Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial DOI Creative Commons
Judith Fethney, Bora Kim, Chantale Boustany

et al.

Supportive Care in Cancer, Journal Year: 2024, Volume and Issue: 32(1)

Published: Jan. 1, 2024

Abstract Purpose The aim of this randomised controlled trial (RCT) was to explore whether a community nursing intervention for outpatients receiving systemic therapy reduced unplanned hospital presentations and improved physical psychosocial health outcomes over the first three cycles treatment compared control group standard care. Methods number reasons were obtained 170 176 adult patients with solid tumours starting outpatient chemotherapy. Poisson regression used compare between groups. Patients self-completed Hospital Anxiety Depression Scale, Cancer Behavior Inventory European Organization Research Treatment Quality Life Questionnaire core 30 (EORTC QLQ-C30) at start four cycles. Linear techniques quality life outcomes. Results reduction in relative 12% (95% CI, − 25%, 37%; P = 0.48). At cycle 4, there no difference anxiety (difference 0.47 0.28, 1.22; 0.22)), depression 0.57 0.18, 1.31; 0.13)) or EORTC QLQ-C30 summary score 0.16 2.67, 3.00; 0.91)). Scores self-efficacy as measured by higher 4.3 0.7, 7.9; 0.02)). Conclusion This RCT did not demonstrate benefit reducing hospital. identified cancer-based intervention. Trial registration Registered Australian New Zealand Clinical Trials Registry: ACTRN12614001113640, registered 21/10/2014.

Language: Английский

Interventions to enhance self‐efficacy in cancer patients: A meta‐analysis of randomized controlled trials DOI
Thomas V. Merluzzi, James E. Pustejovsky, Errol J. Philip

et al.

Psycho-Oncology, Journal Year: 2019, Volume and Issue: 28(9), P. 1781 - 1790

Published: June 17, 2019

Self-efficacy expectations are associated with improvements in problematic outcomes widely considered clinically significant (ie, emotional distress, fatigue, and pain), related to positive health behaviors, as a type of personal agency, inherently valuable. expectancies, estimates confidence execute important that changes self-efficacy positively future behaviors promote well-being. The current meta-analysis investigated the impact psychological interventions on for variety among cancer patients.Ovid Medline, PsycINFO, CINAHL, EMBASE, Cochrane Library, Web Science were searched specific search terms identifying randomized controlled trials (RCTs) focused psychologically based interventions. Included studies had (a) an adult sample, (b) expectation measure (c) RCT design. Standard screening reliability procedures used selecting coding studies. Coding included theoretically informed moderator variables.Across 79 RCTs, 223 effect sizes, 8678 participants, weighted average was estimated g = 0.274 (P < .001). Consistent theory, in-person intervention delivery (g 0.329) significantly greater than all other formats 0.154, P .023; eg, audiovisual, print, telephone, Web/internet).The results establish comparable size commonly reported (distress, pain). Additionally, result achieved largest is supported by social learning theory could inform research development evaluation

Language: Английский

Citations

91
Digital Therapeutic (Mika) Targeting Distress in Patients With Cancer: Results From a Nationwide Waitlist Randomized Controlled Trial DOI Creative Commons
Franziska Springer, Ayline Maier, Michael Friedrich

et al.

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e51949 - e51949

Published: Feb. 23, 2024

Distress is highly prevalent among patients with cancer, but supportive care needs often go unmet. Digital therapeutics hold the potential to overcome barriers in cancer and improve health outcomes.

Language: Английский

Citations

9
Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review DOI Creative Commons

Amber Bourgeois,

Tara C. Horrill,

Ashley Mollison

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: May 28, 2024

Abstract Background Despite advances in cancer research and treatment, the burden of is not evenly distributed. People experiencing socioeconomic disadvantage have higher rates cancer, later stage at diagnoses, are dying cancers that preventable screen-detectable. However, less known about barriers to accessing treatment. Methods We conducted a scoping review studies examining treatment for populations high-income countries, searched across four biomedical databases. Studies published English between 2008 2021 as defined by World Bank, reporting on were included. Results A total 20 identified. Most ( n = 16) reported data from United States, remaining included publications Canada 1), Ireland Kingdom 1). The majority 9) focused breast most common included: inadequate insurance financial constraints 16); unstable housing 5); geographical distribution services transportation challenges 4); limited resources social care needs 7); communication 9); system disintegration implicit bias advanced diagnosis comorbidities 8); psychosocial dimensions contexts 6); support networks 3). compounding effect multiple exacerbated poor access with relevance many locations. Conclusion This highlights levels, underscores importance identifying patients risk improve outcomes. Findings provide an understanding can inform future, equity-oriented policy, practice, service innovation.

Language: Английский

Citations

9
Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers DOI
Kelly J. Lafaro, Dan J. Raz, Jae Y. Kim

et al.

