"Teachable Moment": Effects of an Educational Program on Knowledge and Quality of Life of Korean Breast Cancer Survivors.
Breast cancer
Cancer survivor
Education
Knowledge
Quality of life
Journal
Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154
Titre abrégé: J Cancer Educ
Pays: England
ID NLM: 8610343
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
accepted:
27
09
2020
pubmed:
8
10
2020
medline:
22
6
2022
entrez:
7
10
2020
Statut:
ppublish
Résumé
Due to prolonged survival and the relatively young median age of patients, the quality of life (QOL) of breast cancer survivors is an important issue in Korea. We conducted an educational program for breast cancer survivors, and evaluated its impact on knowledge, QOL, and lifestyle changes. This study utilized a single-arm pretest-posttest design. Participants were tested before and after an educational program to measure changes in knowledge. To measure QOL change, we conducted a QOL survey at the time of enrollment and again 6 months later. Regarding the knowledge test, mean scores increased from 9.62 to 14.74 points following education (p < 0.001). After 6 months, 97 patients completed the QOL survey and the data were analyzed, showing significant improvements in anxiety (p = 0.021), depression (p = 0.003), functional well-being (p = 0.005), and breast cancer subscales of the Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) (p < 0.001). Additionally, the rates of adequate exercise significantly improved (p < 0.001), while rates of alcohol consumption and second cancer screening did not significantly change. One educational program session can improve patient knowledge, QOL, and psychosocial well-being, but is insufficient to achieve significant changes in health behavior.
Identifiants
pubmed: 33025451
doi: 10.1007/s13187-020-01888-x
pii: 10.1007/s13187-020-01888-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
812-818Informations de copyright
© 2020. American Association for Cancer Education.
Références
Bell K (2012) Remaking the self: trauma, teachable moments, and the biopolitics of cancer survivorship. Cult Med Psychiatry 36(4):584–600. https://doi.org/10.1007/s11013-012-9276-9
doi: 10.1007/s11013-012-9276-9
pubmed: 23054293
pmcid: 3496522
Bradbury K, Steele M, Corbett T, Geraghty AWA, Krusche A, Heber E, Easton S, Cheetham-Blake T, Slodkowska-Barabasz J, Müller AM, Smith K, Wilde LJ, Payne L, Singh K, Bacon R, Burford T, Summers K, Turner L, Richardson A, Watson E, Foster C, Little P, Yardley L (2019) Developing a digital intervention for cancer survivors: an evidence-, theory- and person-based approach. NPJ Digit Med 2:85. https://doi.org/10.1038/s41746-019-0163-4
doi: 10.1038/s41746-019-0163-4
pubmed: 31508496
pmcid: 6718425
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492
doi: 10.3322/caac.21492
pubmed: 30207593
Cho J, Jung SY, Lee JE, Shim EJ, Kim NH, Kim Z, Sohn G, Youn HJ, Kim KS, Kim H, Lee JW, Lee MH (2014) A review of breast cancer survivorship issues from survivors’ perspectives. J Breast Cancer 17(3):189–199. https://doi.org/10.4048/jbc.2014.17.3.189
doi: 10.4048/jbc.2014.17.3.189
pubmed: 25320616
pmcid: 4197348
Costanzo ES, Lutgendorf SK, Mattes ML, Trehan S, Robinson CB, Tewfik F, Roman SL (2007) Adjusting to life after treatment: distress and quality of life following treatment for breast cancer. Br J Cancer 97(12):1625–1631. https://doi.org/10.1038/sj.bjc.6604091
doi: 10.1038/sj.bjc.6604091
pubmed: 18000503
pmcid: 2360272
Frazelle ML, Friend PJ (2016) Optimizing the teachable moment for health promotion for cancer survivors and their families. J Adv Pract Oncol 7(4):422–433
pubmed: 29226000
pmcid: 5679031
Gjerset GM, Kiserud CE, Loge JH, Fossa SD, Wisloff T, Gudbergsson SB, Oldervoll LM, Thorsen L (2019) Changes in fatigue, health-related quality of life and physical activity after a one-week educational program for cancer survivors. Acta Oncol 58(5):682–689. https://doi.org/10.1080/0284186x.2018.1562210
doi: 10.1080/0284186x.2018.1562210
pubmed: 30862228
Gray RE, Goel V, Fitch MI, Franssen E, Labrecque M (2002) Supportive care provided by physicians and nurses to women with breast cancer. Results from a population-based survey. Support Care Cancer 10(8):647–652. https://doi.org/10.1007/s00520-002-0370-3
doi: 10.1007/s00520-002-0370-3
pubmed: 12436224
Groenvold M (2010) Health-related quality of life in early breast cancer. Dan Med Bull 57(9):B4184
