Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): Methods and results

Reese, Christina; Weis, Joachim; Schmucker, Dieter; Mittag, Oskar

doi:10.1002/pon.4322

Cited by 19 publications

(17 citation statements)

References 26 publications

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“…Regarding the update frequency, eight of the 14 guidelines (57.14%) were updates, and the remaining were newly developed. The majority of the guidelines (12/14, 85.71%) were specifically designed for breast cancer survivors, while the remaining two guidelines (Kaplan et al, 2020;Reese et al, 2017) included recommendations for prostate cancer and colorectal cancer as well. Twelve of the 14 (85.71%) guidelines were published in a journal, while two guidelines were published on The NICE website (Alliance, 2018;Health & Excellence, 2017).…”

Section: Characteristics Of the Included Clinical Practice Guidelinesmentioning

confidence: 99%

“…There was a consensus regarding the effectiveness of physical activity/exercise in reducing fatigue among breast cancer survivors, with five analysed CPGs highly to moderately recommendable (Cardoso et al, 2020;Health & Excellence, 2017;Reese et al, 2017;Runowicz et al, 2016;Sisler et al, 2016). In particular, one guideline with a high LoE (Level I) recommended physical sports/exercise which equalled three to five hours of moderate walking every week.…”

Section: Fatiguementioning

confidence: 99%

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Self-Managed Non-Pharmacological Interventions for Breast Cancer Survivors: Systematic Quality Appraisal and Content Analysis of Clinical Practice Guidelines

Tan¹,

Zhai²,

Wang³

et al. 2022

Preprint

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Background: A growing number of clinical practice guidelines (CPGs) with regards to non-pharmacological interventions for breast cancer survivors are available. However, given the limitations in guideline development methodologies and inconsistency of recommendations, it remains uncertain how best to design and implement such non-pharmacological strategies to tailor interventions for breast cancer survivors with varied health conditions, healthcare needs, and preferences. Aim: To critically appraise and summarise available non-pharmacological interventions for symptom management and health promotion that can be self-managed by breast cancer survivors based on the recommendations of the CPGs. Methods: Clinical practice guidelines which were published between January 2016 and September 2021 and described non-pharmacological interventions for breast cancer survivors were systematically searched in six electronic databases, nine relevant guideline databases, and five cancer care society websites. The quality of the included CPGs was assessed by four evaluators using the Appraisal of Guidelines for REsearch and Evaluation, second edition tool. Content analysis was conducted to synthesise the characteristics of the non-pharmacological interventions that were recommended by the included CPGs, such as the intervention’s form, duration and frequency, level of evidence, grade of recommendation, and source of evidence. Results: Fourteen CPGs were identified and analysed. Of the 14 CPGs appraised, only five were rated as high quality. The domain with the highest standardised percentage was “scope and purpose” (84.61%), while the “applicability” domain had the lowest standardised percentage (51.04%). Five guidelines were assessed as “recommended”, seven were rated as “recommended with modifications”, and the remaining two were considered “not recommended”. Regarding the content analysis, physical activity/exercise, meditation, hypnosis, yoga, music therapy, stress management, relaxation, massage, and acupressure were the common self-managed non-pharmacological interventions recommended by the 14 CPGs. Physical activity/exercise was the only self-managed non-pharmacological intervention that was mostly recommended for psychological and physical symptom management by the included CPGs. However, there were significant disparities in terms of level of evidence and grade of recommendation in the included CPGs. Conclusion: The recommendations for the self-managed non-pharmacological interventions were varied and limited among the 14 CPGs, and some were based on medium- and low-quality evidence. More rigorous methods are required to develop high-quality CPGs in order to guide clinicians in offering high-quality and tailored breast cancer survivorship care.

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Section: Characteristics Of the Included Clinical Practice Guidelinesmentioning

confidence: 99%

Section: Fatiguementioning

confidence: 99%

Self-Managed Non-Pharmacological Interventions for Breast Cancer Survivors: Systematic Quality Appraisal and Content Analysis of Clinical Practice Guidelines

Tan¹,

Zhai²,

Wang³

et al. 2022

Preprint

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show abstract

“…For example, guidelines for head and neck cancer focus on speech and swallowing rehabilitation [28]. The psycho-oncology rehabilitation practice guidelines indicate the importance of a psychological approach in the rehabilitation treatment of patients with breast, prostate, or colorectal cancer [29]. Harris et al evaluated several guidelines for rehabilitation for breast cancer and provided recommendations for future development [30].…”

