From U Malaya: Effectiveness of a patient self-management programme for breast cancer as a chronic illness

http://www.ncbi.nlm.nih.gov/pubmed/23519654

J Cancer Surviv. 2013 Mar 22. [Epub ahead of print]

Effectiveness of a patient self-management programme for breast cancer as a chronic illness: a non-randomised controlled clinical trial.

Loh SY, Packer T, Chinna K, Quek KF.

Source

Department of Rehabilitation Medicine, Faculty of Medicine, University of Malaya, 50630, Kuala Lumpur, Malaysia, syloh@ummc.edu.my.

Abstract

PURPOSE:

Patient self-management enables living with a chronic disease effectively. This study examines the effectiveness of a 4-week self-management programme to enable self-management of the numerous after-effects and with breast cancer as a chronic disease.

METHODS:

Upon ethical approval, 147 multiethnic survivors (stages I-III breast cancer) received either a 4-week self-management intervention (n = 68) or usual care (n = 78) on a controlled clinical trial in a medical centre. The facilitator-led group intervention provides self-management support and skills for managing the medical, emotional and role tasks. Survivors completed the pre- and post-intervention measures on quality of life, distress and participation inventory.

RESULTS:

Multiple analyses of covariance (adjusted for baseline measures) showed significant differences between groups [F(6, 129) = 2.26, p = 0.04 at post-test and F(6, 129) = 4.090, p < 0.001 at follow-up]. Post hoc analysis indicated significantly better outcome on all measures. At follow-up, the experimental group had a mean quality of life (QOL) score of 3.39 [CI = 1.37-5.42; p = 0.001] greater than the control.

CONCLUSIONS:

There is preliminary evidence that the 4-week self-management intervention enhance the QOL of women with breast cancer, by enabling them to better self-manage the numerous medical, emotional and role tasks. Further randomised trials are warranted.

IMPLICATION FOR CANCER SURVIVORS:

Survivors receiving self-management programme report improved HRQL compared with those on usual care. Although time can attenuate the participation limitation and distress of survivors, self-management programmes could help to increase patients' self-efficacy for better self-management.