The feasibility of a purpose-renewal intervention after treatment for early stage breast cancer: A brief report

Radomski, Mary Vining; Swenson, Karen K.; Anheluk, Mattie; Zola, Joette; Kreiger, Rob; Rabusch, Stacey; Halsten, Jerry; Kath, Kristina; Carroll, Ginger; Zust, Barbara L.

doi:10.1080/07347332.2019.1692990

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…Interventions in this area should therefore offer opportunities for being, doing, and experiencing in everyday life for newly diagnosed cancer survivors. For example, Radomski et al demonstrated the feasibility and acceptability of an 8‐week occupational therapy‐based intervention, the Compass Course, designed to help cancer survivors identify daily priorities that most align with their personal strengths, values, and sources of meaning 38 . In response to a call for individually tailored approaches to survivorship care, 39 this intervention is designed to guide survivors in practically pursuing these priorities within the context of their everyday lives.…”

Section: Discussionmentioning

confidence: 99%

Spiritual peace and life meaning may buffer the effect of anxiety on physical well‐being in newly diagnosed cancer survivors

et al. 2020

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Objective To assess the extent to which spiritual well‐being moderates the relationship between anxiety and physical well‐being in a diverse, community‐based cohort of newly diagnosed cancer survivors. Methods Data originated from the Measuring Your Health (MY‐Health) study cohort (n = 5506), comprising people assessed within 6‐13 months of cancer diagnosis. Life meaning/peace was assessed using the 8‐item subscale of the Spiritual Well‐Being Scale (FACIT‐Sp‐12). Anxiety was measured with an 11‐item PROMIS Anxiety short form, and physical well‐being was assessed using the 7‐item FACT‐G subscale. Multiple linear regression models were used to assess relationships among variables. Results Life meaning and peace was negatively associated with anxiety, b = −0.56 (P < .001) and positively associated with physical well‐being, b = 0.43 (P = <.001) after adjusting for race, education, income, and age. A significant interaction between life meaning/peace and anxiety emerged (P < .001) indicating that spiritual well‐being moderates the relationship between anxiety and physical well‐being. Specifically, for cancer survivors high in anxiety, physical well‐being was dependent on levels of life meaning/peace, b = 0.19, P < .001. For those low in anxiety, physical well‐being was not associated with levels of life meaning/peace, b = 0.01, P = .541. Differences in cancer clinical factors (cancer stage at diagnosis, cancer type) did not significantly impact results. Conclusions Further research is needed to assess how spiritual well‐being may buffer the negative effect of anxiety on physical well‐being. A clinical focus on spiritual well‐being topics such as peace and life meaning may help cancer survivors of all types as they transition into follow‐up care.

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Section: Discussionmentioning

confidence: 99%

Spiritual peace and life meaning may buffer the effect of anxiety on physical well‐being in newly diagnosed cancer survivors

et al. 2020

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“…Based on Victor Frankl’s writings, Breitbart et al developed meaning-centered psychotherapy for individuals with advanced cancers, which has been successfully rolled out to multiple populations and settings [ 5 , 23 – 25 ]. Other existentialist theory-based approaches have further confirmed the effectiveness of similar interventions among individuals with serious illness, [ 26 , 27 ] including among individuals with early cancer [ 28 ]. Our findings also add to a small number of studies on the role of close relationships with others for psychosocial outcomes during serious illness.…”

Section: Discussionmentioning

confidence: 99%

Associations between a sense of connection and existential and psychosocial outcomes in gynecologic and breast cancer survivors

Jewett

Galchutt

Everson‐Rose

et al. 2022

Support Care Cancer

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Background A cancer diagnosis may lead to existential despair but potentially also to perceived inner growth. This growth may be fostered through meaningful connections with others. We sought to describe existential and related psychosocial outcomes and their association with a sense of connection with others in individuals with gynecological and breast cancers. Methods We used cross-sectional data from two ongoing cohort studies of gynecologic ( N = 236) and breast ( N = 62) cancer survivors at the University of Minnesota. We summarized self-reported post-traumatic growth (PTG), sense of meaning, peace, spirituality, hopelessness, loneliness, and three exploratory measures of sense of connections with others, and used multivariate linear regression models to describe the associations between them. Results Hope, sense of meaning, peace, and spirituality were generally high among participants, but PTG and loneliness scores varied more. Sense of connection with others was consistently associated with greater PTG and decreased loneliness with medium effect sizes: for example having positive interactions with most/all versus nobody on one’s medical team, PTG (coefficient 10.49, 95% CI: 4.10, 16.87, Cohen’s D 0.44); loneliness (coefficient − 0.85, 95% CI: − 1.36, − 0.34, Cohen’s D 0.43). Those who knew someone in a similar life situation felt a strong sense of connection with such a person; however, 28% of participants had not met anyone in a similar situation. Conclusions There may be untapped opportunities to nurture beneficial existential outcomes in cancer survivors. Potential interventions include connecting survivors with one another and creating opportunities for more authentic patient-provider relationships, for example, within palliative care. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-021-06784-8.

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“…To that end, we developed an eightsession, occupation-oriented, group intervention to support education, discussion, self-reflection, and everyday action associated with purpose in life called the Compass Course (CC). In a small feasibility study, we demonstrated that the CC was implementable and acceptable to a single group of early stage breast cancer survivors (n = 12) (Radomski et al, 2020). Preliminary efficacy findings were mixed.…”

Section: Introductionmentioning

confidence: 94%

“…Over the 12-week course, each participant developed a Purpose Plan that specified their current strengths, values, and sources of personal meaning (i.e., their inner compass), which they used to identify and then prioritize daily life activities, actual or aspired. The overarching goal of the CC was to help participants reclaim a sense of self-grounded purpose in daily life, defined as intentional use of time and energy in ways that align with one's values, strengths, and sources of personal meaning in the moments that compose a day (Radomski et al, 2020).…”

Section: Interventionmentioning

confidence: 99%

Preliminary Efficacy of an Occupation-Oriented Purpose in Life Intervention After Breast Cancer

Radomski¹,

Anheluk²,

Carroll³

et al. 2022

Can J Occup Ther

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Background. Purpose in life is important to health and well-being; purpose disruption often goes unidentified after breast cancer. Purpose. To evaluate the efficacy of a purpose renewal intervention and utility of a screening question for identifying people with purpose-related distress. Method. In this prospective pretest-posttest study, participants with breast cancer received an 8-session purpose renewal group intervention (n = 35). Participants completed standardized measures of meaning and purpose at pretest, posttest, and two-month follow-up and a forced-choice Purpose Status Question (PSQ) at pretest. Findings. Participants made statistically significant pretest-to-posttest and pretest-to-follow-up improvements. The PSQ demonstrated construct validity: 40% of participants lacked purpose direction at pretest and this subgroup made significantly greater improvements than participants who reported purpose direction at pretest. Implications. The PSQ warrants further study as a screener to identify people with purpose-related distress. Many breast cancer survivors may benefit from a purpose in life intervention; a subgroup may benefit more.

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The feasibility of a purpose-renewal intervention after treatment for early stage breast cancer: A brief report

Cited by 6 publications

References 20 publications

Spiritual peace and life meaning may buffer the effect of anxiety on physical well‐being in newly diagnosed cancer survivors

Spiritual peace and life meaning may buffer the effect of anxiety on physical well‐being in newly diagnosed cancer survivors

Associations between a sense of connection and existential and psychosocial outcomes in gynecologic and breast cancer survivors

Preliminary Efficacy of an Occupation-Oriented Purpose in Life Intervention After Breast Cancer

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