Effect of a multidiscipline mentor-based program, Be Resilient to Breast Cancer (BRBC), on female breast cancer survivors in mainland China—A randomized, controlled, theoretically-derived intervention trial

Abstract

To reduce the risk of adjustment problems for breast cancer patients in mainland China, we examined the efficacy of a multidiscipline mentor-based program, Be Resilient to Breast Cancer (BRBC), delivered after breast surgery to (a) increase protective factors of social support, hope for the future, etc.; (b) decrease risk factors of Physical and Emotional Distress; and (c) increase outcomes of Resilience, Transcendence and Quality of Life (QOL). A multisite randomized controlled trial was conducted at 6 specialist cancer hospitals. 101 and 103 breast cancer patients were allocated to intervention group (IG) and control group (CG), respectively, and 112 general females (without breast cancer) were allocated to the norm group (NG). Participants completed measures that were related to latent variables derived from the Resilience Model for Breast Cancer (RM-BC) at baseline (T1), 2 months (T2), 6 months (T3), and 12 months (T4) after intervention. At T2, the IG reported significantly lower Depression (ES = 0.65,P = 0.0019) and Illness Uncertainty (ES = 0.57, P = 0.004), better Hope (ES = 0.81, P < 0.001) and QOL (ES = 0.60, P = 0.002) than did the CG. At T3, the IG reported significantly lower Anxiety (ES = 0.74, P < 0.001), better Social Support (ES = 0.51,P = 0.009), Transcendence (ES = 0.87, P < 0.001), and Resilience (ES = 0.83, P < 0.001) compared with the CG. At T4, the IG reported better Resilience though not significant (P = 0.085) and better Transcendence (P = 0.0243) than did the NG. The BRBC intervention improves the positive health outcomes and decreases the risk factors of illness-related distress of breast cancer patients during the high-risk cancer treatment.

Mind‐body interventions for fear of cancer recurrence: A systematic review and meta‐analysis

“…Five (26%) interventions incorporated meditative movement, such as yoga, tai chi, or mindful dance. While these practices tended to overlap with formal mindfulness training ( k = 4), one study did not describe instruction of tai chi as incorporating mindfulness practice . Meditative movement was described to facilitate overall resilience, perceived self‐agency, and access to emotional tension being retained in the body.…”

Resilience of patients with chronic diseases: A systematic review

“…Furthermore, Victoria Cerezo, Ortiz‐Tallo, Cardenal, and Torre‐Luque () and Kim et al () focused on the dispositional pattern of resilience; in other words, they concentrated on individuals’ self‐esteem and positive emotions, and on helping patients overcome negative situations caused by their chronic disease by improving these internal properties. Moreover, Ye et al () and Bradshaw et al () addressed the dispositional and philosophical patterns of resilience, and included transcendent and abstract constructs, such as spiritual emotion and hope. Furthermore, Kovacs et al (), Ye et al () and Burton et al () attempted to examine the relational pattern of resilience by examining social function and social support as variables.…”

“…Moreover, Ye et al () and Bradshaw et al () addressed the dispositional and philosophical patterns of resilience, and included transcendent and abstract constructs, such as spiritual emotion and hope. Furthermore, Kovacs et al (), Ye et al () and Burton et al () attempted to examine the relational pattern of resilience by examining social function and social support as variables. Thus, resilience is only partially examined in each study, and the operational definition of resilience also widely varies across these investigations.…”

The role of resilience in healthcare transitions among adolescent kidney transplant recipients

“…Adapting and thriving in the setting of this adversity is the definition of resilience—a well‐grounded and strength‐based concept deeply rooted in the positive youth development perspective of developmental psychology . Resilience is a learned and dynamic process, and various models have been used to demonstrate its feasibility and positive impact on health outcomes on those living with chronic disease or facing situational adversity . As such, we propose that resilience informs the theoretical framework for a stable HCT.…”

“…[22][23][24] Resilience is a learned and dynamic process, 25 and various models have been used to demonstrate its feasibility 26 and positive impact on health outcomes on those living with chronic disease or facing situational adversity. [26][27][28][29][30][31][32] As such, we propose that resilience informs the theoretical framework for a stable HCT.…”