[Conference abstract] A culturally adapted, multidisciplinary psychoeducation program for early-stage breast cancer survivors in Asia: A randomized, controlled trial

Chan, Alexandre, Ng, Terence, Oh, Suan Kai, Eyob, Tewodros, Shwe, Maung, Gan, Yan Xiang, Chan, Raymond, Dent, Rebecca Alexandra, Ng, Raymond C.H., Tan, Mabel, Goh, Brandon, Tan, Yee Pin, & Fan, Gilbert (2016) [Conference abstract] A culturally adapted, multidisciplinary psychoeducation program for early-stage breast cancer survivors in Asia: A randomized, controlled trial. Journal of Clinical Oncology, 34(15_suppl), p. 10080.

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Abstract

Background: As cancer mortality rates improve in Asia, there is an increasing need to improve the transition to post-treatment survivorship care. However, culturally appropriate standardized survivorship programs are lacking in this region. This study aimed to evaluate the effectiveness of a culturally adapted psychoeducation program (PE) compared with usual care (UC) to reduce distress and symptoms in Asian breast cancer survivors who have completed adjuvant chemotherapy.

Methods: This was a randomized, controlled trial in 72 Asian early-stage breast cancer survivors who were randomized into either the PE (n = 34) or the UC (n = 38) arms. Participants in the PE arm underwent a weekly multidisciplinary psychoeducation program, delivered in a group format over 3 weeks, based on current recommendations from the United States Institute of Medicine, coupled with cultural adaptation. Both arms were assessed at baseline and 2 months post-intervention using the Rotterdam Symptom Checklist and EORTC-QLQ-C30. Effect sizes were calculated using Cohen’s d.

Results: The mean age ± SD of all participants was 53.0 ± 8.9 years, with majority being Chinese (84.7%) and Malay (6.9%). At baseline, clinical characteristics and outcome measures were well balanced in both arms. Comparing to UC, there was a significant lower levels of physical symptom distress (d= 0.76, p = 0.01) and fatigue (d= 0.49, p = 0.04). There was also a trend towards less appetite loss (d= 0.46, p = 0.06), less constipation (d= 0.45, p = 0.06) and activity level improvement (d= 0.37, p = 0.14) in the PE arm comparing to the UC arm.

Conclusions: A culturally adapted, multidisciplinary psychoeducation program was effective to reduce physical distress and symptoms in Asian breast cancer survivors. Clinical trial information: NCT02600299.

Impact and interest:

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ID Code: 96039
Item Type: Journal Article
Refereed: Yes
Additional Information: 2016 ASCO Annual Meeting (June 3-7, 2016)
Additional URLs:
Keywords: Survivorship, Psychoeducational program, Cancer survivorship, Breast cancer survivors, Quality of life, Physical distress, Fatigue, Appetite loss
ISSN: 1527-7755
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Solid Tumours (111209)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > ONCOLOGY AND CARCINOGENESIS (111200) > Oncology and Carcinogenesis not elsewhere classified (111299)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2016 American Society of Clinical Oncology
Deposited On: 12 Jun 2016 22:51
Last Modified: 13 Jun 2016 22:37

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