Section: Cancer Rehabilitationmentioning

confidence: 99%

Cardio-Oncology rehabilitation- challenges and opportunities to improve cardiovascular outcomes in cancer patients and survivors

Sase

Kida

Furukawa

2020

Journal of Cardiology

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“…Psychosocial services are one of the components of cancer care addressing the social, psychological, emotional, spiritual, and functional aspects of the patient's journey with an interdisciplinary team of care and service providers [11]. It includes a variety of psychological and educational components, such as relaxation training, cognitive and behavioral coping strategies, cancer education/information sessions, and group social support [12][13][14]. Provision of psychosocial services revealed signi cant effects in the treatment of cancer patients in reducing emotional distress, anxiety, and depression and it also improves adherence to treatment, enhance quality of life and improve survival of cancer patients [15,[18][19][20].…”

Section: Introductionmentioning

confidence: 99%

“…Particularly, patients with breast cancer who are in the midst of treatment have fear and concerns regarding mortality, disease recurrence, and body image impairment, especially in relation with mastectomy, hormonal treatment, and sexuality [1,9,10].Psychosocial services are one of the components of cancer care addressing the social, psychological, emotional, spiritual, and functional aspects of the patient's journey with an interdisciplinary team of care and service providers [11]. It includes a variety of psychological and educational components, such as relaxation training, cognitive and behavioral coping strategies, cancer education/information sessions, and group social support [12][13][14]. Provision of psychosocial services revealed signi cant effects in the treatment of cancer patients in reducing emotional distress, anxiety, and depression and it also improves adherence to treatment, enhance quality of life and improve survival of cancer patients [15,[18][19][20].The signi cant advances in the effectiveness of psychosocial interventions have encouraged different health organizations, associations, and committees to develop, implement, and disseminate psychosocial guidelines and evidence-based treatments for several co-morbid psychiatric disorders in cancer and other chronic illnesses [21][22][23][24][25].…”

mentioning

confidence: 99%

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

Wondimagegnehu

Abebe

Abu

et al. 2021

Preprint

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Purpose: Although psychosocial services have substantial impact in cancer care, the availability and utilization of these services have not been well-studied in Sub Saharan Africa. Therefore, we explored the types of psychosocial services available for breast cancer patients in Addis Ababa, Ethiopia.Methods: A mixed method study was conducted using a cross-sectional survey involving 428 breast cancer patients, followed by a qualitative study. A total of nine in-depth interviews (IDIs) were conducted with four breast cancer patients and five key informants using two separate interview guides. In addition to descriptive statistics, logistic regression was done to identify factors associated with provision of psychosocial services. Thematic analysis was used for the qualitative data using NVivo 12 plus software. Results: Only 47 (11.1%) patients received psychosocial services, either in the form of counseling, emotional support or provision of information. Health professionals reportedly provided such services along with their routine activities, and patients predominantly received social/emotional support from family members, friends and colleagues. There were no well-structured counseling service, emotional support or group discussion sessions for breast cancer patients in these health facilities. The main reasons for not providing these services were high patient flow/workload, inadequate space, lack of training and not having qualified professionals to organize and deliver psychosocial services in those hospitals.Conclusions: only one in ten breast cancer patients received psychosocial services from health professionals, and the services were not delivered in a structured way. Therefore, psychosocial services should be integrated both in private and government health facilities of Ethiopia.

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Development of practice guidelines for psychological interventions in the rehabilitation of patients with oncological disease (breast, prostate, or colorectal cancer): Methods and results

Abstract: The practice guidelines provide detailed recommendations for high-quality psychosocial care in an oncological rehabilitation context. It is their aim to guide the multidisciplinary team, especially psychologists and physicians, in their daily practice.

Cited by 19 publications

References 26 publications

Self-Managed Non-Pharmacological Interventions for Breast Cancer Survivors: Systematic Quality Appraisal and Content Analysis of Clinical Practice Guidelines

Self-Managed Non-Pharmacological Interventions for Breast Cancer Survivors: Systematic Quality Appraisal and Content Analysis of Clinical Practice Guidelines

Cardio-Oncology rehabilitation- challenges and opportunities to improve cardiovascular outcomes in cancer patients and survivors

Availability and Utilization of Psychosocial Services for Breast Cancer Patients in Addis Ababa, Ethiopia: A Mixed Method Study

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