda84d189d9653ec9293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer survivors</topic><topic>Clinical trials</topic><topic>Depression, Mental</topic><topic>Disease management</topic><topic>Health counseling</topic><topic>Health psychology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Patient education</topic><topic>Psychotherapy</topic><topic>Quality of life</topic><topic>Rehabilitation Medicine</topic><topic>Social aspects</topic><topic>Survivor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weis, Joachim B.</creatorcontrib><creatorcontrib>Gschwendtner, Kathrin</creatorcontrib><creatorcontrib>Giesler, Jürgen M.</creatorcontrib><creatorcontrib>Adams, Leonie</creatorcontrib><creatorcontrib>Wirtz, Markus A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weis, Joachim B.</au><au>Gschwendtner, Kathrin</au><au>Giesler, Jürgen M.</au><au>Adams, Leonie</au><au>Wirtz, Markus A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>28</volume><issue>7</issue><spage>3033</spage><epage>3040</epage><pages>3033-3040</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
The aim of the study was to evaluate an outpatient psychoeducational group program for breast cancer patients aimed to improve various psychosocial parameters, enhancing the patients’ competence and reducing fear of recurrence.
Methods
The study is based on a multi-center, non-randomized control group design with three measurement time points (T1 baseline, T2 end of the intervention, T3 6-week follow-up). Breast cancer patients were assessed with various standardized questionnaires including fear of progression, self-efficacy, depression, and quality of life.
Results
A total of 50 breast cancer patients participated (intervention group
n
= 27, control group
n
= 23). The results show a significant reduction in the fear of progression/recurrence (FoPR) (
p
= 0.003) and a significant increase in self-efficacy (SE) (
p
= 0.007) for the intervention group with a large (FoPR, Eta
2
= .178) and medium (SE, Eta
2
= .113) effect size, respectively. For all other outcome criteria such as depressive symptoms, social support, or quality of life, no significant changes over time or differences between both groups were found.
Conclusions
The psychoeducational program has been proven to be effective for breast cancer survivors, but further investigation based on a randomized trial is necessary.
Practice implications
To improve participation rate assessment of patient’s needs and close cooperation with rehabilitation centers, psychosocial counseling services, and medical oncologists are recommended.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31576471</pmid><doi>10.1007/s00520-019-05076-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8646-6607</orcidid></addata></record> |
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| ispartof | Supportive care in cancer, 2020-07, Vol.28 (7), p.3033-3040 |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Anxiety Breast cancer Cancer Cancer survivors Clinical trials Depression, Mental Disease management Health counseling Health psychology Medicine Medicine & Public Health Nursing Nursing Research Oncology Oncology, Experimental Original Article Pain Medicine Patient education Psychotherapy Quality of life Rehabilitation Medicine Social aspects Survivor |
| title | Psychoeducational group intervention for breast cancer survivors: a non-randomized multi-center pilot study |
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