pubmed: 20816024
Husson O, Mols F, van de Poll-Franse LV (2011) The relation between information provision and health-related quality of life, anxiety and depression among cancer survivors: a systematic review. Ann Oncol 22(4):761–772. https://doi.org/10.1093/annonc/mdq413
doi: 10.1093/annonc/mdq413
pubmed: 20870912
Koh S-J, Choi Y, Cheon J, Kim CR, Kim JH, Kim JS (2018) Using a wireless touch screen tablet personal computer is feasible to assess the quality of breast cancer survivorship. J Cancer Res Pract 5(4):136–140. https://doi.org/10.1016/j.jcrpr.2018.08.002
doi: 10.1016/j.jcrpr.2018.08.002
McBride CM, Emmons KM, Lipkus IM (2003) Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 18(2):156–170. https://doi.org/10.1093/her/18.2.156
doi: 10.1093/her/18.2.156
pubmed: 12729175
Milne HM, Wallman KE, Gordon S, Courneya KS (2008) Effects of a combined aerobic and resistance exercise program in breast cancer survivors: a randomized controlled trial. Breast Cancer Res Treat 108(2):279–288. https://doi.org/10.1007/s10549-007-9602-z
doi: 10.1007/s10549-007-9602-z
pubmed: 17530428
Mullan F (1984) Re-entry: the educational needs of the cancer survivor. Health Educ Q 10(Suppl):88–94
pubmed: 6706620
Park EH, Min SY, Kim Z, Yoon CS, Jung KW, Nam SJ, Oh SJ, Lee S, Park BW, Lim W, Hur MH, Korean Breast Cancer Society (2017) Basic facts of breast cancer in Korea in 2014: the 10-year overall survival progress. J Breast Cancer 20(1):1–11. https://doi.org/10.4048/jbc.2017.20.1.1
doi: 10.4048/jbc.2017.20.1.1
pubmed: 28382089
pmcid: 5378568
Roberts AL, Fisher A, Smith L, Heinrich M, Potts HWW (2017) Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv 11(6):704–719. https://doi.org/10.1007/s11764-017-0632-1
doi: 10.1007/s11764-017-0632-1
pubmed: 28779220
pmcid: 5671545
Rosser JI, Njoroge B, Huchko MJ (2015) Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: the effects of an educational intervention in rural Kenya. Patient Educ Couns 98(7):884–889. https://doi.org/10.1016/j.pec.2015.03.017
doi: 10.1016/j.pec.2015.03.017
pubmed: 25858634
pmcid: 4437717
Runowicz CD, Leach CR, Henry NL, Henry KS, Mackey HT, Cowens-Alvarado RL, Cannady RS, Pratt-Chapman ML, Edge SB, Jacobs LA, Hurria A, Marks LB, LaMonte SJ, Warner E, Lyman GH, Ganz PA (2016) American Cancer Society/American Society of Clinical Oncology breast cancer survivorship care guideline. CA Cancer J Clin 66(1):43–73. https://doi.org/10.3322/caac.21319
doi: 10.3322/caac.21319
pubmed: 26641959
Safdari R, Ghazisaeidi M, Goodini A, Mirzaee M, Farzi J (2016) Electronic game: a key effective technology to promote behavioral change in cancer patients. J Cancer Res Ther 12(2):474–480. https://doi.org/10.4103/0973-1482.154939
doi: 10.4103/0973-1482.154939
pubmed: 27461596
Shahsavari H, Matory P, Zare Z, Taleghani F, Kaji MA (2015) Effect of self-care education on the quality of life in patients with breast cancer. J Educ Health Promot 4:70. https://doi.org/10.4103/2277-9531.171782
doi: 10.4103/2277-9531.171782
pubmed: 27462612
pmcid: 4944611
Snaith RP (2003) The hospital anxiety and depression scale. Health Qual Life Outcomes 1:29. https://doi.org/10.1186/1477-7525-1-29
doi: 10.1186/1477-7525-1-29
pubmed: 12914662
pmcid: 183845
Stanton AL (2012) What happens now? Psychosocial care for cancer survivors after medical treatment completion. J Clin Oncol 30(11):1215–1220. https://doi.org/10.1200/jco.2011.39.7406
doi: 10.1200/jco.2011.39.7406
pubmed: 22412133
Troeschel AN, Leach CR, Shuval K, Stein KD, Patel AV (2018) Physical activity in cancer survivors during “re-entry” following cancer treatment. Prev Chronic Dis 15:E65. https://doi.org/10.5888/pcd15.170277
doi: 10.5888/pcd15.170277
pubmed: 29806579
pmcid: 5985854
Vrieling A, Visser A, Hoedjes M, Hurks M, Gomez Garcia E, Hoogerbrugge N, Kampman E (2018) Increasing awareness and knowledge of lifestyle recommendations for cancer prevention in lynch syndrome carriers: randomized controlled trial. Clin Genet 93(1):67–77. https://doi.org/10.1111/cge.13076
doi: 10.1111/cge.13076
pubmed: 28632915
Yoo HJ, Ahn SH, Eremenco S, Kim H, Kim WK, Kim SB, Han OS (2005) Korean translation and validation of the Functional Assessment Of Cancer Therapy-Breast (FACT-B) scale version 4. Qual Life Res 14(6):1627–1632. https://doi.org/10.1007/s11136-004-7712-1
doi: 10.1007/s11136-004-7712-1
pubmed: 16110941