A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery

Abstract

Purpose To evaluate the feasibility and acceptability of a multimedia self-management (MSM) intervention to prepare patients and family caregivers for lung surgery. Patients and Methods This is a quasi-experimental, two-group, sequential enrollment pilot study of a four-session multimedia intervention (audio/visual + print) to enhance self-management and QOL for patients and family caregivers. The intervention, Preparing for Lung Surgery, begins before surgery, and continues through hospitalization and discharge, with two telephone support sessions after discharge. Outcomes were assessed before surgery (pre-intervention), at discharge, and 2–4 weeks post-discharge (post-intervention). Patient outcomes were assessed using the FACT-G (QOL), MDASI and FACT-PSI (symptoms), self-efficacy, surgery-related knowledge, and patient activation. Family caregiver outcomes included COH-QOL-Family (QOL), Caregiver Burden Scale, and knowledge. Paired t-tests were used for exploratory evaluations of score changes from pre- to post-intervention. Results Sixty participants (38 patients, 22 family caregivers) enrolled in the study (70% accrual). Post-intervention scores were significantly improved for patients’ emotional QOL (p=0.001). Trends for improvements were observed for patient self-efficacy, surgery-related knowledge, activation. Family caregivers’ surgery-related knowledge was significantly improved (p=0.02). Overall, participants were highly satisfied with the acceptability/usability of the intervention (3.6 to 3.7/4.0). Conclusion A standardized multimedia self-management intervention was feasible and acceptable in supporting readiness and preparedness for lung surgery and postoperative recovery. A larger randomized trial is needed to verify the impact of the MSM intervention on patient/family caregiver outcomes and healthcare resource use.

Systematic review of self‐management interventions for older adults with cancer

“…Of the 13 studies included in our review, nine are RCTs and four are quasi‐experimental studies 35 . Six studies were conducted in the United States, 36–40 while the remaining studies were conducted in Sweden, 41 Northern Ireland, 42 the Netherlands, 43 United Kingdom, 44 Malaysia, 45 Iran 46 and Norway 47 . All studies included were published between 2007 and 2019.…”

“…The sample size of the studies ranged considerably, with the RCTs ranging from 16 37 to 179 47 participants, and the quasi‐experimental studies ranging from 38 40 to 105 46 . Eleven studies focused specifically on older adults, 36,39–48 whereas two studies conducted a subgroup analysis 37,38 . A summary of the characteristics of each study included in this systematic review can be found in Tables 1 and 2.…”

“…All included studies reported participant samples with a mean 37–40,42–48 or median 36,41 age of 65 or older. Ten studies reported the percent of women comprising their sample, which varied greatly; six studies reported a minority of women in their sample 37,38,41,43,46,47 and four studies reported that women comprised a majority of their sample 39,40,45,46,48 .…”

Efecto de una intervención educativa para cuidadores familiares de personas con cáncer en cirugía

“…En la dimensión bienestar que indaga aspectos básicos de la vida cotidiana, así como la satisfacción personal relacionada con la calidad de vida percibida, los hallazgos coinciden con otros estudios en los que se demuestra el efecto de intervenciones de seguimiento sobre empoderamiento, confianza, y claves de automanejo en el cuidador familiar (20).…”

Caregiver Burden in Adults With Inflammatory Bowel Disease

“…47 For example, interventions for dementia caregivers have focused on the development of skills to more effectively manage challenging behavioral symptoms, whereas interventions for cancer caregivers often focus on enhancing knowledge and skills about the patient's treatment and recovery. 48 Additional factors to be considered regarding caregivers of adults with IBD may need to include consideration of the relapsing nature of the disease, changes in medication or medication monitoring, and issues related to social isolation in times of disease flare.…”