Ontology highlight
ABSTRACT: Background
Given the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemotherapy and to support them in dealing with their various symptoms at home.Methods
Development of the intervention was guided by the Intervention Mapping Approach and included following steps: needs assessment, formulation of proximal programme objectives, selection of methods and strategies, production of programme components, and planning for implementation and evaluation of the intervention. A panel of multidisciplinary healthcare professionals (n?=?12) and a panel of patients and family caregivers (n?=?7) were actively involved developing the intervention at each stage.Results
For the intervention, four patient performance objectives relating to self-management were advanced. Self-efficacy and outcome expectations were selected as key determinants of dealing with chemotherapy-related symptoms. As methods for supporting patients, motivational interviewing and tailoring were found to fit best with the change objectives and determinants. Existing patient information materials were re-designed after panel input to reinforce the new intervention approach.Conclusion
The intervention mapping approach, including active involvement of the intervention providers and receivers, informed the design of this nursing intervention with two or more contacts. Further evaluation is needed to gain insight into the potential effects, feasibility and mechanisms of this complex intervention.
SUBMITTER: Coolbrandt A
PROVIDER: S-EPMC6020323 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
Coolbrandt Annemarie A Wildiers Hans H Aertgeerts Bert B Dierckx de Casterlé Bernadette B van Achterberg Theo T Milisen Koen K
BMC nursing 20180627
<h4>Background</h4>Given the great symptom burden associated with chemotherapy on the one hand and generally poor self-management of symptoms by cancer patients on the other hand, our aim was to develop a nursing intervention to reduce symptom burden in adult cancer patients treated with chemotherapy and to support them in dealing with their various symptoms at home.<h4>Methods</h4>Development of the intervention was guided by the Intervention Mapping Approach and included following steps: needs ...[more]