Supportive Care in Cancer, Journal Year: 2019, Volume and Issue: 28(8), P. 3867 - 3876

Published: Dec. 16, 2019

Language: Английский

Citations

59
A latent profile analysis of psychological resilience in gastric cancer survivors: A cross-sectional study DOI
Xiaoqing Wang, Xun Li, Ziyan Zhang

et al.

European Journal of Oncology Nursing, Journal Year: 2024, Volume and Issue: 70, P. 102612 - 102612

Published: May 19, 2024

Language: Английский

Citations

7
The relationship between self-consciousness and depression in college students: the chain mediating effect of meaning life and self-efficacy, with the moderating effect of social support DOI Creative Commons
Yuan Ye,

Daili Wu,

Z. Chen

et al.

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 13, 2024

This study aimed to investigate the impact of self-consciousness on depression college students, and mainly focus confirming mediator role life meaningful self-efficacy, as well moderator social support.

Language: Английский

Citations

6
A machine learning-based pipeline for modeling medical, socio-demographic, lifestyle and self-reported psychological traits as predictors of mental health outcomes after breast cancer diagnosis: An initial effort to define resilience effects DOI
Κωνσταντίνα Κούρου, Georgios C. Manikis, Paula Poikonen‐Saksela

et al.

Computers in Biology and Medicine, Journal Year: 2021, Volume and Issue: 131, P. 104266 - 104266

Published: Feb. 15, 2021

Language: Английский

Citations

38
More self‐efficacy is associated with longitudinally higher health‐related quality of life in mechanically ventilated COVID‐19 ICU survivors: The prospective MaastrICCht cohort DOI Creative Commons

Laura M. Tiels,

Marieke S. J. N. Wintjens, Sophie Waardenburg

et al.

Nursing in Critical Care, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 13, 2025

Abstract Background More self‐efficacy leads to greater confidence in one's ability perform actions achieve treatment goals. Therefore, may affect patient recovery and health‐related quality of life (HRQoL) after ICU discharge. Aim In a cohort mechanically ventilated COVID‐19 survivors, we examined the associations between at 3 months HRQoL 3, 12 24 Study Design Mechanically survivors MaastrICCht that completed assessment with General Self‐Efficacy Scale (GSES) were included. was measured using EuroQol 5 Dimensions Levels (EQ‐5D‐5L), subdivided into health utility score (EQ‐HUS) visual analogue scale (EQ‐VAS). Linear regression models used investigate adjusted for age, sex, body mass index (BMI), Acute Physiology Chronic Health Evaluation II (APACHE II) score, length stay hospital discharge location. Results 87 more associated longitudinally higher EQ‐HUS ( β = 0.01; 95% CI: 0.01–0.02; p < 0.001) EQ‐VAS 1.00; 0.66–1.35; up 2 years After adjustment BMI, APACHE stay, location, similar. Conclusions survivors. Relevance Clinical Practice Screening patients post‐ICU as well developing interventions improve are target enhance over long term.

Language: Английский

Citations

0
The Role of Sustainable Social Work in Pro-Environmental Behaviors: A Mediation and Moderation Model DOI
Davood Ghorbanzadeh,

Pooja Varma,

Gaganpreet Kaur

et al.

Journal of Evidence-Based Social Work, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 18

Published: Jan. 15, 2025

This study seeks to investigate the effectiveness of psychological interventions in promoting pro-environmental behaviors by fostering resilience and self-efficacy Iranian youth. Additionally, based on social cognitive theory, research examines role sustainable youth work moderating these relationships. A cross-sectional design was employed collect data via a survey from 384 participants, using validated scales. Structural equation modeling utilized examine relationships among variables. The results demonstrate notable substantial impact behaviors. findings indicate mediating between Ultimately, has emerged as significant moderators, enhancing this carry implications for execution strategies focused changing environmental underscores importance factors shaping behavior, thereby overall understanding behavior development

Language: Английский

Citations

0
Feeding tube self-management experience of patients at home after discharge following esophageal cancer surgery DOI

Gangyong Miao,

Qingjun You, Xiaoyan Feng

et al.

World Journal of Gastrointestinal Surgery, Journal Year: 2025, Volume and Issue: 17(2)

Published: Jan. 20, 2025

BACKGROUND Esophageal cancer (EC) is an aggressive malignancy with low survival (10%-30%). Nutritional problems are present throughout the perioperative period and key to prognosis. Home enteral nutrition appears improve nutritional status of patients EC. Few studies have addressed experience administering their own fluids managing feeding tubes at home. The aim this study was explore real-life self-management in home after EC surgery first 3 months discharge following surgery. AIM To tube METHODS Face-to-face semi-structured interviews were conducted 18 using a Thematic analysis recordings identified themes related self-management. RESULTS Patients expressed similar feelings about management experiences concerning three contextualized themes: Self-management dilemmas, distressing experiences, facilitators. CONCLUSION There many dilemmas self-managing postoperative homebound Clinical staff should provide guidance promote positive change behavior.

Language: Английский

Citations

0