Practical support for women with breast cancer

Thorne, Sally; Balneaves, Lynda G.; Reimer, J

doi:10.5737/1181912x927477

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…A recent study reported that diabetic patients receive unsatisfactory levels of practical information from their doctors 39. Thorne et al40 postulated that information is not provided due to the fact that health care practitioners consider it to be an individual family matter rather than a basic concern of the health care system.…”

Section: Health Care Provider Supportmentioning

confidence: 99%

Social support in type II diabetes care: a case of too little, too late

Kadirvelu¹,

Sadasivan²,

Ng³

2012

DMSO

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Coping with type II diabetic patients is increasingly posing large financial burdens, sorely felt especially by growing economies. Self-management has been found to be an effective approach towards maintaining good control in diabetics. However, although efforts at implementing self-management have had initial success, there has been a lack of sustainability. This review examines the different components impinging on self-care among type II diabetic patients. These include the critical role of social support, the need for support from health care providers, the value of support from family and friends, the influence of sex and cultural factors in self-care behavior, the benefits of peer support, and the role of literacy in diabetes self-care. Despite the mounting evidence for the effectiveness of social support in diabetes care, and the various stakeholders including this in their clinical guidelines, there has only been a lukewarm response from policy-makers towards ensuring its implementation. Hence, more effort is required from health care providers in moving away from just understanding the effects of new drugs and subsequently putting their patients on these drugs, and going back to the basics of communicating with the patients, understanding their woes, and helping to motivate/empower their patients. This paper analyzes the various components of social support, their influence on diabetes self-care, and how health care providers can help in this process.

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Section: Health Care Provider Supportmentioning

confidence: 99%

Social support in type II diabetes care: a case of too little, too late

Kadirvelu¹,

Sadasivan²,

Ng³

2012

DMSO

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“…Most breast cancer patients experience functional limitations while undergoing cancer treatment 1–4. These limitations interfere with roles that they value in their daily lives, known as ‘participation restrictions’ (i.e.…”

Section: Introductionmentioning

confidence: 99%

Feasibility study of a randomized controlled trial of a telephone‐delivered problem‐solving–occupational therapy intervention to reduce participation restrictions in rural breast cancer survivors undergoing chemotherapy

et al. 2010

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Objective-Breast cancer patients receiving adjuvant chemotherapy often experience functional effects of treatment that limit participation in life activities. The purpose of this study was to examine the feasibility of conducting a randomized controlled trial (RCT) of a novel intervention for these restrictions, determine acceptability of the intervention, and preliminarily assess its effects.Methods-A pilot RCT of a telephone-delivered Problem Solving and Occupational Therapy intervention (PST-OT) to improve participation restrictions in rural breast cancer patients undergoing chemotherapy. Thirty-one participants with Stages 1-3 breast cancer were randomized to 6 weekly sessions of PST-OT (n=15) and Usual Care (n=16). The primary study outcome was the feasibility of conducting the trial. Secondary outcomes were functional, quality of life and emotional status as assessed at baseline, 6 weeks and 12 weeks.Results-Of 46 patients referred 31 were enrolled (67% recruitment rate), of which 6 participants withdrew (81% retention rate). Twenty-four participants completed all study-related assessments (77%). Ninety-two percent of PST-OT participants were highly satisfied with the intervention, and 92% reported PST-OT to be helpful/very helpful for overcoming participation restrictions. Ninety-seven percent of planned PST-OT treatment sessions were completed. Completion rates for PST-OT homework tasks were high. Measures of functioning, quality of life and emotional state favored the PST-OT condition.Conclusion-This pilot study suggests that an RCT of the PST-OT intervention is feasible to conduct with rural breast cancer patients undergoing adjuvant chemotherapy and that PST-OT may have positive effects on function, quality of life, and emotional state.

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“…Additionally, assistance with self‐care can lead to improved quality of life, hope, a sense of optimism, and the ability to deal with the existential aspects of illness 3 . In addition to coping with their own needs, patients with cancer report that they need assistance with helping their family members cope with their emotional needs, physical assistance needs, and shifted functional responsibilities in the family 4 . Furthermore, caregivers' needs often go unmet by healthcare providers in the aftermath of a cancer diagnosis 5 …”

mentioning

confidence: 99%

“…3 In addition to coping with their own needs, patients with cancer report that they need assistance with helping their family members cope with their emotional needs, physical assistance needs, and shifted functional responsibilities in the family. 4 Furthermore, caregivers' needs often go unmet by healthcare providers in the aftermath of a cancer diagnosis. 5 Self-care behaviors and other coping skills can be taught and monitored via Internet-based programs.…”

mentioning

confidence: 99%