The impact of a "narrative interview" intervention in oncology. A study protocol for a feasibility study.
Journal
Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064
Informations de publication
Date de publication:
20 06 2020
20 06 2020
Historique:
received:
09
06
2020
accepted:
09
06
2020
entrez:
24
6
2020
pubmed:
24
6
2020
medline:
26
3
2021
Statut:
epublish
Résumé
Oncological diagnosis determines a biographical breakdown and requires the person to adapt to the disease. If patients, after diagnosis, ask professionals for 'compassionate care', research on these issues is still underdeveloped. There are currently no studies that use the narrative interview as an intervention tool. The objectives of the study are to evaluate: (1) the feasibility of the narrative interview intervention on cancer patients in the first diagnosis; (2) the impact of the narrative medicine intervention on the patient's self-perception, his psychological distress and adaptation to the disease. It is a mixed-method study, with an intervention (narrative interview) and quantitative evaluation before/after intervention and qualitative evaluation post-intervention (reflective writing). The analysis will use the Psychological Distress Inventory scale for the assessment of psychological distress and the Mini-Mental Adjustment to Cancer Scale for the assessment of disease adaptation. Adult patients, with oncological pathology will be recruited one month after the communication of the diagnosis, regardless of the type of tumor. The Wilcoxon test for paired data will be used to verify pre-post-intervention differences. The 'reflective writings' will be subjected to thematic analysis. The study evaluates the feasibility of the narrative interview intervention as a primary outcome. Secondly, the impact of the intervention is assessed in relation to: a) identification of risk or protective factors on psychological distress and adaptation to the disease; b) re-elaboration of the patient's experiences and experiences related to his/her own illness.
Sections du résumé
BACKGROUND AND AIM OF THE WORK
Oncological diagnosis determines a biographical breakdown and requires the person to adapt to the disease. If patients, after diagnosis, ask professionals for 'compassionate care', research on these issues is still underdeveloped. There are currently no studies that use the narrative interview as an intervention tool. The objectives of the study are to evaluate: (1) the feasibility of the narrative interview intervention on cancer patients in the first diagnosis; (2) the impact of the narrative medicine intervention on the patient's self-perception, his psychological distress and adaptation to the disease.
METHODS
It is a mixed-method study, with an intervention (narrative interview) and quantitative evaluation before/after intervention and qualitative evaluation post-intervention (reflective writing). The analysis will use the Psychological Distress Inventory scale for the assessment of psychological distress and the Mini-Mental Adjustment to Cancer Scale for the assessment of disease adaptation. Adult patients, with oncological pathology will be recruited one month after the communication of the diagnosis, regardless of the type of tumor. The Wilcoxon test for paired data will be used to verify pre-post-intervention differences. The 'reflective writings' will be subjected to thematic analysis.
DISCUSSION AND CONCLUSION
The study evaluates the feasibility of the narrative interview intervention as a primary outcome. Secondly, the impact of the intervention is assessed in relation to: a) identification of risk or protective factors on psychological distress and adaptation to the disease; b) re-elaboration of the patient's experiences and experiences related to his/her own illness.
Identifiants
pubmed: 32573505
doi: 10.23750/abm.v91i6-S.10016
pmc: PMC7975842
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
38-47Références
Cancer. 2017 Aug 15;123(16):3167-3175
pubmed: 28378366
Psychol Res Behav Manag. 2018 Jul 31;11:279-287
pubmed: 30104910
Patient Educ Couns. 2016 Jan;99(1):68-76
pubmed: 26238257
Med Educ. 2008 Nov;42(11):1048-50
pubmed: 19141004
Psychooncology. 2019 Aug;28(8):1695-1701
pubmed: 31173427
J Nurs Educ. 2005 Feb;44(2):53-7
pubmed: 15719711
BMC Palliat Care. 2016 Jan 19;15:6
pubmed: 26786417
BMJ Open. 2017 Nov 19;7(11):e018210
pubmed: 29151441
Acta Biomed. 2019 Jul 08;90(6-S):7-16
pubmed: 31292409
Int J Qual Stud Health Well-being. 2019 Dec;14(1):1622354
pubmed: 31122166
J Grad Med Educ. 2016 Dec;8(5):785-786
pubmed: 28018553
J Holist Nurs. 2014 Mar;32(1):35-43
pubmed: 23926216
Acta Biomed. 2016 Nov 22;87(4-S):13-22
pubmed: 27874840
Ann Fam Med. 2018 Mar;16(2):160-165
pubmed: 29531109
Oncol Nurs Forum. 2014 Mar 1;41(2):E172-84
pubmed: 24578083
Jpn J Nurs Sci. 2013 Dec;10(2):170-9
pubmed: 24373440
J Neurooncol. 2017 Sep;134(2):417-421
pubmed: 28669013
Future Oncol. 2018 Nov;14(27):2821-2832
pubmed: 29905090
Int J Clin Pharm. 2016 Jun;38(3):631-4
pubmed: 26613739
J Prim Health Care. 2011 Jun 01;3(2):136-41
pubmed: 21625662
Acta Biomed. 2018 Jul 18;89(6-S):43-50
pubmed: 30038203
Scand J Caring Sci. 2015 Sep;29(3):548-54
pubmed: 24861609
J Holist Nurs. 2003 Sep;21(3):228-41
pubmed: 14528848
Oncology. 1996 Jul-Aug;53(4):295-302
pubmed: 8692533
J Palliat Med. 2017 Feb;20(2):147-154
pubmed: 27754747
Acad Med. 2012 Jan;87(1):41-50
pubmed: 22104060
Postgrad Med J. 2015 Jun;91(1076):357-8
pubmed: 26045563
J Pain Symptom Manage. 2019 Oct;58(4):696-706
pubmed: 31216430
Int J Palliat Nurs. 2016 Dec;22(12):599-606
pubmed: 27992278
Acta Biomed. 2017 Jul 18;88(3S):13-21
pubmed: 28752828
Eur J Psychotraumatol. 2016 Sep 21;7:32473
pubmed: 27658371
J Cancer Surviv. 2019 Oct;13(5):653-662
pubmed: 31313128
Postgrad Med J. 2018 May;94(1111):314-315
pubmed: 29695608
Acta Biomed. 2018 Mar 28;89(4-S):5-17
pubmed: 29644985
J Med Educ Curric Dev. 2018 Jul 20;5:2382120518785301
pubmed: 30046663
Adv Health Sci Educ Theory Pract. 2009 Oct;14(4):595-621
pubmed: 18034364
PLoS One. 2019 Oct 24;14(10):e0224178
pubmed: 31648272
Psychooncology. 2005 Feb;14(2):115-24
pubmed: 15386782
Tumori. 2011 Jul-Aug;97(4):510-6
pubmed: 21989442